Improved accuracy in colorectal cancer tissue decomposition through refinement of established deep learning solutions

Abstract Hematoxylin and eosin-stained biopsy slides are regularly available for colorectal cancer patients. These slides are often not used to define objective biomarkers for patient stratification and treatment selection. Standard biomarkers often pertain to costly and slow genetic tests. However,...

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Main Authors: Fabi Prezja, Sami Äyrämö, Ilkka Pölönen, Timo Ojala, Suvi Lahtinen, Pekka Ruusuvuori, Teijo Kuopio
Format: Article
Language:English
Published: Nature Portfolio 2023-09-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-42357-x
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author Fabi Prezja
Sami Äyrämö
Ilkka Pölönen
Timo Ojala
Suvi Lahtinen
Pekka Ruusuvuori
Teijo Kuopio
author_facet Fabi Prezja
Sami Äyrämö
Ilkka Pölönen
Timo Ojala
Suvi Lahtinen
Pekka Ruusuvuori
Teijo Kuopio
author_sort Fabi Prezja
collection DOAJ
description Abstract Hematoxylin and eosin-stained biopsy slides are regularly available for colorectal cancer patients. These slides are often not used to define objective biomarkers for patient stratification and treatment selection. Standard biomarkers often pertain to costly and slow genetic tests. However, recent work has shown that relevant biomarkers can be extracted from these images using convolutional neural networks (CNNs). The CNN-based biomarkers predicted colorectal cancer patient outcomes comparably to gold standards. Extracting CNN-biomarkers is fast, automatic, and of minimal cost. CNN-based biomarkers rely on the ability of CNNs to recognize distinct tissue types from microscope whole slide images. The quality of these biomarkers (coined ‘Deep Stroma’) depends on the accuracy of CNNs in decomposing all relevant tissue classes. Improving tissue decomposition accuracy is essential for improving the prognostic potential of CNN-biomarkers. In this study, we implemented a novel training strategy to refine an established CNN model, which then surpassed all previous solutions . We obtained a 95.6% average accuracy in the external test set and 99.5% in the internal test set. Our approach reduced errors in biomarker-relevant classes, such as Lymphocytes, and was the first to include interpretability methods. These methods were used to better apprehend our model’s limitations and capabilities.
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spelling doaj.art-b9c09d0da1fc45be8e6e28e91ba6522f2023-11-26T13:07:01ZengNature PortfolioScientific Reports2045-23222023-09-0113111410.1038/s41598-023-42357-xImproved accuracy in colorectal cancer tissue decomposition through refinement of established deep learning solutionsFabi Prezja0Sami Äyrämö1Ilkka Pölönen2Timo Ojala3Suvi Lahtinen4Pekka Ruusuvuori5Teijo Kuopio6Faculty of Information Technology, University of JyväskyläFaculty of Information Technology, University of JyväskyläFaculty of Information Technology, University of JyväskyläFaculty of Information Technology, University of JyväskyläFaculty of Information Technology, University of JyväskyläInstitute of Biomedicine, Cancer Research Unit, University of TurkuDepartment of Education and Research, Hospital Nova of Central FinlandAbstract Hematoxylin and eosin-stained biopsy slides are regularly available for colorectal cancer patients. These slides are often not used to define objective biomarkers for patient stratification and treatment selection. Standard biomarkers often pertain to costly and slow genetic tests. However, recent work has shown that relevant biomarkers can be extracted from these images using convolutional neural networks (CNNs). The CNN-based biomarkers predicted colorectal cancer patient outcomes comparably to gold standards. Extracting CNN-biomarkers is fast, automatic, and of minimal cost. CNN-based biomarkers rely on the ability of CNNs to recognize distinct tissue types from microscope whole slide images. The quality of these biomarkers (coined ‘Deep Stroma’) depends on the accuracy of CNNs in decomposing all relevant tissue classes. Improving tissue decomposition accuracy is essential for improving the prognostic potential of CNN-biomarkers. In this study, we implemented a novel training strategy to refine an established CNN model, which then surpassed all previous solutions . We obtained a 95.6% average accuracy in the external test set and 99.5% in the internal test set. Our approach reduced errors in biomarker-relevant classes, such as Lymphocytes, and was the first to include interpretability methods. These methods were used to better apprehend our model’s limitations and capabilities.https://doi.org/10.1038/s41598-023-42357-x
spellingShingle Fabi Prezja
Sami Äyrämö
Ilkka Pölönen
Timo Ojala
Suvi Lahtinen
Pekka Ruusuvuori
Teijo Kuopio
Improved accuracy in colorectal cancer tissue decomposition through refinement of established deep learning solutions
Scientific Reports
title Improved accuracy in colorectal cancer tissue decomposition through refinement of established deep learning solutions
title_full Improved accuracy in colorectal cancer tissue decomposition through refinement of established deep learning solutions
title_fullStr Improved accuracy in colorectal cancer tissue decomposition through refinement of established deep learning solutions
title_full_unstemmed Improved accuracy in colorectal cancer tissue decomposition through refinement of established deep learning solutions
title_short Improved accuracy in colorectal cancer tissue decomposition through refinement of established deep learning solutions
title_sort improved accuracy in colorectal cancer tissue decomposition through refinement of established deep learning solutions
url https://doi.org/10.1038/s41598-023-42357-x
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