Evidence map›Paper›PMID 33608558›Full record

ArticleNature communications2021

An annotation-free whole-slide training approach to pathological classification of lung cancer types using deep learning.

Chi-Long Chen, Chi-Chung Chen, Wei-Hsiang Yu, Szu-Hua Chen, Yu-Chan Chang, Tai-I Hsu, Michael Hsiao, Chao-Yuan Yeh, Cheng-Yu Chen

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 1 pooled it
23.7field-weighted citation impact, top 1% of its field
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

88 citing papers in PubMed, 1 synthesis or guideline pooled it, 217 citations in OpenAlex.

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28 more citing papers are in PubMed but not listed here.

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 at 4 institutions in 1 country.

Chi-Long Chen *Department of Pathology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0003-2875-1669
Chi-Chung Chen *aetherAI Co., Ltd., Taipei, Taiwan.ORCID 0000-0003-0267-7704
Wei-Hsiang YuaetherAI Co., Ltd., Taipei, Taiwan.ORCID 0000-0003-2907-8031
Szu-Hua ChenaetherAI Co., Ltd., Taipei, Taiwan.ORCID 0000-0003-0756-6317
Yu-Chan ChangDepartment of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan.ORCID 0000-0003-0474-9935
Tai-I HsuGenomics Research Center, Academia Sinica, Taipei, Taiwan.
Michael HsiaoGenomics Research Center, Academia Sinica, Taipei, Taiwan.ORCID 0000-0001-8529-9213
Chao-Yuan YehaetherAI Co., Ltd., Taipei, Taiwan. joeyeh@aetherai.com.ORCID 0000-0002-1947-1596
Cheng-Yu ChenDepartment of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. sandychen@tmu.edu.tw.
Taipei Medical University Hospital · TWGenomics Research Center, Academia Sinica · TWAletheia University · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deep learning for digital pathology is hindered by the extremely high spatial resolution of whole-slide images (WSIs). Most studies have employed patch-based methods, which often require detailed annotation of image patches. This typically involves laborious free-hand contouring on WSIs. To alleviate the burden of such contouring and obtain benefits from scaling up training with numerous WSIs, we develop a method for training neural networks on entire WSIs using only slide-level diagnoses. Our method leverages the unified memory mechanism to overcome the memory constraint of compute accelerators. Experiments conducted on a data set of 9662 lung cancer WSIs reveal that the proposed method achieves areas under the receiver operating characteristic curve of 0.9594 and 0.9414 for adenocarcinoma and squamous cell carcinoma classification on the testing set, respectively. Furthermore, the method demonstrates higher classification performance than multiple-instance learning as well as strong localization results for small lesions through class activation mapping.

Indexed as

Deep LearningAdenocarcinomaAlgorithmsCarcinoma, Squamous CellHumansImage Processing, Computer-AssistedLung NeoplasmsNeural Networks, ComputerROC Curve

Identifiers

PMID33608558
PMCPMC7896045
OpenAlexW3132591370

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.