Title
Weakly Supervised Framework for Cancer Region Detection of Hepatocellular Carcinoma in Whole-Slide Pathologic Images Based on Multiscale Attention Convolutional Neural Network
Date Issued
01 March 2022
Access level
open access
Resource Type
journal article
Author(s)
Diao S.
Tian Y.
Hu W.
Hou J.
Lambo R.
Zhang Z.
Xie Y.
Nie X.
Zhang F.
Qin W.
Sorbonne Université
Publisher(s)
Elsevier Inc.
Abstract
Visual inspection of hepatocellular carcinoma cancer regions by experienced pathologists in whole-slide images (WSIs) is a challenging, labor-intensive, and time-consuming task because of the large scale and high resolution of WSIs. Therefore, a weakly supervised framework based on a multiscale attention convolutional neural network (MSAN-CNN) was introduced into this process. Herein, patch-based images with image-level normal/tumor annotation (rather than images with pixel-level annotation) were fed into a classification neural network. To further improve the performances of cancer region detection, multiscale attention was introduced into the classification neural network. A total of 100 cases were obtained from The Cancer Genome Atlas and divided into 70 training and 30 testing data sets that were fed into the MSAN-CNN framework. The experimental results showed that this framework significantly outperforms the single-scale detection method according to the area under the curve and accuracy, sensitivity, and specificity metrics. When compared with the diagnoses made by three pathologists, MSAN-CNN performed better than a junior- and an intermediate-level pathologist, and slightly worse than a senior pathologist. Furthermore, MSAN-CNN provided a very fast detection time compared with the pathologists. Therefore, a weakly supervised framework based on MSAN-CNN has great potential to assist pathologists in the fast and accurate detection of cancer regions of hepatocellular carcinoma on WSIs.
Start page
553
End page
563
Volume
192
Issue
3
Language
English
OCDE Knowledge area
Patología Radiología, Medicina nuclear, Imágenes médicas Ciencias de la computación
Scopus EID
2-s2.0-85125268717
PubMed ID
Source
American Journal of Pathology
ISSN of the container
00029440
Sponsor(s)
Supported by the Shenzhen Science and Technology Program of China grant JCYJ20200109115420720 (W.Q.); National Natural Science Foundation of China grants 61901463 (W.Q.), 62001464 (Z.Z.), and U20A20373 (Y.X.); and Guangdong province key research and development areas grant 2020B1111140001 (W.Q.).
Sources of information: Directorio de Producción Científica Scopus