Skip to main content

Attention-based Multiple Instance Learning for Survival Prediction on Lung Cancer Tissue Microarrays

  • Conference paper
  • First Online:
Bildverarbeitung für die Medizin 2023 (BVM 2023)

Part of the book series: Informatik aktuell ((INFORMAT))

Included in the following conference series:

Abstract

Attention-based multiple instance learning (AMIL) algorithms have proven to be successful in utilizing gigapixel whole-slide images (WSIs) for a variety of different computational pathology tasks such as outcome prediction and cancer subtyping problems.We extended an AMIL approach to the task of survival prediction by utilizing the classical Cox partial likelihood as a loss function, converting the AMIL model into a nonlinear proportional hazards model. We applied the model to tissue microarray (TMA) slides of 330 lung cancer patients. The results show that AMIL approaches can handle very small amounts of tissue from a TMA and reach similar C-index performance compared to established survival prediction methods trained with highly discriminative clinical factors such as age, cancer grade, and cancer stage.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Wang M, Herbst RS, Boshoff C. Toward personalized treatment approaches for non-small-cell lung cancer. Nat Med. 2021;27:1345–56.

    Google Scholar 

  2. Chen RJ, Lu MY,Williamson DF, Chen TY, Lipkova J, Noor Z et al. Pan-cancer integrative histology-genomic analysis via multimodal deep learning. Cancer Cell. 2022;40:865–878.e6.

    Google Scholar 

  3. Vale-Silva LA, Rohr K. Long-term cancer survival prediction using multimodal deep learning. Sci Rep. 2021;11:13505.

    Google Scholar 

  4. Coley SM, Crapanzano JP, Saqi A. FNA, core biopsy, or both for the diagnosis of lung carcinoma: obtaining sufficient tissue for a specific diagnosis and molecular testing. Cancer Cytopathol. 2015;123:318–26.

    Google Scholar 

  5. Schmidt LH, Biesterfeld S, Kümmel A, Faldum A, Sebastian M, Taube C et al. Tissue microarrays are reliable tools for the clinicopathological characterization of lung cancer tissue. Anticancer res. 2009;29:201–9.

    Google Scholar 

  6. Bychkov D, Linder N, Turkki R, Nordling S, Kovanen PE, Verrill C et al. Deep learning based tissue analysis predicts outcome in colorectal cancer. Sci Rep. 2018;8:1–11.

    Google Scholar 

  7. Yao J, Zhu X, Jonnagaddala J, Hawkins N, Huang J. Whole slide images based cancer survival prediction using attention guided deep multiple instance learning networks. Med Image Anal. 2020;65:101789.

    Google Scholar 

  8. Cox DR. Regression models and life-tables. J R Stat Soc Series B Stat Methodol. 1972;34:187–202.

    Google Scholar 

  9. Lu MY, Williamson DFK, Chen TY, Chen RJ, Barbieri M, Mahmood F. Data-efficient and weakly supervised computational pathology on whole-slide images. Nat Biomed Eng. 2021;5:555–70.

    Google Scholar 

  10. Katzman JL, Shaham U, Cloninger A, Bates J, Jiang T, Kluger Y. DeepSurv: personalized treatment recommender system using a Cox proportional hazards deep neural network. BMC Med Res Methodol. 2018;18:24.

    Google Scholar 

  11. Ishwaran H, Kogalur UB, Blackstone EH, Lauer MS. Random survival forests. Ann Appl Stat. 2008;2(3):841–60.

    Google Scholar 

  12. Harrell FE, Califf RM, Pryor DB, Lee KL, Rosati RA. Evaluating the yield of medical tests. JAMA. 1982;247:2543–6.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jonas Ammeling .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Der/die Autor(en), exklusiv lizenziert an Springer Fachmedien Wiesbaden GmbH, ein Teil von Springer Nature

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Ammeling, J. et al. (2023). Attention-based Multiple Instance Learning for Survival Prediction on Lung Cancer Tissue Microarrays. In: Deserno, T.M., Handels, H., Maier, A., Maier-Hein, K., Palm, C., Tolxdorff, T. (eds) Bildverarbeitung für die Medizin 2023. BVM 2023. Informatik aktuell. Springer Vieweg, Wiesbaden. https://doi.org/10.1007/978-3-658-41657-7_48

Download citation

Publish with us

Policies and ethics