Title
Context-aware stacked convolutional neural networks for classification of breast carcinomas in whole-slide histopathology images.
Abstract
Currently, histopathological tissue examination by a pathologist represents the gold standard for breast lesion diagnostics. Automated classification of histopathological whole-slide images (WSIs) is challenging owing to the wide range of appearances of benign lesions and the visual similarity of ductal carcinoma in-situ (DCIS) to invasive lesions at the cellular level. Consequently, analysis of tissue at high resolutions with a large contextual area is necessary. We present context-aware stacked convolutional neural networks (CNN) for classification of breast WSIs into normal/benign, DCIS, and invasive ductal carcinoma (IDC). We first train a CNN using high pixel resolution to capture cellular level information. The feature responses generated by this model are then fed as input to a second CNN, stacked on top of the first. Training of this stacked architecture with large input patches enables learning of fine-grained (cellular) details and global tissue structures. Our system is trained and evaluated on a dataset containing 221 WSIs of hematoxylin and eosin stained breast tissue specimens. The system achieves an AUC of 0.962 for the binary classification of nonmalignant and malignant slides and obtains a three-class accuracy of 81.3% for classification of WSIs into normal/benign, DCIS, and IDC, demonstrating its potential for routine diagnostics. (C) 2017 Society of Photo-Optical Instrumentation Engineers (SPIE)
Year
DOI
Venue
2017
10.1117/1.JMI.4.4.044504
JOURNAL OF MEDICAL IMAGING
Keywords
Field
DocType
deep learning,convolutional neural networks,breast cancer,histopathology,context-aware CNN
H&E stain,Ductal carcinoma,Pattern recognition,Binary classification,Breast cancer,Computer science,Convolutional neural network,Histopathology,Breast lesion,Artificial intelligence,Deep learning,Pathology
Journal
Volume
Issue
ISSN
4
4
2329-4302
Citations 
PageRank 
References 
6
0.61
24
Authors
9
Name
Order
Citations
PageRank
Babak Ehteshami Bejnordi172030.27
Guido C. A. Zuidhof260.61
Maschenka Balkenhol3312.24
m hermsen4202.26
p bult5232.35
Bram van Ginneken64979307.23
Nico Karssemeijer7992122.49
Geert Litjens899650.79
j a w m van der laak970229.53