Evidence map›Paper›PMID 37225743›Full record

ArticleScientific reports2023

Deep learning for multi-class semantic segmentation enables colorectal cancer detection and classification in digital pathology images.

John-Melle Bokhorst, Iris D Nagtegaal, Filippo Fraggetta, Simona Vatrano, Wilma Mesker, Michael Vieth, Jeroen van der Laak, Francesco Ciompi

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
9.0field-weighted citation impact, top 2% 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

22 citing papers in PubMed, 52 citations in OpenAlex.

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  17. [Research progress on colorectal cancer identification based on convolutional neural network].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2024
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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 at 4 institutions in 3 countries.

John-Melle BokhorstDepartment of pathology, Radboud University Medical Center, Nijmegen, The Netherlands. john-melle.bokhorst@radboudumc.nl.
Iris D NagtegaalDepartment of pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Filippo FraggettaPathology Unit Gravina Hospital, Gravina Hospital, Caltagirone, Italy.
Simona VatranoPathology Unit Gravina Hospital, Gravina Hospital, Caltagirone, Italy.
Wilma MeskerLeids Universitair Medisch Centrum, Leiden, The Netherlands.
Michael ViethKlinikum Bayreuth, Friedrich-Alexander-University Erlangen-Nuremberg, Bayreuth, Germany.
Jeroen van der LaakDepartment of pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Francesco CiompiDepartment of pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Radboud University Nijmegen · NLBayreuth Medical Center · DELeiden University Medical Center · NLRadboud University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In colorectal cancer (CRC), artificial intelligence (AI) can alleviate the laborious task of characterization and reporting on resected biopsies, including polyps, the numbers of which are increasing as a result of CRC population screening programs ongoing in many countries all around the globe. Here, we present an approach to address two major challenges in the automated assessment of CRC histopathology whole-slide images. We present an AI-based method to segment multiple ([Formula: see text]) tissue compartments in the H &E-stained whole-slide image, which provides a different, more perceptible picture of tissue morphology and composition. We test and compare a panel of state-of-the-art loss functions available for segmentation models, and provide indications about their use in histopathology image segmentation, based on the analysis of (a) a multi-centric cohort of CRC cases from five medical centers in the Netherlands and Germany, and (b) two publicly available datasets on segmentation in CRC. We used the best performing AI model as the basis for a computer-aided diagnosis system that classifies colon biopsies into four main categories that are relevant pathologically. We report the performance of this system on an independent cohort of more than 1000 patients. The results show that with a good segmentation network as a base, a tool can be developed which can support pathologists in the risk stratification of colorectal cancer patients, among other possible uses. We have made the segmentation model available for research use on https://grand-challenge.org/algorithms/colon-tissue-segmentation/ .

Indexed as

Deep LearningNeoplasmsArtificial IntelligenceHumansPathologistsSemantics

Identifiers

PMID37225743
PMCPMC10209185
OpenAlexW4378173476

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.