Genetic mutation and biological pathway prediction based on whole slide images in breast carcinoma using deep learning

Abstract Breast carcinoma is the most common cancer among women worldwide that consists of a heterogeneous group of subtype diseases. The whole-slide images (WSIs) can capture the cell-level heterogeneity, and are routinely used for cancer diagnosis by pathologists. However, key driver genetic mutat...

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Main Authors: Hui Qu, Mu Zhou, Zhennan Yan, He Wang, Vinod K. Rustgi, Shaoting Zhang, Olivier Gevaert, Dimitris N. Metaxas
Format: Article
Language:English
Published: Nature Portfolio 2021-09-01
Series:npj Precision Oncology
Online Access:https://doi.org/10.1038/s41698-021-00225-9
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author Hui Qu
Mu Zhou
Zhennan Yan
He Wang
Vinod K. Rustgi
Shaoting Zhang
Olivier Gevaert
Dimitris N. Metaxas
author_facet Hui Qu
Mu Zhou
Zhennan Yan
He Wang
Vinod K. Rustgi
Shaoting Zhang
Olivier Gevaert
Dimitris N. Metaxas
author_sort Hui Qu
collection DOAJ
description Abstract Breast carcinoma is the most common cancer among women worldwide that consists of a heterogeneous group of subtype diseases. The whole-slide images (WSIs) can capture the cell-level heterogeneity, and are routinely used for cancer diagnosis by pathologists. However, key driver genetic mutations related to targeted therapies are identified by genomic analysis like high-throughput molecular profiling. In this study, we develop a deep-learning model to predict the genetic mutations and biological pathway activities directly from WSIs. Our study offers unique insights into WSI visual interactions between mutation and its related pathway, enabling a head-to-head comparison to reinforce our major findings. Using the histopathology images from the Genomic Data Commons Database, our model can predict the point mutations of six important genes (AUC 0.68–0.85) and copy number alteration of another six genes (AUC 0.69–0.79). Additionally, the trained models can predict the activities of three out of ten canonical pathways (AUC 0.65–0.79). Next, we visualized the weight maps of tumor tiles in WSI to understand the decision-making process of deep-learning models via a self-attention mechanism. We further validated our models on liver and lung cancers that are related to metastatic breast cancer. Our results provide insights into the association between pathological image features, molecular outcomes, and targeted therapies for breast cancer patients.
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spelling doaj.art-08b773bbbe0c42f8a2e65a6cbf18368a2023-11-02T11:23:31ZengNature Portfolionpj Precision Oncology2397-768X2021-09-015111110.1038/s41698-021-00225-9Genetic mutation and biological pathway prediction based on whole slide images in breast carcinoma using deep learningHui Qu0Mu Zhou1Zhennan Yan2He Wang3Vinod K. Rustgi4Shaoting Zhang5Olivier Gevaert6Dimitris N. Metaxas7Department of Computer Science, Rutgers UniversitySensebrain ResearchSensebrain ResearchSchool of Medicine, Yale UniversityDepartment of Medicine, Rutgers Robert Wood Johnson Medical SchoolSenseTime Research and Shanghai AI LaboratoryStanford Center for Biomedical Informatics Research (BMIR), Department of Medicine, Stanford UniversityDepartment of Computer Science, Rutgers UniversityAbstract Breast carcinoma is the most common cancer among women worldwide that consists of a heterogeneous group of subtype diseases. The whole-slide images (WSIs) can capture the cell-level heterogeneity, and are routinely used for cancer diagnosis by pathologists. However, key driver genetic mutations related to targeted therapies are identified by genomic analysis like high-throughput molecular profiling. In this study, we develop a deep-learning model to predict the genetic mutations and biological pathway activities directly from WSIs. Our study offers unique insights into WSI visual interactions between mutation and its related pathway, enabling a head-to-head comparison to reinforce our major findings. Using the histopathology images from the Genomic Data Commons Database, our model can predict the point mutations of six important genes (AUC 0.68–0.85) and copy number alteration of another six genes (AUC 0.69–0.79). Additionally, the trained models can predict the activities of three out of ten canonical pathways (AUC 0.65–0.79). Next, we visualized the weight maps of tumor tiles in WSI to understand the decision-making process of deep-learning models via a self-attention mechanism. We further validated our models on liver and lung cancers that are related to metastatic breast cancer. Our results provide insights into the association between pathological image features, molecular outcomes, and targeted therapies for breast cancer patients.https://doi.org/10.1038/s41698-021-00225-9
spellingShingle Hui Qu
Mu Zhou
Zhennan Yan
He Wang
Vinod K. Rustgi
Shaoting Zhang
Olivier Gevaert
Dimitris N. Metaxas
Genetic mutation and biological pathway prediction based on whole slide images in breast carcinoma using deep learning
npj Precision Oncology
title Genetic mutation and biological pathway prediction based on whole slide images in breast carcinoma using deep learning
title_full Genetic mutation and biological pathway prediction based on whole slide images in breast carcinoma using deep learning
title_fullStr Genetic mutation and biological pathway prediction based on whole slide images in breast carcinoma using deep learning
title_full_unstemmed Genetic mutation and biological pathway prediction based on whole slide images in breast carcinoma using deep learning
title_short Genetic mutation and biological pathway prediction based on whole slide images in breast carcinoma using deep learning
title_sort genetic mutation and biological pathway prediction based on whole slide images in breast carcinoma using deep learning
url https://doi.org/10.1038/s41698-021-00225-9
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