Evidence map›Paper›PMID 33608619›Full record

ArticleLaboratory investigation; a journal of technical methods and pathology2021

Deep learning-based grading of ductal carcinoma in situ in breast histopathology images.

Suzanne C Wetstein, Nikolas Stathonikos, Josien P W Pluim, Yujing J Heng, Natalie D Ter Hoeve, Celien P H Vreuls, Paul J van Diest, Mitko Veta

Abstract read
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Article in Laboratory investigation; a journal of technical methods and pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  15. Artificial intelligence applied to breast pathology.Virchows Archiv : an international journal of pathology · 2022
    Review
  16. 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

8 authors.

Suzanne C WetsteinMedical Image Analysis Group, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands. s.c.wetstein@tue.nl.ORCID 0000-0001-8699-5739
Nikolas StathonikosDepartment of Pathology, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-5457-7580
Josien P W PluimMedical Image Analysis Group, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.
Yujing J HengDepartment of Pathology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID 0000-0002-8930-817X
Natalie D Ter HoeveDepartment of Pathology, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Celien P H VreulsDepartment of Pathology, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Paul J van DiestDepartment of Pathology, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Mitko VetaMedical Image Analysis Group, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ductal carcinoma in situ (DCIS) is a non-invasive breast cancer that can progress into invasive ductal carcinoma (IDC). Studies suggest DCIS is often overtreated since a considerable part of DCIS lesions may never progress into IDC. Lower grade lesions have a lower progression speed and risk, possibly allowing treatment de-escalation. However, studies show significant inter-observer variation in DCIS grading. Automated image analysis may provide an objective solution to address high subjectivity of DCIS grading by pathologists. In this study, we developed and evaluated a deep learning-based DCIS grading system. The system was developed using the consensus DCIS grade of three expert observers on a dataset of 1186 DCIS lesions from 59 patients. The inter-observer agreement, measured by quadratic weighted Cohen's kappa, was used to evaluate the system and compare its performance to that of expert observers. We present an analysis of the lesion-level and patient-level inter-observer agreement on an independent test set of 1001 lesions from 50 patients. The deep learning system (dl) achieved on average slightly higher inter-observer agreement to the three observers (o1, o2 and o3) (κ

Indexed as

Breast NeoplasmsCarcinoma, Intraductal, NoninfiltratingDeep LearningBiopsyBreastFemaleHumansImage Interpretation, Computer-AssistedMiddle AgedNeoplasm Grading

Identifiers

PMID33608619
PMCPMC7985025

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Registered trials

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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.