Learning to detect lymphocytes in immunohistochemistry with deep learningShow others and affiliations
2019 (English)In: Medical Image Analysis, ISSN 1361-8415, E-ISSN 1361-8423, Vol. 58, article id UNSP 101547Article in journal (Refereed) Published
Abstract [en]
The immune system is of critical importance in the development of cancer. The evasion of destruction by the immune system is one of the emerging hallmarks of cancer. We have built a dataset of 171,166 manually annotated CD3(+) and CD8(+) cells, which we used to train deep learning algorithms for automatic detection of lymphocytes in histopathology images to better quantify immune response. Moreover, we investigate the effectiveness of four deep learning based methods when different subcompartments of the whole-slide image are considered: normal tissue areas, areas with immune cell clusters, and areas containing artifacts. We have compared the proposed methods in breast, colon and prostate cancer tissue slides collected from nine different medical centers. Finally, we report the results of an observer study on lymphocyte quantification, which involved four pathologists from different medical centers, and compare their performance with the automatic detection. The results give insights on the applicability of the proposed methods for clinical use. U-Net obtained the highest performance with an F1-score of 0.78 and the highest agreement with manual evaluation (kappa = 0.72), whereas the average pathologists agreement with reference standard was kappa = 0.64. The test set and the automatic evaluation procedure are publicly available at lyon19.grand-challenge.org. (C) 2019 Elsevier B.V. All rights reserved.
Place, publisher, year, edition, pages
ELSEVIER , 2019. Vol. 58, article id UNSP 101547
Keywords [en]
Deep learning; Immune cell detection; Computational pathology; Immunohistochemistry
National Category
Medical Imaging
Identifiers
URN: urn:nbn:se:liu:diva-162491DOI: 10.1016/j.media.2019.101547ISI: 000496605700011PubMedID: 31476576OAI: oai:DiVA.org:liu-162491DiVA, id: diva2:1379020
Note
Funding Agencies|Alpe dHuZes/Dutch Cancer Society Fund [KUN 2014-7032, KUN 2015-7970]; Netherlands Organization for Scientific Research (NWO)Netherlands Organization for Scientific Research (NWO) [016.186.152]; Stichting IT Projecten (project PATHOLOGIE 2); European Unions Horizon 2020 research and innovation programme [825292]
2019-12-162019-12-162025-02-09