Abstract
Separating tumor cells from other tissues such as meninges and blood is one of the vital steps towards automated quantification of the proliferative index in digital slides of brain tumors. In this paper, we present a deep learning based pipeline to delineate areas of tumor in meningioma and oligodendroglioma specimens stained with Ki-67 marker. A pre-trained convolutional neural network (CNN) was fine-tuned with 7057 image tiles to classify whole slide images (n = 15) in a tile-by-tile mode. The performance of the model was evaluated on slides manually annotated by the pathologist. The CNN model detected tumor areas with 89.4% accuracy. Areas with blood and meninges were respectively classified with 98.2% and 89.8% accuracy. The overall classification accuracy was 88.7%, and the Cohen’s kappa coefficient reached 0.748, indicating a very good concordance with the manual ground truth. Our pipeline can process digital slides at full resolution, and has the potential to objectively pre-process slides for proliferative index quantification.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Stålhammar, G., Martinez, N.F., Lippert, M., Tobin, N.P., Mølholm, I., Kis, L., Rosin, G., Rantalainen, M., Pedersen, L., Bergh, J., Grunkin, M., Hartman, J.: Digital image analysis outperforms manual biomarker assessment in breast cancer. Mod. Pathol. 29, 318–329 (2016)
Gurcan, M., Boucheron, L., Can, A., Madabhushi, A., Rajpoot, N., Yener, B.: Histopathological image analysis: a review. IEEE Rev. Biomed. Eng. 2, 147–171 (2009)
Swiderska, Z., Korzynska, A., Markiewicz, T., Lorent, M., Zak, J., Wesolowska, A.,Roszkowiak, L., Slodkowska, J., Grala, B.: Comparison of the manual, semiautomatic, and automatic selection and leveling of hot spots in whole slide images for Ki-67 quantification in meningiomas. Anal. Cell. Pathol. (Amst), 2015, Article no. 498746 (2015)
Bruna, J., Brell, M., Ferrer, I., Gimenez-Bonafe, P., Tortosa, A.: Ki-67 proliferative index predicts clinical outcome in patients with atypical or anaplastic meningioma. Neuropathology 27(2), 114–120 (2007)
Torp, S.H., Lindboe, C.F., Grønberg, B.H., Lydersen, S., Sundstrøm, S.: Prognostic significance of Ki-67/MIB-1 proliferation index in meningiomas. Clin. Neuropathol. 24(4), 170–174 (2005)
Coleman, K.E., Brat, D.J., Cotsonis, G.A., Lawson, D., Cohen, C.: Proliferation (MIB-1 expression) in oligodendrogliomas: assessment of quantitative methods and prognostic significance. Appl. Immunohistochem. Mol. Morphol. 14(1), 109–114 (2006)
Kros, J.M., Hop, W.C., Godschalk, J.J., Krishnadath, K.K.: Prognostic value of the proliferation-related antigen Ki-67 in oligodendrogliomas. Cancer 78(5), 1107–1113 (1996)
Swiderska-Chadaj, Z., Markiewicz, T., Grala, B., Lorent, M.: Content-based analysis of Ki-67 stained meningioma specimens for automatic hot-spot selection. Diagn. Pathol. 11(1), 93 (2016)
Janowczyk, A., Madabhushi, A.: Deep learning for digital pathology image analysis: a comprehensive tutorial with selected use cases. J. Pathol. Inform. 7, 29 (2016)
Gertych, A., Ing, N., Ma, Z., Fuchs, T.J., Salman, S., Mohanty, S., Bhele, S., Velásquez-Vacca, A., Amin, M.B., Knudsen, B.S.: Machine learning approaches to analyze histological images of tissues from radical prostatectomies. Comput. Med. Imaging Graph. 46(Pt 2), 197–208 (2015)
Litjens, G., Sánchez, C.I., Timofeeva, N., Hermsen, M., Nagtegaal, I., Kovacs, I., Hulsbergen - van de Kaa C., Bult, P., van Ginneken, B., van der Laak, J.: Deep learning as a tool for increased accuracy and efficiency of histopathological diagnosis. Sci. Rep. 6, Article no. 26286 (2016)
LeCun, Y., Bengio, Y., Hinton, G.: Deep learning. Nature 521(7553), 436–444 (2015)
Schmidhuber, J.: Deep learning in neural networks: an overview. Neural Netw. 61, 85–117 (2015)
Cruz-Roa, A., Basavanhally, A., González, F., Gilmore, H., Feldman, M., Ganesan, S., Shih, N., Tomaszewski, J., Madabhushi, A.: Automatic detection of invasive ductal carcinoma in whole slide images with convolutional neural networks. In: Proceedings of SPIE 9041, Medical Imaging 2014: Digital Pathology, p. 904103 (2014)
Ciresan, D.C., Meier, U., Schmidhuber, J.: Multi-column deep neural networks for image classification. In: IEEE Conference on Computer Vision and Pattern Recognition CVPR 2012, pp. 3642–3649. Arxiv preprint arXiv:1202.2745 (2012)
Sharma, H., Zerbe, N., Klempert, I., Hellwich, O., Hufnagl, P.: Deep convolutional neural networks for histological image analysis in gastric carcinoma whole slide images. Diagn. Pathol. 1(8), 1–3 (2016)
Bejnordi, B.E., Linz, J., Glass, B., Mullooly, M., Gierach, G.L., Sherman, M.E., Beck, A.H.: Deep learning-based assessment of tumor-associated stroma for diagnosing breast cancer in histopathology images. arXiv preprint arXiv:1702.05803 (2017)
Puerto, M., Vargas, T., Cruz-Roa, A.: A digital pathology application for whole-slide histopathology image analysis based on genetic algorithm and Convolutional Networks. In: 2016 IEEE Latin American Conference on Computational Intelligence (LA-CCI), pp. 1–7. IEEE (2016)
Litjens, G., Kooi, T., Bejnordi, B.E., Setio, A.A.A., Ciompi, F., Ghafoorian, M., Sánchez, C.I.: A survey on deep learning in medical image analysis. arXiv preprint arXiv:1702.05747 (2017)
Xie, W., Noble, J.A., Zisserman, A.: Microscopy cell counting and detection with fully convolutional regression networks. Comput. Methods Biomech. Biomed. Eng.: Imaging Vis. 2016, 1–10 (2016)
Xie, Y., Kong, X., Xing, F., Liu, F., Su, H., Yang, L.: Deep voting: a robust approach toward nucleus localization in microscopy images. In: Navab, N., Hornegger, J., Wells, W.M., Frangi, A.F. (eds.) MICCAI 2015. LNCS, vol. 9351, pp. 374–382. Springer, Cham (2015). doi:10.1007/978-3-319-24574-4_45
Havaei, M., Davy, A., Warde-Farley, D., Biard, A., Courville, A., Bengio, Y., Larochelle, H.: Brain tumor segmentation with deep neural networks. Med. Image Anal. 35, 18–31 (2017)
Anthimopoulos, M., Christodoulidis, S., Ebner, L., Christe, A., Mougiakakou, S.: Lung pattern classification for interstitial lung diseases using a deep, convolutional neural network. IEEE Trans. Med. Imaging 35(5), 1207–1216 (2016)
Krizhevsky, A., Sutskever, I., Hinton, G.E.: Imagenet classification with deep convolutional neural networks. In: Advances in Neural Information Processing Systems, pp. 1097–1105 (2012)
Jia, Y., Shelhamer, E., Donahue, J., Karayev, S., Long, J., Girshick, R., Guadarrama, S., Darrell, T.: Caffe: convolutional architecture for fast feature embedding. arXiv preprint arXiv:1408.5093 (2014)
Tajbakhsh, N., Shin, J.Y., Gurudu, S.R., Hurst, R.T., Kendall, C.B., Gotway, M.B., Liang, J.: Convolutional neural networks for medical image analysis: full training or fine tuning? IEEE Trans. Med. Imaging 35(5), 1299–1312 (2016)
CS231n: Convolutional Neural Networks for Visual Recognition. http://cs231n.github.io/transfer-learning/
Goode, A., Benjamin, G., Harkes, J., Jukic, D., Satyanarayanan, M.: OpenSlide: a vendor-neutral software foundation for digital pathology. J. Pathol. Inform. 4, 27 (2013)
Rizzardi, A.E., Zhang, X., Vogel, R.I., Kolb, S., Geybels, M.S., Leung, Y.K., Henriksen, J.C., Ho, S.M., Kwak, J., Stanford, J.L., Schmechel, S.C.: Quantitative comparison and reproducibility of pathologist scoring and digital image analysis of estrogen receptor β2 immunohistochemistry in prostate cancer. Diagn. Pathol. 11(1), 63 (2016)
Acknowledgment
This study was supported by the National Centre for Research and Development, Poland (grant PBS2/A9/21/2013).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this paper
Cite this paper
Swiderska-Chadaj, Z., Markiewicz, T., Grala, B., Lorent, M., Gertych, A. (2017). A Deep Learning Pipeline to Delineate Proliferative Areas of Intracranial Tumors in Digital Slides. In: Valdés Hernández, M., González-Castro, V. (eds) Medical Image Understanding and Analysis. MIUA 2017. Communications in Computer and Information Science, vol 723. Springer, Cham. https://doi.org/10.1007/978-3-319-60964-5_39
Download citation
DOI: https://doi.org/10.1007/978-3-319-60964-5_39
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-60963-8
Online ISBN: 978-3-319-60964-5
eBook Packages: Computer ScienceComputer Science (R0)