Automated Hybrid Model for Detecting Perineural Invasion in the Histology of Colorectal Cancer

Perineural invasion (PNI) is a well-established independent prognostic factor for poor outcomes in colorectal cancer (CRC). However, PNI detection in CRC is a cumbersome and time-consuming process, with low inter-and intra-rater agreement. In this study, a deep-learning-based approach was proposed f...

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Main Authors: Jiyoon Jung, Eunsu Kim, Hyeseong Lee, Sung Hak Lee, Sangjeong Ahn
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/12/18/9159
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author Jiyoon Jung
Eunsu Kim
Hyeseong Lee
Sung Hak Lee
Sangjeong Ahn
author_facet Jiyoon Jung
Eunsu Kim
Hyeseong Lee
Sung Hak Lee
Sangjeong Ahn
author_sort Jiyoon Jung
collection DOAJ
description Perineural invasion (PNI) is a well-established independent prognostic factor for poor outcomes in colorectal cancer (CRC). However, PNI detection in CRC is a cumbersome and time-consuming process, with low inter-and intra-rater agreement. In this study, a deep-learning-based approach was proposed for detecting PNI using histopathological images. We collected 530 regions of histology from 77 whole-slide images (PNI, 100 regions; non-PNI, 430 regions) for training. The proposed hybrid model consists of two components: a segmentation network for tumor and nerve tissues, and a PNI classifier. Unlike a “black-box” model that is unable to account for errors, the proposed approach enables false predictions to be explained and addressed. We presented a high performance, automated PNI detector, with the area under the curve (AUC) for the receiver operating characteristic (ROC) curve of 0.92. Thus, the potential for the use of deep neural networks in PNI screening was proved, and a possible alternative to conventional methods for the pathologic diagnosis of CRC was provided.
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spelling doaj.art-519e8c74dec04c50869e573fd66473992023-11-23T14:53:56ZengMDPI AGApplied Sciences2076-34172022-09-011218915910.3390/app12189159Automated Hybrid Model for Detecting Perineural Invasion in the Histology of Colorectal CancerJiyoon Jung0Eunsu Kim1Hyeseong Lee2Sung Hak Lee3Sangjeong Ahn4Department of Pathology, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, 1, Singil-ro, Yeongdeungpo-gu, Seoul 07441, KoreaDepartment of Hospital Pathology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 222 Banpodae-ro, Seocho-gu, Seoul 06591, KoreaDepartment of Hospital Pathology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 222 Banpodae-ro, Seocho-gu, Seoul 06591, KoreaDepartment of Hospital Pathology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 222 Banpodae-ro, Seocho-gu, Seoul 06591, KoreaDepartment of Pathology, Korea University Anam Hospital, College of Medicine, Korea University, 73 Inchon-ro, Seonbuk-gu, Seoul 02841, KoreaPerineural invasion (PNI) is a well-established independent prognostic factor for poor outcomes in colorectal cancer (CRC). However, PNI detection in CRC is a cumbersome and time-consuming process, with low inter-and intra-rater agreement. In this study, a deep-learning-based approach was proposed for detecting PNI using histopathological images. We collected 530 regions of histology from 77 whole-slide images (PNI, 100 regions; non-PNI, 430 regions) for training. The proposed hybrid model consists of two components: a segmentation network for tumor and nerve tissues, and a PNI classifier. Unlike a “black-box” model that is unable to account for errors, the proposed approach enables false predictions to be explained and addressed. We presented a high performance, automated PNI detector, with the area under the curve (AUC) for the receiver operating characteristic (ROC) curve of 0.92. Thus, the potential for the use of deep neural networks in PNI screening was proved, and a possible alternative to conventional methods for the pathologic diagnosis of CRC was provided.https://www.mdpi.com/2076-3417/12/18/9159colorectal cancerperineural invasionsemantic segmentationdeep learningcomputational pathology
spellingShingle Jiyoon Jung
Eunsu Kim
Hyeseong Lee
Sung Hak Lee
Sangjeong Ahn
Automated Hybrid Model for Detecting Perineural Invasion in the Histology of Colorectal Cancer
Applied Sciences
colorectal cancer
perineural invasion
semantic segmentation
deep learning
computational pathology
title Automated Hybrid Model for Detecting Perineural Invasion in the Histology of Colorectal Cancer
title_full Automated Hybrid Model for Detecting Perineural Invasion in the Histology of Colorectal Cancer
title_fullStr Automated Hybrid Model for Detecting Perineural Invasion in the Histology of Colorectal Cancer
title_full_unstemmed Automated Hybrid Model for Detecting Perineural Invasion in the Histology of Colorectal Cancer
title_short Automated Hybrid Model for Detecting Perineural Invasion in the Histology of Colorectal Cancer
title_sort automated hybrid model for detecting perineural invasion in the histology of colorectal cancer
topic colorectal cancer
perineural invasion
semantic segmentation
deep learning
computational pathology
url https://www.mdpi.com/2076-3417/12/18/9159
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