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    Automated diagnosis of 7 canine skin tumors using machine learning on H&E-stained whole slide images (2023)

    Art
    Zeitschriftenartikel / wissenschaftlicher Beitrag
    Autoren
    Fragoso-Garcia, Marco
    Wilm, Frauke
    Bertram, Christof A.
    Merz, Sophie
    Schmidt, Anja
    Donovan, Taryn
    Fuchs-Baumgartinger, Andrea
    Bartel, Alexander (WE 16)
    Marzahl, Christian
    Diehl, L. (WE 12)
    Puget, Chloe
    Maier, Andreas
    Aubreville, Marc
    Breininger, Katharina
    Klopfleisch, R (WE 12)
    Quelle
    Veterinary pathology : an internat. journal of natural and experimental disease in animals
    Bandzählung: 60
    Heftzählung: 6
    Seiten: 865 – 875
    ISSN: 0300-9858
    Sprache
    Englisch
    Verweise
    URL (Volltext): http://journals.sagepub.com/doi/10.1177/03009858231189205
    DOI: 10.1177/03009858231189205
    Pubmed: 37515411
    Kontakt
    Institut für Tierpathologie

    Robert-von-Ostertag-Str. 15
    14163 Berlin
    +49 30 838 62450
    pathologie@vetmed.fu-berlin.de

    Abstract / Zusammenfassung

    Microscopic evaluation of hematoxylin and eosin-stained slides is still the diagnostic gold standard for a variety of diseases, including neoplasms. Nevertheless, intra- and interrater variability are well documented among pathologists. So far, computer assistance via automated image analysis has shown potential to support pathologists in improving accuracy and reproducibility of quantitative tasks. In this proof of principle study, we describe a machine-learning-based algorithm for the automated diagnosis of 7 of the most common canine skin tumors: trichoblastoma, squamous cell carcinoma, peripheral nerve sheath tumor, melanoma, histiocytoma, mast cell tumor, and plasmacytoma. We selected, digitized, and annotated 350 hematoxylin and eosin-stained slides (50 per tumor type) to create a database divided into training, n = 245 whole-slide images (WSIs), validation (n = 35 WSIs), and test sets (n = 70 WSIs). Full annotations included the 7 tumor classes and 6 normal skin structures. The data set was used to train a convolutional neural network (CNN) for the automatic segmentation of tumor and nontumor classes. Subsequently, the detected tumor regions were classified patch-wise into 1 of the 7 tumor classes. A majority of patches-approach led to a tumor classification accuracy of the network on the slide-level of 95% (133/140 WSIs), with a patch-level precision of 85%. The same 140 WSIs were provided to 6 experienced pathologists for diagnosis, who achieved a similar slide-level accuracy of 98% (137/140 correct majority votes). Our results highlight the feasibility of artificial intelligence-based methods as a support tool in diagnostic oncologic pathology with future applications in other species and tumor types.