论文标题
分裂和规则:结直肠癌生存分析的自我监督学习
Divide-and-Rule: Self-Supervised Learning for Survival Analysis in Colorectal Cancer
论文作者
论文摘要
随着结直肠癌(CRC)发生率的长期快速增加,紧急临床需要改善风险分层。常规病理报告通常仅限于一些组织病理学特征。但是,用于描述侵袭性肿瘤行为模式的大多数肿瘤微环境都被忽略了。在这项工作中,我们旨在学习癌组织区域内的组织病理学模式,这些模式可用于改善结直肠癌的预后分层。为此,我们提出了一种自制的学习方法,该方法共同学习组织区域的表示以及聚类的度量,以获得其潜在的模式。然后,这些组织病理学模式用于表示复杂组织之间的相互作用,并直接预测临床结果。我们此外表明,所提出的方法可以从线性预测因子中受益,以避免过度拟合患者预期的预测。为此,我们引入了一个新的良好特征临床病理学数据集,其中包括374名患者的回顾性集体,并具有其生存时间和治疗信息。通过我们的方法获得的组织簇通过训练生存模型评估。实验结果表明患者分层具有统计学意义,我们的方法的表现优于最先进的深层聚类方法。
With the long-term rapid increase in incidences of colorectal cancer (CRC), there is an urgent clinical need to improve risk stratification. The conventional pathology report is usually limited to only a few histopathological features. However, most of the tumor microenvironments used to describe patterns of aggressive tumor behavior are ignored. In this work, we aim to learn histopathological patterns within cancerous tissue regions that can be used to improve prognostic stratification for colorectal cancer. To do so, we propose a self-supervised learning method that jointly learns a representation of tissue regions as well as a metric of the clustering to obtain their underlying patterns. These histopathological patterns are then used to represent the interaction between complex tissues and predict clinical outcomes directly. We furthermore show that the proposed approach can benefit from linear predictors to avoid overfitting in patient outcomes predictions. To this end, we introduce a new well-characterized clinicopathological dataset, including a retrospective collective of 374 patients, with their survival time and treatment information. Histomorphological clusters obtained by our method are evaluated by training survival models. The experimental results demonstrate statistically significant patient stratification, and our approach outperformed the state-of-the-art deep clustering methods.