Detection of squamous cell carcinoma in digitized histological images from the head and neck using convolutional neural networks

Primary management for head and neck squamous cell carcinoma (SCC) involves surgical resection with negative cancer margins. Pathologists guide surgeons during these operations by detecting SCC in histology slides made from the excised tissue. In this study, 192 digitized histological images from 84 head and neck SCC patients were used to train, validate, and test an inception-v4 convolutional neural network. The proposed method performs with an AUC of 0.91 and 0.92 for the validation and testing group. The careful experimental design yields a robust method with potential to help create a tool to increase efficiency and accuracy of pathologists for detecting SCC in histological images.

[1]  Rodrigo Nalio Ramos,et al.  Inflammatory events during murine squamous cell carcinoma development , 2012, Journal of Inflammation.

[2]  Dumitru Erhan,et al.  Going deeper with convolutions , 2014, 2015 IEEE Conference on Computer Vision and Pattern Recognition (CVPR).

[3]  Anant Madabhushi,et al.  A Deep Convolutional Neural Network for segmenting and classifying epithelial and stromal regions in histopathological images , 2016, Neurocomputing.

[4]  Xu Wang,et al.  Tumor margin classification of head and neck cancer using hyperspectral imaging and convolutional neural networks , 2018, Medical Imaging.

[5]  Amy Y Chen,et al.  The importance of margins in head and neck cancer , 2016, Journal of surgical oncology.

[6]  Matthew D. Zeiler ADADELTA: An Adaptive Learning Rate Method , 2012, ArXiv.

[7]  Nitin A. Pagedar,et al.  Definition of “Close Margin” in Oral Cancer Surgery and Association of Margin Distance With Local Recurrence Rate , 2017, JAMA otolaryngology-- head & neck surgery.

[8]  Aleksey Boyko,et al.  Detecting Cancer Metastases on Gigapixel Pathology Images , 2017, ArXiv.

[9]  Matti Pietikäinen,et al.  Identification of tumor epithelium and stroma in tissue microarrays using texture analysis , 2012, Diagnostic Pathology.

[10]  Francesco Bianconi,et al.  Discrimination between tumour epithelium and stroma via perception-based features , 2015, Neurocomputing.

[11]  Sergey Ioffe,et al.  Rethinking the Inception Architecture for Computer Vision , 2015, 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR).

[12]  Yu-Bin Yang,et al.  Lung cancer cell identification based on artificial neural network ensembles , 2002, Artif. Intell. Medicine.

[13]  Peter H. N. de With,et al.  Cancer detection in histopathology whole-slide images using conditional random fields on deep embedded spaces , 2018, Medical Imaging.

[14]  Joel H. Saltz,et al.  Patch-Based Convolutional Neural Network for Whole Slide Tissue Image Classification , 2015, 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR).

[15]  J F Silverman,et al.  Overlap of nuclear diameters in lung cancer cells. , 1990, Analytical and quantitative cytology and histology.

[16]  Sergey Ioffe,et al.  Inception-v4, Inception-ResNet and the Impact of Residual Connections on Learning , 2016, AAAI.

[17]  Bin Xu,et al.  A Proposal to Redefine Close Surgical Margins in Squamous Cell Carcinoma of the Oral Tongue , 2017, JAMA otolaryngology-- head & neck surgery.

[18]  Andrew H. Beck,et al.  Diagnostic Assessment of Deep Learning Algorithms for Detection of Lymph Node Metastases in Women With Breast Cancer , 2017, JAMA.

[19]  James V. Little,et al.  Label-free reflectance hyperspectral imaging for tumor margin assessment: a pilot study on surgical specimens of cancer patients , 2017, Journal of biomedical optics.

[20]  Dayong Wang,et al.  Deep Learning for Identifying Metastatic Breast Cancer , 2016, ArXiv.