Convolutional Neural Networks in the Diagnosis of Colon Adenocarcinoma

Colorectal cancer is one of the most lethal cancers because of late diagnosis and challenges in the selection of therapy options. The histopathological diagnosis of colon adenocarcinoma is hindered by poor reproducibility and a lack of standard examination protocols required for appropriate treatmen...

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Main Authors: Marco Leo, Pierluigi Carcagnì, Luca Signore, Francesco Corcione, Giulio Benincasa, Mikko O. Laukkanen, Cosimo Distante
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:AI
Subjects:
Online Access:https://www.mdpi.com/2673-2688/5/1/16
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author Marco Leo
Pierluigi Carcagnì
Luca Signore
Francesco Corcione
Giulio Benincasa
Mikko O. Laukkanen
Cosimo Distante
author_facet Marco Leo
Pierluigi Carcagnì
Luca Signore
Francesco Corcione
Giulio Benincasa
Mikko O. Laukkanen
Cosimo Distante
author_sort Marco Leo
collection DOAJ
description Colorectal cancer is one of the most lethal cancers because of late diagnosis and challenges in the selection of therapy options. The histopathological diagnosis of colon adenocarcinoma is hindered by poor reproducibility and a lack of standard examination protocols required for appropriate treatment decisions. In the current study, using state-of-the-art approaches on benchmark datasets, we analyzed different architectures and ensembling strategies to develop the most efficient network combinations to improve binary and ternary classification. We propose an innovative two-stage pipeline approach to diagnose colon adenocarcinoma grading from histological images in a similar manner to a pathologist. The glandular regions were first segmented by a transformer architecture with subsequent classification using a convolutional neural network (CNN) ensemble, which markedly improved the learning efficiency and shortened the learning time. Moreover, we prepared and published a dataset for clinical validation of the developed artificial neural network, which suggested the discovery of novel histological phenotypic alterations in adenocarcinoma sections that could have prognostic value. Therefore, AI could markedly improve the reproducibility, efficiency, and accuracy of colon cancer diagnosis, which are required for precision medicine to personalize the treatment of cancer patients.
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spelling doaj.art-3456b8c2b13f42828f9f91a62dec52f52024-03-27T13:17:11ZengMDPI AGAI2673-26882024-01-015132434110.3390/ai5010016Convolutional Neural Networks in the Diagnosis of Colon AdenocarcinomaMarco Leo0Pierluigi Carcagnì1Luca Signore2Francesco Corcione3Giulio Benincasa4Mikko O. Laukkanen5Cosimo Distante6Institute of Applied Sciences and Intelligent Systems (ISASI), National Research Council (CNR) of Italy, 73100 Lecce, ItalyInstitute of Applied Sciences and Intelligent Systems (ISASI), National Research Council (CNR) of Italy, 73100 Lecce, ItalyDipartimento di Ingegneria per L’Innovazione, Università del Salento, 73100 Lecce, ItalyClinica Mediterranea, 80122 Naples, ItalyItalo Foundation, 20146 Milano, ItalyDepartment of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, ItalyInstitute of Applied Sciences and Intelligent Systems (ISASI), National Research Council (CNR) of Italy, 73100 Lecce, ItalyColorectal cancer is one of the most lethal cancers because of late diagnosis and challenges in the selection of therapy options. The histopathological diagnosis of colon adenocarcinoma is hindered by poor reproducibility and a lack of standard examination protocols required for appropriate treatment decisions. In the current study, using state-of-the-art approaches on benchmark datasets, we analyzed different architectures and ensembling strategies to develop the most efficient network combinations to improve binary and ternary classification. We propose an innovative two-stage pipeline approach to diagnose colon adenocarcinoma grading from histological images in a similar manner to a pathologist. The glandular regions were first segmented by a transformer architecture with subsequent classification using a convolutional neural network (CNN) ensemble, which markedly improved the learning efficiency and shortened the learning time. Moreover, we prepared and published a dataset for clinical validation of the developed artificial neural network, which suggested the discovery of novel histological phenotypic alterations in adenocarcinoma sections that could have prognostic value. Therefore, AI could markedly improve the reproducibility, efficiency, and accuracy of colon cancer diagnosis, which are required for precision medicine to personalize the treatment of cancer patients.https://www.mdpi.com/2673-2688/5/1/16colon cancerhistological diagnosisartificial intelligencedeep learningtransformer networksdataset
spellingShingle Marco Leo
Pierluigi Carcagnì
Luca Signore
Francesco Corcione
Giulio Benincasa
Mikko O. Laukkanen
Cosimo Distante
Convolutional Neural Networks in the Diagnosis of Colon Adenocarcinoma
AI
colon cancer
histological diagnosis
artificial intelligence
deep learning
transformer networks
dataset
title Convolutional Neural Networks in the Diagnosis of Colon Adenocarcinoma
title_full Convolutional Neural Networks in the Diagnosis of Colon Adenocarcinoma
title_fullStr Convolutional Neural Networks in the Diagnosis of Colon Adenocarcinoma
title_full_unstemmed Convolutional Neural Networks in the Diagnosis of Colon Adenocarcinoma
title_short Convolutional Neural Networks in the Diagnosis of Colon Adenocarcinoma
title_sort convolutional neural networks in the diagnosis of colon adenocarcinoma
topic colon cancer
histological diagnosis
artificial intelligence
deep learning
transformer networks
dataset
url https://www.mdpi.com/2673-2688/5/1/16
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