Pathologists find tedious to examine the status of the sentinel lymph node on a large number of pathological scans. The examination process of such lymph node which encompasses metastasized cancer cells is histopathologically organized. However, the task of finding metastatic tissues is gradual which is often challenging. In this work, we present our deep convolutional neural network based model validated on PatchCamelyon (PCam) benchmark dataset for fundamental machine learning research in histopathology diagnosis. We find that our proposed model trained with a semi-supervised learning approach by using pseudo labels on PCam-level significantly leads to better performances to strong CNN baseline on the AUC metric.
@cite_29 conducted a study utilizing results from deep learning algorithms for the detection of breast cancer metastasis in lymph nodes. The study involved reviewing 70 slides by six pathologists in two modes assisted, and unassisted wherein the deep learning mode was used to outline interesting regions in assisted mode. The study found that algorithm-assisted pathologists demonstrated higher accuracy than either the algorithm or the pathologist alone. @cite_7 proposed multiple magnification feature embedding (MMFE) as image tile prediction encoder and slice feature extractor. The method considered inputs image tiles in three resolution 256, 1024, and 4096 and scales to 256. The authors reported 78.1
@cite_29 @cite_7
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Importance Application of deep learning algorithms to whole-slide pathology images can potentially improve diagnostic accuracy and efficiency. Objective Assess the performance of automated deep learning algorithms at detecting metastases in hematoxylin and eosin–stained tissue sections of lymph nodes of women with breast cancer and compare it with pathologists’ diagnoses in a diagnostic setting. Design, Setting, and Participants Researcher challenge competition (CAMELYON16) to develop automated solutions for detecting lymph node metastases (November 2015-November 2016). A training data set of whole-slide images from 2 centers in the Netherlands with (n = 110) and without (n = 160) nodal metastases verified by immunohistochemical staining were provided to challenge participants to build algorithms. Algorithm performance was evaluated in an independent test set of 129 whole-slide images (49 with and 80 without metastases). The same test set of corresponding glass slides was also evaluated by a panel of 11 pathologists with time constraint (WTC) from the Netherlands to ascertain likelihood of nodal metastases for each slide in a flexible 2-hour session, simulating routine pathology workflow, and by 1 pathologist without time constraint (WOTC). Exposures Deep learning algorithms submitted as part of a challenge competition or pathologist interpretation. Main Outcomes and Measures The presence of specific metastatic foci and the absence vs presence of lymph node metastasis in a slide or image using receiver operating characteristic curve analysis. The 11 pathologists participating in the simulation exercise rated their diagnostic confidence as definitely normal, probably normal, equivocal, probably tumor, or definitely tumor. Results The area under the receiver operating characteristic curve (AUC) for the algorithms ranged from 0.556 to 0.994. The top-performing algorithm achieved a lesion-level, true-positive fraction comparable with that of the pathologist WOTC (72.4 [95 CI, 64.3 -80.4 ]) at a mean of 0.0125 false-positives per normal whole-slide image. For the whole-slide image classification task, the best algorithm (AUC, 0.994 [95 CI, 0.983-0.999]) performed significantly better than the pathologists WTC in a diagnostic simulation (mean AUC, 0.810 [range, 0.738-0.884]; P Conclusions and Relevance In the setting of a challenge competition, some deep learning algorithms achieved better diagnostic performance than a panel of 11 pathologists participating in a simulation exercise designed to mimic routine pathology workflow; algorithm performance was comparable with an expert pathologist interpreting whole-slide images without time constraints. Whether this approach has clinical utility will require evaluation in a clinical setting. Automatically recognizing cancers from multi-gigapixel whole slide histopathology images is one of the challenges facing machine and deep learning based solutions for digital pathology. Currently, most automatic systems for histopathology are not scalable to large images and hence require a patch-based representation; a sub-optimal solution as it results in important additional computational costs but more importantly in the loss of contextual information. We present a novel attention-based model for predicting cancer from histopathology whole slide images. The proposed model is capable of attending to the most discriminative regions of an image by adaptively selecting a limited sequence of locations and only processing the selected areas of tissues. We demonstrate the utility of the proposed model on the slide-based prediction of macro and micro metastases in sentinel lymph nodes of breast cancer patients. We achieve competitive results with state-of-the-art convolutional networks while automatically identifying discriminative areas of tissues. The International Symposium on Biomedical Imaging (ISBI) held a grand challenge to evaluate computational systems for the automated detection of metastatic breast cancer in whole slide images of sentinel lymph node biopsies. Our team won both competitions in the grand challenge, obtaining an area under the receiver operating curve (AUC) of 0.925 for the task of whole slide image classification and a score of 0.7051 for the tumor localization task. A pathologist independently reviewed the same images, obtaining a whole slide image classification AUC of 0.966 and a tumor localization score of 0.733. Combining our deep learning system's predictions with the human pathologist's diagnoses increased the pathologist's AUC to 0.995, representing an approximately 85 percent reduction in human error rate. These results demonstrate the power of using deep learning to produce significant improvements in the accuracy of pathological diagnoses. Metastasis detection of lymph nodes in Whole-slide Images (WSIs) plays a critical role in the diagnosis of breast cancer. Automatic metastasis detection is a challenging issue due to the large variance of their appearances and the size of WSIs. Recently, deep neural networks have been employed to detect cancer metastases by dividing the WSIs into small image patches. However, most existing works simply treat these patches independently and do not consider the structural information among them. In this paper, we propose a novel deep neural network, namely Spatially Structured Network (Spatio-Net) to tackle the metastasis detection problem in WSIs. By integrating the Convolutional Neural Network (CNN) with the 2D Long-Short Term Memory (2D-LSTM), our Spatio-Net is able to learn the appearances and spatial dependencies of image patches effectively. Specifically, the CNN encodes each image patch into a compact feature vector, and the 2D-LSTM layers provide the classification results (i.e., normal or tumor), considering its dependencies on other relevant image patches. Moreover, a new loss function is designed to constrain the structure of the output labels, which further improves the performance. Finally, the metastasis positions are obtained by locating the regions with high tumor probabilities in the resulting accurate probability map. The proposed method is validated on hundreds of WSIs, and the accuracy is significantly improved, in comparison with a state-of-the-art baseline that does not have the spatial dependency constraint.