A deep learning model to triage and predict adenocarcinoma on pancreas cytology whole slide imaging

Abstract Pancreatic fine-needle aspirations are the gold-standard diagnostic procedure for the evaluation of pancreatic ductal adenocarcinoma. A suspicion for malignancy can escalate towards chemotherapy followed by a major surgery and therefore is a high-stakes task for the pathologist. In this pap...

Full description

Bibliographic Details
Main Authors: Andrew Sohn, Daniel Miller, Efrain Ribeiro, Nakul Shankar, Syed Ali, Ralph Hruban, Alexander Baras
Format: Article
Language:English
Published: Nature Portfolio 2023-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-42045-w
_version_ 1797453108452786176
author Andrew Sohn
Daniel Miller
Efrain Ribeiro
Nakul Shankar
Syed Ali
Ralph Hruban
Alexander Baras
author_facet Andrew Sohn
Daniel Miller
Efrain Ribeiro
Nakul Shankar
Syed Ali
Ralph Hruban
Alexander Baras
author_sort Andrew Sohn
collection DOAJ
description Abstract Pancreatic fine-needle aspirations are the gold-standard diagnostic procedure for the evaluation of pancreatic ductal adenocarcinoma. A suspicion for malignancy can escalate towards chemotherapy followed by a major surgery and therefore is a high-stakes task for the pathologist. In this paper, we propose a deep learning framework, MIPCL, that can serve as a helpful screening tool, predicting the presence or absence of cancer. We also reproduce two deep learning models that have found success in surgical pathology for our cytopathology study. Our MIPCL significantly improves over both models across all evaluated metrics (F1-Score: 87.97% vs 88.70% vs 91.07%; AUROC: 0.9159 vs. 0.9051 vs 0.9435). Additionally, our model is able to recover the most contributing regions on the slide for the final prediction. We also present a dataset curation strategy that increases the number of training examples from an existing dataset, thereby reducing the resource burden tied to collecting and scanning additional cases.
first_indexed 2024-03-09T15:18:09Z
format Article
id doaj.art-0399f8578b4b4c50abf7625e2d151481
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-03-09T15:18:09Z
publishDate 2023-10-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-0399f8578b4b4c50abf7625e2d1514812023-11-26T12:58:07ZengNature PortfolioScientific Reports2045-23222023-10-0113111310.1038/s41598-023-42045-wA deep learning model to triage and predict adenocarcinoma on pancreas cytology whole slide imagingAndrew Sohn0Daniel Miller1Efrain Ribeiro2Nakul Shankar3Syed Ali4Ralph Hruban5Alexander Baras6Department of Pathology, Johns Hopkins University School of MedicineDepartment of Pathology, Saint Louis University School of MedicineDepartment of Pathology, Johns Hopkins University School of MedicineDepartment of Pathology, University of ColoradoDepartment of Pathology, Johns Hopkins University School of MedicineDepartment of Pathology, Johns Hopkins University School of MedicineDepartment of Pathology, Johns Hopkins University School of MedicineAbstract Pancreatic fine-needle aspirations are the gold-standard diagnostic procedure for the evaluation of pancreatic ductal adenocarcinoma. A suspicion for malignancy can escalate towards chemotherapy followed by a major surgery and therefore is a high-stakes task for the pathologist. In this paper, we propose a deep learning framework, MIPCL, that can serve as a helpful screening tool, predicting the presence or absence of cancer. We also reproduce two deep learning models that have found success in surgical pathology for our cytopathology study. Our MIPCL significantly improves over both models across all evaluated metrics (F1-Score: 87.97% vs 88.70% vs 91.07%; AUROC: 0.9159 vs. 0.9051 vs 0.9435). Additionally, our model is able to recover the most contributing regions on the slide for the final prediction. We also present a dataset curation strategy that increases the number of training examples from an existing dataset, thereby reducing the resource burden tied to collecting and scanning additional cases.https://doi.org/10.1038/s41598-023-42045-w
spellingShingle Andrew Sohn
Daniel Miller
Efrain Ribeiro
Nakul Shankar
Syed Ali
Ralph Hruban
Alexander Baras
A deep learning model to triage and predict adenocarcinoma on pancreas cytology whole slide imaging
Scientific Reports
title A deep learning model to triage and predict adenocarcinoma on pancreas cytology whole slide imaging
title_full A deep learning model to triage and predict adenocarcinoma on pancreas cytology whole slide imaging
title_fullStr A deep learning model to triage and predict adenocarcinoma on pancreas cytology whole slide imaging
title_full_unstemmed A deep learning model to triage and predict adenocarcinoma on pancreas cytology whole slide imaging
title_short A deep learning model to triage and predict adenocarcinoma on pancreas cytology whole slide imaging
title_sort deep learning model to triage and predict adenocarcinoma on pancreas cytology whole slide imaging
url https://doi.org/10.1038/s41598-023-42045-w
work_keys_str_mv AT andrewsohn adeeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT danielmiller adeeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT efrainribeiro adeeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT nakulshankar adeeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT syedali adeeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT ralphhruban adeeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT alexanderbaras adeeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT andrewsohn deeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT danielmiller deeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT efrainribeiro deeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT nakulshankar deeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT syedali deeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT ralphhruban deeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging
AT alexanderbaras deeplearningmodeltotriageandpredictadenocarcinomaonpancreascytologywholeslideimaging