Evidence map›Paper›PMID 32470903›Full record

ArticleComputer methods and programs in biomedicine2020

Automated gleason grading on prostate biopsy slides by statistical representations of homology profile.

Chaoyang Yan, Kazuaki Nakane, Xiangxue Wang, Yao Fu, Haoda Lu, Xiangshan Fan, Michael D Feldman, Anant Madabhushi, Jun Xu

Abstract read
In one paragraph

Article in Computer methods and programs in biomedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Advancing Precision Medicine: Algebraic Topology and Differential Geometry in Radiology and Computational Pathology.Laboratory investigation; a journal of technical methods and pathology · 2024
    Review
  5. Article
  6. Article
  7. Article
  8. [Automated grading of glioma based on density and atypia analysis in whole slide images].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2021
    Article
  9. GestAltNet: aggregation and attention to improve deep learning of gestational age from placental whole-slide images.Laboratory investigation; a journal of technical methods and pathology · 2021
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Chaoyang YanSchool of Automation, Nanjing University of Information Science & Technology, Nanjing 210044, China; Jiangsu Key Laboratory of Big Data Analysis Technique and CICAEET, Nanjing University of Information Science and Technology, Nanjing 210044, China.
Kazuaki NakaneDepartment of Molecular Pathology, Osaka University Graduate School of Medicine, Division of Health Science, Osaka 565-0871, Japan.
Xiangxue WangDept. of Biomedical Engineering, Case Western Reserve University, OH 44106-7207, USA.
Yao FuDept. of Pathology, the affiliated Drum Tower Hospital, Nanjing University Medical School, 210008, China.
Haoda LuSchool of Automation, Nanjing University of Information Science & Technology, Nanjing 210044, China; Jiangsu Key Laboratory of Big Data Analysis Technique and CICAEET, Nanjing University of Information Science and Technology, Nanjing 210044, China.
Xiangshan FanDept. of Pathology, the affiliated Drum Tower Hospital, Nanjing University Medical School, 210008, China.
Michael D FeldmanDivision of Surgical Pathology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
Anant MadabhushiDept. of Biomedical Engineering, Case Western Reserve University, OH 44106-7207, USA; Louis Stokes Cleveland Veterans Medical Center, Cleveland, OH 44106.
Jun XuSchool of Automation, Nanjing University of Information Science & Technology, Nanjing 210044, China; Jiangsu Key Laboratory of Big Data Analysis Technique and CICAEET, Nanjing University of Information Science and Technology, Nanjing 210044, China. Electronic address: jxx108@case.edu.

Funding

Computerized histologic image predictor of cancer outcomeR01CA202752 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI FELDMAN, MICHAEL D, GANESAN, SHRIDAR · 2016 to 2020
$3.1M
Quantitative Histomorphometric Risk Classifier (QuHbIC) in HPV + Oropharyngeal CarcinomaR01CA220581 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI KOYFMAN, SHLOMO, LEWIS, JAMES · 2018 to 2023
$3.1M
Computerized Histologic Risk Predictor (CHiRP) for Early Stage Lung CancersR01CA216579 · NCI · EMORY UNIVERSITY · PI FU, PINGFU, LLOYD, MARK · 2018 to 2023
$3.1M
MR Fingerprinting and Computerized Decision Support for Prostate CancerR01CA208236 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GULANI, VIKAS, PONSKY, LEE EVAN · 2017 to 2022
$3.0M
Pathology Image Informatics Platform for visualization, analysis and managementU24CA199374 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI GURCAN, METIN NAFI, MADABHUSHI, ANANT · 2015 to 2019
$2.9M
RadxTools for assessing tumor treatment response on imagingU01CA248226 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI TIWARI, PALLAVI, VISWANATH, SATISH EASWAR · 2020 to 2022
$1.4M
HistoTools: A suite of digital pathology tools for quality control, annotation and dataset identificationU01CA239055 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI JANOWCZYK, ANDREW ROBERT, MADABHUSHI, ANANT · 2019 to 2022
$1.0M
BIOMEDICAL ENGINEERING RESEARCH FACILITIESC06RR012463 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI KUTINA, KENNETH L · 1997 to 1997
–
BLRD VA I01 BX004121NCI NIH HHS R01 CA202752NCI NIH HHS R01 CA208236NCI NIH HHS R01 CA216579NCI NIH HHS R01 CA220581NCI NIH HHS U01 CA239055NCI NIH HHS U01 CA248226NCI NIH HHS U24 CA199374NCRR NIH HHS C06 RR012463
6 · The paper itself

Abstract

BACKGROUND AND

objectiveGleason grading system is currently the clinical gold standard for determining prostate cancer aggressiveness. Prostate cancer is typically classified into one of 5 different categories with 1 representing the most indolent disease and 5 reflecting the most aggressive disease. Grades 3 and 4 are the most common and difficult patterns to be discriminated in clinical practice. Even though the degree of gland differentiation is the strongest determinant of Gleason grade, manual grading is subjective and is hampered by substantial inter-reader disagreement, especially with regard to intermediate grade groups.

methodsTo capture the topological characteristics and the degree of connectivity between nuclei around the gland, the concept of Homology Profile (HP) for prostate cancer grading is presented in this paper. HP is an algebraic tool, whereby, certain algebraic invariants are computed based on the structure of a topological space. We utilized the Statistical Representation of Homology Profile (SRHP) features to quantify the extent of glandular differentiation. The quantitative characteristics which represent the image patch are fed into a supervised classifier model for discrimination of grade patterns 3 and 4.

resultsOn the basis of the novel homology profile, we evaluated 43 digitized images of prostate biopsy slides annotated for regions corresponding to Grades 3 and 4. The quantitative patch-level evaluation results showed that our approach achieved an Area Under Curve (AUC) of 0.96 and an accuracy of 0.89 in terms of discriminating Grade 3 and 4 patches. Our approach was found to be superior to comparative methods including handcrafted cellular features, Stacked Sparse Autoencoder (SSAE) algorithm and end-to-end supervised learning method (DLGg). Also, slide-level quantitative and qualitative evaluation results reflect the ability of our approach in discriminating Gleason Grade 3 from 4 patterns on H&E tissue images.

conclusionsWe presented a novel Statistical Representation of Homology Profile (SRHP) approach for automated Gleason grading on prostate biopsy slides. The most discriminating topological descriptions of cancerous regions for grade 3 and 4 in prostate cancer were identified. Moreover, these characteristics of homology profile are interpretable, visually meaningful and highly consistent with the rubric employed by pathologists for the task of Gleason grading.

Indexed as

Image Interpretation, Computer-AssistedProstatic NeoplasmsBiopsyHumansMaleNeoplasm GradingDigitized needle biopsy samplesGleason gradingHomology ProfileProstate cancerStatistical representation

Identifiers

PMID32470903
PMCPMC8153074

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.