NMGrad: Advancing Histopathological Bladder Cancer Grading with Weakly Supervised Deep Learning

Fuente: arXiv
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Auteurs principaux: Fuster, Saul, Kiraz, Umay, Eftestøl, Trygve, Janssen, Emiel A. M., Engan, Kjersti
Format: Preprint
Publié: 2024
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author Fuster, Saul
Kiraz, Umay
Eftestøl, Trygve
Janssen, Emiel A. M.
Engan, Kjersti
author_facet Fuster, Saul
Kiraz, Umay
Eftestøl, Trygve
Janssen, Emiel A. M.
Engan, Kjersti
contents The most prevalent form of bladder cancer is urothelial carcinoma, characterized by a high recurrence rate and substantial lifetime treatment costs for patients. Grading is a prime factor for patient risk stratification, although it suffers from inconsistencies and variations among pathologists. Moreover, absence of annotations in medical imaging difficults training deep learning models. To address these challenges, we introduce a pipeline designed for bladder cancer grading using histological slides. First, it extracts urothelium tissue tiles at different magnification levels, employing a convolutional neural network for processing for feature extraction. Then, it engages in the slide-level prediction process. It employs a nested multiple instance learning approach with attention to predict the grade. To distinguish different levels of malignancy within specific regions of the slide, we include the origins of the tiles in our analysis. The attention scores at region level is shown to correlate with verified high-grade regions, giving some explainability to the model. Clinical evaluations demonstrate that our model consistently outperforms previous state-of-the-art methods.
format Preprint
id arxiv_https___arxiv_org_abs_2405_15275
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle NMGrad: Advancing Histopathological Bladder Cancer Grading with Weakly Supervised Deep Learning
Fuster, Saul
Kiraz, Umay
Eftestøl, Trygve
Janssen, Emiel A. M.
Engan, Kjersti
Image and Video Processing
Computer Vision and Pattern Recognition
Quantitative Methods
The most prevalent form of bladder cancer is urothelial carcinoma, characterized by a high recurrence rate and substantial lifetime treatment costs for patients. Grading is a prime factor for patient risk stratification, although it suffers from inconsistencies and variations among pathologists. Moreover, absence of annotations in medical imaging difficults training deep learning models. To address these challenges, we introduce a pipeline designed for bladder cancer grading using histological slides. First, it extracts urothelium tissue tiles at different magnification levels, employing a convolutional neural network for processing for feature extraction. Then, it engages in the slide-level prediction process. It employs a nested multiple instance learning approach with attention to predict the grade. To distinguish different levels of malignancy within specific regions of the slide, we include the origins of the tiles in our analysis. The attention scores at region level is shown to correlate with verified high-grade regions, giving some explainability to the model. Clinical evaluations demonstrate that our model consistently outperforms previous state-of-the-art methods.
title NMGrad: Advancing Histopathological Bladder Cancer Grading with Weakly Supervised Deep Learning
topic Image and Video Processing
Computer Vision and Pattern Recognition
Quantitative Methods
url https://arxiv.org/abs/2405.15275