Fast TILs -- A Pipeline for Efficient TILs Estimation in Non-Small Cell Lung Cancer

Fuente: arXiv
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Main Authors: Shvetsov, Nikita, Sildnes, Anders, Tafavvoghi, Masoud, Busund, Lill-Tove Rasmussen, Dalen, Stig, Møllersen, Kajsa, Bongo, Lars Ailo, Kilvaer, Thomas K.
Format: Preprint
Published: 2024
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_version_ 1866911292876390400
author Shvetsov, Nikita
Sildnes, Anders
Tafavvoghi, Masoud
Busund, Lill-Tove Rasmussen
Dalen, Stig
Møllersen, Kajsa
Bongo, Lars Ailo
Kilvaer, Thomas K.
author_facet Shvetsov, Nikita
Sildnes, Anders
Tafavvoghi, Masoud
Busund, Lill-Tove Rasmussen
Dalen, Stig
Møllersen, Kajsa
Bongo, Lars Ailo
Kilvaer, Thomas K.
contents Addressing the critical need for accurate prognostic biomarkers in cancer treatment, quantifying tumor-infiltrating lymphocytes (TILs) in non-small cell lung cancer (NSCLC) presents considerable challenges. Manual TIL quantification in whole slide images (WSIs) is laborious and subject to variability, potentially undermining patient outcomes. Our study introduces an automated pipeline that utilizes semi-stochastic patch sampling, patch classification to retain prognostically relevant patches, and cell quantification using the HoVer-Net model to streamline the TIL evaluation process. This pipeline efficiently excludes approximately 70% of areas not relevant for prognosis and requires only 5% of the remaining patches to maintain prognostic accuracy (c-index = 0.65). The computational efficiency achieved does not sacrifice prognostic accuracy, as demonstrated by the TILs score's strong association with patient survival, which outperforms traditional CD8 IHC scoring methods. While the pipeline demonstrates potential for enhancing NSCLC prognostication and personalization of treatment, comprehensive clinical validation is still required. Future research should focus on verifying its broader clinical utility and investigating additional biomarkers to improve NSCLC prognosis.
format Preprint
id arxiv_https___arxiv_org_abs_2405_02913
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Fast TILs -- A Pipeline for Efficient TILs Estimation in Non-Small Cell Lung Cancer
Shvetsov, Nikita
Sildnes, Anders
Tafavvoghi, Masoud
Busund, Lill-Tove Rasmussen
Dalen, Stig
Møllersen, Kajsa
Bongo, Lars Ailo
Kilvaer, Thomas K.
Computer Vision and Pattern Recognition
68T07
I.4.6; I.4.9; J.3
Addressing the critical need for accurate prognostic biomarkers in cancer treatment, quantifying tumor-infiltrating lymphocytes (TILs) in non-small cell lung cancer (NSCLC) presents considerable challenges. Manual TIL quantification in whole slide images (WSIs) is laborious and subject to variability, potentially undermining patient outcomes. Our study introduces an automated pipeline that utilizes semi-stochastic patch sampling, patch classification to retain prognostically relevant patches, and cell quantification using the HoVer-Net model to streamline the TIL evaluation process. This pipeline efficiently excludes approximately 70% of areas not relevant for prognosis and requires only 5% of the remaining patches to maintain prognostic accuracy (c-index = 0.65). The computational efficiency achieved does not sacrifice prognostic accuracy, as demonstrated by the TILs score's strong association with patient survival, which outperforms traditional CD8 IHC scoring methods. While the pipeline demonstrates potential for enhancing NSCLC prognostication and personalization of treatment, comprehensive clinical validation is still required. Future research should focus on verifying its broader clinical utility and investigating additional biomarkers to improve NSCLC prognosis.
title Fast TILs -- A Pipeline for Efficient TILs Estimation in Non-Small Cell Lung Cancer
topic Computer Vision and Pattern Recognition
68T07
I.4.6; I.4.9; J.3
url https://arxiv.org/abs/2405.02913