论文标题
EGFR使用深度学习对肺活检图像的预测
EGFR Mutation Prediction of Lung Biopsy Images using Deep Learning
论文作者
论文摘要
肺癌治疗中有针对性疗法的标准诊断程序涉及组织学亚型和随后检测关键驱动因素突变(例如EGFR)。即使分子分析可以发现驱动器突变,但该过程通常很昂贵且耗时。深度学习的图像分析为直接从整个幻灯片图像(WSIS)直接发现驱动器突变提供了更经济的替代方法。在这项工作中,我们使用具有弱监督的定制深度学习管道来鉴定苏木精和曙红染色的WSI的EGFR突变的形态相关性,此外还可以检测到肿瘤并在组织学上亚型。我们通过对两个肺癌数据集进行严格的实验和消融研究来证明管道的有效性-TCGA和来自印度的私人数据集。使用管道,我们在肿瘤检测下达到了曲线(AUC)的平均面积(AUC),在TCGA数据集上的腺癌和鳞状细胞癌之间的组织学亚型为0.942。对于EGFR检测,我们在TCGA数据集上的平均AUC为0.864,印度数据集的平均AUC为0.783。我们的关键学习点包括以下内容。首先,如果要在目标数据集中微调特征提取器,则使用对组织学训练的特征提取器层没有特别的优势。其次,选择具有较高细胞的斑块,大概是捕获肿瘤区域,并不总是有帮助的,因为疾病类别的迹象可能存在于肿瘤 - 肿瘤的基质中。
The standard diagnostic procedures for targeted therapies in lung cancer treatment involve histological subtyping and subsequent detection of key driver mutations, such as EGFR. Even though molecular profiling can uncover the driver mutation, the process is often expensive and time-consuming. Deep learning-oriented image analysis offers a more economical alternative for discovering driver mutations directly from whole slide images (WSIs). In this work, we used customized deep learning pipelines with weak supervision to identify the morphological correlates of EGFR mutation from hematoxylin and eosin-stained WSIs, in addition to detecting tumor and histologically subtyping it. We demonstrate the effectiveness of our pipeline by conducting rigorous experiments and ablation studies on two lung cancer datasets - TCGA and a private dataset from India. With our pipeline, we achieved an average area under the curve (AUC) of 0.964 for tumor detection, and 0.942 for histological subtyping between adenocarcinoma and squamous cell carcinoma on the TCGA dataset. For EGFR detection, we achieved an average AUC of 0.864 on the TCGA dataset and 0.783 on the dataset from India. Our key learning points include the following. Firstly, there is no particular advantage of using a feature extractor layers trained on histology, if one is going to fine-tune the feature extractor on the target dataset. Secondly, selecting patches with high cellularity, presumably capturing tumor regions, is not always helpful, as the sign of a disease class may be present in the tumor-adjacent stroma.