A deep learning model using hyperspectral image for EUS‐FNA cytology diagnosis in pancreatic ductal adenocarcinoma

Abstract Background and Aims Endoscopic ultrasonography‐guided fine‐needle aspiration/biopsy (EUS‐FNA/B) is considered to be a first‐line procedure for the pathological diagnosis of pancreatic cancer owing to its high accuracy and low complication rate. The number of new cases of pancreatic ductal a...

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Main Authors: Xianzheng Qin, Minmin Zhang, Chunhua Zhou, Taojing Ran, Yundi Pan, Yingjiao Deng, Xingran Xie, Yao Zhang, Tingting Gong, Benyan Zhang, Ling Zhang, Yan Wang, Qingli Li, Dong Wang, Lili Gao, Duowu Zou
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.6335
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author Xianzheng Qin
Minmin Zhang
Chunhua Zhou
Taojing Ran
Yundi Pan
Yingjiao Deng
Xingran Xie
Yao Zhang
Tingting Gong
Benyan Zhang
Ling Zhang
Yan Wang
Qingli Li
Dong Wang
Lili Gao
Duowu Zou
author_facet Xianzheng Qin
Minmin Zhang
Chunhua Zhou
Taojing Ran
Yundi Pan
Yingjiao Deng
Xingran Xie
Yao Zhang
Tingting Gong
Benyan Zhang
Ling Zhang
Yan Wang
Qingli Li
Dong Wang
Lili Gao
Duowu Zou
author_sort Xianzheng Qin
collection DOAJ
description Abstract Background and Aims Endoscopic ultrasonography‐guided fine‐needle aspiration/biopsy (EUS‐FNA/B) is considered to be a first‐line procedure for the pathological diagnosis of pancreatic cancer owing to its high accuracy and low complication rate. The number of new cases of pancreatic ductal adenocarcinoma (PDAC) is increasing, and its accurate pathological diagnosis poses a challenge for cytopathologists. Our aim was to develop a hyperspectral imaging (HSI)‐based convolution neural network (CNN) algorithm to aid in the diagnosis of pancreatic EUS‐FNA cytology specimens. Methods HSI images were captured of pancreatic EUS‐FNA cytological specimens from benign pancreatic tissues (n = 33) and PDAC (n = 39) prepared using a liquid‐based cytology method. A CNN was established to test the diagnostic performance, and Attribution Guided Factorization Visualization (AGF‐Visualization) was used to visualize the regions of important classification features identified by the model. Results A total of 1913 HSI images were obtained. Our ResNet18‐SimSiam model achieved an accuracy of 0.9204, sensitivity of 0.9310 and specificity of 0.9123 (area under the curve of 0.9625) when trained on HSI images for the differentiation of PDAC cytological specimens from benign pancreatic cells. AGF‐Visualization confirmed that the diagnoses were based on the features of tumor cell nuclei. Conclusions An HSI‐based model was developed to diagnose cytological PDAC specimens obtained using EUS‐guided sampling. Under the supervision of experienced cytopathologists, we performed multi‐staged consecutive in‐depth learning of the model. Its superior diagnostic performance could be of value for cytologists when diagnosing PDAC.
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spelling doaj.art-0ee9c830c6f1417c9b96704fb8654fac2024-03-27T09:11:00ZengWileyCancer Medicine2045-76342023-08-011216170051701710.1002/cam4.6335A deep learning model using hyperspectral image for EUS‐FNA cytology diagnosis in pancreatic ductal adenocarcinomaXianzheng Qin0Minmin Zhang1Chunhua Zhou2Taojing Ran3Yundi Pan4Yingjiao Deng5Xingran Xie6Yao Zhang7Tingting Gong8Benyan Zhang9Ling Zhang10Yan Wang11Qingli Li12Dong Wang13Lili Gao14Duowu Zou15Department of Gastroenterology Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai ChinaDepartment of Gastroenterology Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai ChinaDepartment of Gastroenterology Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai ChinaDepartment of Gastroenterology Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai ChinaDepartment of Gastroenterology Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai ChinaShanghai Key Laboratory of Multidimensional Information Processing East China Normal University Shanghai ChinaShanghai Key Laboratory of Multidimensional Information Processing East China Normal University Shanghai ChinaDepartment of Gastroenterology Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai ChinaDepartment of Gastroenterology Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai ChinaDepartment of Pathology Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai ChinaDepartment of Gastroenterology Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai ChinaShanghai Key Laboratory of Multidimensional Information Processing East China Normal University Shanghai ChinaShanghai Key Laboratory of Multidimensional Information Processing East China Normal University Shanghai ChinaDepartment of Gastroenterology Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai ChinaDepartment of Pathology Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai ChinaDepartment of Gastroenterology Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai ChinaAbstract Background and Aims Endoscopic ultrasonography‐guided fine‐needle aspiration/biopsy (EUS‐FNA/B) is considered to be a first‐line procedure for the pathological diagnosis of pancreatic cancer owing to its high accuracy and low complication rate. The number of new cases of pancreatic ductal adenocarcinoma (PDAC) is increasing, and its accurate pathological diagnosis poses a challenge for cytopathologists. Our aim was to develop a hyperspectral imaging (HSI)‐based convolution neural network (CNN) algorithm to aid in the diagnosis of pancreatic EUS‐FNA cytology specimens. Methods HSI images were captured of pancreatic EUS‐FNA cytological specimens from benign pancreatic tissues (n = 33) and PDAC (n = 39) prepared using a liquid‐based cytology method. A CNN was established to test the diagnostic performance, and Attribution Guided Factorization Visualization (AGF‐Visualization) was used to visualize the regions of important classification features identified by the model. Results A total of 1913 HSI images were obtained. Our ResNet18‐SimSiam model achieved an accuracy of 0.9204, sensitivity of 0.9310 and specificity of 0.9123 (area under the curve of 0.9625) when trained on HSI images for the differentiation of PDAC cytological specimens from benign pancreatic cells. AGF‐Visualization confirmed that the diagnoses were based on the features of tumor cell nuclei. Conclusions An HSI‐based model was developed to diagnose cytological PDAC specimens obtained using EUS‐guided sampling. Under the supervision of experienced cytopathologists, we performed multi‐staged consecutive in‐depth learning of the model. Its superior diagnostic performance could be of value for cytologists when diagnosing PDAC.https://doi.org/10.1002/cam4.6335artificial intelligencedeep learningendoscopic ultrasound‐guided fine‐needle aspirationneural network modelspancreatic ductal carcinoma
spellingShingle Xianzheng Qin
Minmin Zhang
Chunhua Zhou
Taojing Ran
Yundi Pan
Yingjiao Deng
Xingran Xie
Yao Zhang
Tingting Gong
Benyan Zhang
Ling Zhang
Yan Wang
Qingli Li
Dong Wang
Lili Gao
Duowu Zou
A deep learning model using hyperspectral image for EUS‐FNA cytology diagnosis in pancreatic ductal adenocarcinoma
Cancer Medicine
artificial intelligence
deep learning
endoscopic ultrasound‐guided fine‐needle aspiration
neural network models
pancreatic ductal carcinoma
title A deep learning model using hyperspectral image for EUS‐FNA cytology diagnosis in pancreatic ductal adenocarcinoma
title_full A deep learning model using hyperspectral image for EUS‐FNA cytology diagnosis in pancreatic ductal adenocarcinoma
title_fullStr A deep learning model using hyperspectral image for EUS‐FNA cytology diagnosis in pancreatic ductal adenocarcinoma
title_full_unstemmed A deep learning model using hyperspectral image for EUS‐FNA cytology diagnosis in pancreatic ductal adenocarcinoma
title_short A deep learning model using hyperspectral image for EUS‐FNA cytology diagnosis in pancreatic ductal adenocarcinoma
title_sort deep learning model using hyperspectral image for eus fna cytology diagnosis in pancreatic ductal adenocarcinoma
topic artificial intelligence
deep learning
endoscopic ultrasound‐guided fine‐needle aspiration
neural network models
pancreatic ductal carcinoma
url https://doi.org/10.1002/cam4.6335
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