Multiclass classification of breast cancer histopathology images using multilevel features of deep convolutional neural network

Abstract Breast cancer is a common malignancy and a leading cause of cancer-related deaths in women worldwide. Its early diagnosis can significantly reduce the morbidity and mortality rates in women. To this end, histopathological diagnosis is usually followed as the gold standard approach. However,...

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Main Authors: Zabit Hameed, Begonya Garcia-Zapirain, José Javier Aguirre, Mario Arturo Isaza-Ruget
Format: Article
Language:English
Published: Nature Portfolio 2022-09-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-19278-2
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author Zabit Hameed
Begonya Garcia-Zapirain
José Javier Aguirre
Mario Arturo Isaza-Ruget
author_facet Zabit Hameed
Begonya Garcia-Zapirain
José Javier Aguirre
Mario Arturo Isaza-Ruget
author_sort Zabit Hameed
collection DOAJ
description Abstract Breast cancer is a common malignancy and a leading cause of cancer-related deaths in women worldwide. Its early diagnosis can significantly reduce the morbidity and mortality rates in women. To this end, histopathological diagnosis is usually followed as the gold standard approach. However, this process is tedious, labor-intensive, and may be subject to inter-reader variability. Accordingly, an automatic diagnostic system can assist to improve the quality of diagnosis. This paper presents a deep learning approach to automatically classify hematoxylin-eosin-stained breast cancer microscopy images into normal tissue, benign lesion, in situ carcinoma, and invasive carcinoma using our collected dataset. Our proposed model exploited six intermediate layers of the Xception (Extreme Inception) network to retrieve robust and abstract features from input images. First, we optimized the proposed model on the original (unnormalized) dataset using 5-fold cross-validation. Then, we investigated its performance on four normalized datasets resulting from Reinhard, Ruifrok, Macenko, and Vahadane stain normalization. For original images, our proposed framework yielded an accuracy of 98% along with a kappa score of 0.969. Also, it achieved an average AUC-ROC score of 0.998 as well as a mean AUC-PR value of 0.995. Specifically, for in situ carcinoma and invasive carcinoma, it offered sensitivity of 96% and 99%, respectively. For normalized images, the proposed architecture performed better for Makenko normalization compared to the other three techniques. In this case, the proposed model achieved an accuracy of 97.79% together with a kappa score of 0.965. Also, it attained an average AUC-ROC score of 0.997 and a mean AUC-PR value of 0.991. Especially, for in situ carcinoma and invasive carcinoma, it offered sensitivity of 96% and 99%, respectively. These results demonstrate that our proposed model outperformed the baseline AlexNet as well as state-of-the-art VGG16, VGG19, Inception-v3, and Xception models with their default settings. Furthermore, it can be inferred that although stain normalization techniques offered competitive performance, they could not surpass the results of the original dataset.
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spelling doaj.art-b008e5baa24e4a9ab4f008474e9028902022-12-22T04:30:42ZengNature PortfolioScientific Reports2045-23222022-09-0112112110.1038/s41598-022-19278-2Multiclass classification of breast cancer histopathology images using multilevel features of deep convolutional neural networkZabit Hameed0Begonya Garcia-Zapirain1José Javier Aguirre2Mario Arturo Isaza-Ruget3eVida Research Group, University of DeustoeVida Research Group, University of DeustoBioaraba Health Research Institute, Oncology Diagnostics and Therapeutics Area, Department of Pathological Anatomy, University Hospital of AlavaFundación Universitaria SanitasAbstract Breast cancer is a common malignancy and a leading cause of cancer-related deaths in women worldwide. Its early diagnosis can significantly reduce the morbidity and mortality rates in women. To this end, histopathological diagnosis is usually followed as the gold standard approach. However, this process is tedious, labor-intensive, and may be subject to inter-reader variability. Accordingly, an automatic diagnostic system can assist to improve the quality of diagnosis. This paper presents a deep learning approach to automatically classify hematoxylin-eosin-stained breast cancer microscopy images into normal tissue, benign lesion, in situ carcinoma, and invasive carcinoma using our collected dataset. Our proposed model exploited six intermediate layers of the Xception (Extreme Inception) network to retrieve robust and abstract features from input images. First, we optimized the proposed model on the original (unnormalized) dataset using 5-fold cross-validation. Then, we investigated its performance on four normalized datasets resulting from Reinhard, Ruifrok, Macenko, and Vahadane stain normalization. For original images, our proposed framework yielded an accuracy of 98% along with a kappa score of 0.969. Also, it achieved an average AUC-ROC score of 0.998 as well as a mean AUC-PR value of 0.995. Specifically, for in situ carcinoma and invasive carcinoma, it offered sensitivity of 96% and 99%, respectively. For normalized images, the proposed architecture performed better for Makenko normalization compared to the other three techniques. In this case, the proposed model achieved an accuracy of 97.79% together with a kappa score of 0.965. Also, it attained an average AUC-ROC score of 0.997 and a mean AUC-PR value of 0.991. Especially, for in situ carcinoma and invasive carcinoma, it offered sensitivity of 96% and 99%, respectively. These results demonstrate that our proposed model outperformed the baseline AlexNet as well as state-of-the-art VGG16, VGG19, Inception-v3, and Xception models with their default settings. Furthermore, it can be inferred that although stain normalization techniques offered competitive performance, they could not surpass the results of the original dataset.https://doi.org/10.1038/s41598-022-19278-2
spellingShingle Zabit Hameed
Begonya Garcia-Zapirain
José Javier Aguirre
Mario Arturo Isaza-Ruget
Multiclass classification of breast cancer histopathology images using multilevel features of deep convolutional neural network
Scientific Reports
title Multiclass classification of breast cancer histopathology images using multilevel features of deep convolutional neural network
title_full Multiclass classification of breast cancer histopathology images using multilevel features of deep convolutional neural network
title_fullStr Multiclass classification of breast cancer histopathology images using multilevel features of deep convolutional neural network
title_full_unstemmed Multiclass classification of breast cancer histopathology images using multilevel features of deep convolutional neural network
title_short Multiclass classification of breast cancer histopathology images using multilevel features of deep convolutional neural network
title_sort multiclass classification of breast cancer histopathology images using multilevel features of deep convolutional neural network
url https://doi.org/10.1038/s41598-022-19278-2
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