Vision transformer-based weakly supervised histopathological image analysis of primary brain tumors

Summary: Diagnosis of primary brain tumors relies heavily on histopathology. Although various computational pathology methods have been developed for automated diagnosis of primary brain tumors, they usually require neuropathologists’ annotation of region of interests or selection of image patches o...

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Main Authors: Zhongxiao Li, Yuwei Cong, Xin Chen, Jiping Qi, Jingxian Sun, Tao Yan, He Yang, Junsi Liu, Enzhou Lu, Lixiang Wang, Jiafeng Li, Hong Hu, Cheng Zhang, Quan Yang, Jiawei Yao, Penglei Yao, Qiuyi Jiang, Wenwu Liu, Jiangning Song, Lawrence Carin, Yupeng Chen, Shiguang Zhao, Xin Gao
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:iScience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589004222021459
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author Zhongxiao Li
Yuwei Cong
Xin Chen
Jiping Qi
Jingxian Sun
Tao Yan
He Yang
Junsi Liu
Enzhou Lu
Lixiang Wang
Jiafeng Li
Hong Hu
Cheng Zhang
Quan Yang
Jiawei Yao
Penglei Yao
Qiuyi Jiang
Wenwu Liu
Jiangning Song
Lawrence Carin
Yupeng Chen
Shiguang Zhao
Xin Gao
author_facet Zhongxiao Li
Yuwei Cong
Xin Chen
Jiping Qi
Jingxian Sun
Tao Yan
He Yang
Junsi Liu
Enzhou Lu
Lixiang Wang
Jiafeng Li
Hong Hu
Cheng Zhang
Quan Yang
Jiawei Yao
Penglei Yao
Qiuyi Jiang
Wenwu Liu
Jiangning Song
Lawrence Carin
Yupeng Chen
Shiguang Zhao
Xin Gao
author_sort Zhongxiao Li
collection DOAJ
description Summary: Diagnosis of primary brain tumors relies heavily on histopathology. Although various computational pathology methods have been developed for automated diagnosis of primary brain tumors, they usually require neuropathologists’ annotation of region of interests or selection of image patches on whole-slide images (WSI). We developed an end-to-end Vision Transformer (ViT) – based deep learning architecture for brain tumor WSI analysis, yielding a highly interpretable deep-learning model, ViT-WSI. Based on the principle of weakly supervised machine learning, ViT-WSI accomplishes the task of major primary brain tumor type and subtype classification. Using a systematic gradient-based attribution analysis procedure, ViT-WSI can discover diagnostic histopathological features for primary brain tumors. Furthermore, we demonstrated that ViT-WSI has high predictive power of inferring the status of three diagnostic glioma molecular markers, IDH1 mutation, p53 mutation, and MGMT methylation, directly from H&E-stained histopathological images, with patient level AUC scores of 0.960, 0.874, and 0.845, respectively.
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spelling doaj.art-b29bcda62de84d608bd7c769491d33c92023-01-22T04:41:35ZengElsevieriScience2589-00422023-01-01261105872Vision transformer-based weakly supervised histopathological image analysis of primary brain tumorsZhongxiao Li0Yuwei Cong1Xin Chen2Jiping Qi3Jingxian Sun4Tao Yan5He Yang6Junsi Liu7Enzhou Lu8Lixiang Wang9Jiafeng Li10Hong Hu11Cheng Zhang12Quan Yang13Jiawei Yao14Penglei Yao15Qiuyi Jiang16Wenwu Liu17Jiangning Song18Lawrence Carin19Yupeng Chen20Shiguang Zhao21Xin Gao22Computer Science Program, Computer, Electrical and Mathematical Sciences and Engineering (CEMSE) Division, King Abdullah University of Science and Technology (KAUST), Thuwal 23955-6900, Kingdom of Saudi Arabia; KAUST Computational Bioscience Research Center (CBRC), King Abdullah University of Science and Technology (KAUST), Thuwal 23955-6900, Kingdom of Saudi ArabiaDepartment of Pathology, The First Affiliated Hospital of Harbin Medical University, 23 Youzheng Street, Nangang District, Harbin 150001, People’s Republic of ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaDepartment of Pathology, The First Affiliated Hospital of Harbin Medical University, 23 Youzheng Street, Nangang District, Harbin 150001, People’s Republic of China; Corresponding authorDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaSuffolk University, Boston, MA, USADepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, ChinaBiomedicine Discovery Institute and Department of Biochemistry and Molecular Biology, Monash University, Melbourne, VIC 3800, Australia; Monash Data Futures Institute, Monash University, Melbourne, VIC 3800, AustraliaComputer Science Program, Computer, Electrical and Mathematical Sciences and Engineering (CEMSE) Division, King Abdullah University of Science and Technology (KAUST), Thuwal 23955-6900, Kingdom of Saudi Arabia; Corresponding authorSchool of Microelectronics, Southern University of Science and Technology, Shenzhen 518055, PR China; Corresponding authorDepartment of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province 150001, China; Department of Neurosurgery, Shenzhen University General Hospital, Shenzhen, Guangdong Province 518100, China; Corresponding authorComputer Science Program, Computer, Electrical and Mathematical Sciences and Engineering (CEMSE) Division, King Abdullah University of Science and Technology (KAUST), Thuwal 23955-6900, Kingdom of Saudi Arabia; KAUST Computational Bioscience Research Center (CBRC), King Abdullah University of Science and Technology (KAUST), Thuwal 23955-6900, Kingdom of Saudi Arabia; Corresponding authorSummary: Diagnosis of primary brain tumors relies heavily on histopathology. Although various computational pathology methods have been developed for automated diagnosis of primary brain tumors, they usually require neuropathologists’ annotation of region of interests or selection of image patches on whole-slide images (WSI). We developed an end-to-end Vision Transformer (ViT) – based deep learning architecture for brain tumor WSI analysis, yielding a highly interpretable deep-learning model, ViT-WSI. Based on the principle of weakly supervised machine learning, ViT-WSI accomplishes the task of major primary brain tumor type and subtype classification. Using a systematic gradient-based attribution analysis procedure, ViT-WSI can discover diagnostic histopathological features for primary brain tumors. Furthermore, we demonstrated that ViT-WSI has high predictive power of inferring the status of three diagnostic glioma molecular markers, IDH1 mutation, p53 mutation, and MGMT methylation, directly from H&E-stained histopathological images, with patient level AUC scores of 0.960, 0.874, and 0.845, respectively.http://www.sciencedirect.com/science/article/pii/S2589004222021459PathologyCancerMachine learning
spellingShingle Zhongxiao Li
Yuwei Cong
Xin Chen
Jiping Qi
Jingxian Sun
Tao Yan
He Yang
Junsi Liu
Enzhou Lu
Lixiang Wang
Jiafeng Li
Hong Hu
Cheng Zhang
Quan Yang
Jiawei Yao
Penglei Yao
Qiuyi Jiang
Wenwu Liu
Jiangning Song
Lawrence Carin
Yupeng Chen
Shiguang Zhao
Xin Gao
Vision transformer-based weakly supervised histopathological image analysis of primary brain tumors
iScience
Pathology
Cancer
Machine learning
title Vision transformer-based weakly supervised histopathological image analysis of primary brain tumors
title_full Vision transformer-based weakly supervised histopathological image analysis of primary brain tumors
title_fullStr Vision transformer-based weakly supervised histopathological image analysis of primary brain tumors
title_full_unstemmed Vision transformer-based weakly supervised histopathological image analysis of primary brain tumors
title_short Vision transformer-based weakly supervised histopathological image analysis of primary brain tumors
title_sort vision transformer based weakly supervised histopathological image analysis of primary brain tumors
topic Pathology
Cancer
Machine learning
url http://www.sciencedirect.com/science/article/pii/S2589004222021459
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