A Deep Learning System for Classifying T Stage and Predicting Prognosis of Colorectal Cancer via Preoperative Computed Tomography Images

2021 ◽  
Author(s):  
Xudong Zhu ◽  
Yong Ren ◽  
Sidong Xie ◽  
Zikai Cai ◽  
Zongheng Zheng ◽  
...  
2020 ◽  
Vol 56 (2) ◽  
pp. 2000775 ◽  
Author(s):  
Shuo Wang ◽  
Yunfei Zha ◽  
Weimin Li ◽  
Qingxia Wu ◽  
Xiaohu Li ◽  
...  

Coronavirus disease 2019 (COVID-19) has spread globally, and medical resources become insufficient in many regions. Fast diagnosis of COVID-19 and finding high-risk patients with worse prognosis for early prevention and medical resource optimisation is important. Here, we proposed a fully automatic deep learning system for COVID-19 diagnostic and prognostic analysis by routinely used computed tomography.We retrospectively collected 5372 patients with computed tomography images from seven cities or provinces. Firstly, 4106 patients with computed tomography images were used to pre-train the deep learning system, making it learn lung features. Following this, 1266 patients (924 with COVID-19 (471 had follow-up for >5 days) and 342 with other pneumonia) from six cities or provinces were enrolled to train and externally validate the performance of the deep learning system.In the four external validation sets, the deep learning system achieved good performance in identifying COVID-19 from other pneumonia (AUC 0.87 and 0.88, respectively) and viral pneumonia (AUC 0.86). Moreover, the deep learning system succeeded to stratify patients into high- and low-risk groups whose hospital-stay time had significant difference (p=0.013 and p=0.014, respectively). Without human assistance, the deep learning system automatically focused on abnormal areas that showed consistent characteristics with reported radiological findings.Deep learning provides a convenient tool for fast screening of COVID-19 and identifying potential high-risk patients, which may be helpful for medical resource optimisation and early prevention before patients show severe symptoms.


Author(s):  
Shuo Wang ◽  
Yunfei Zha ◽  
Weimin Li ◽  
Qingxia Wu ◽  
Xiaohu Li ◽  
...  

AbstractCoronavirus disease 2019 (COVID-19) has spread globally, and medical resources become insufficient in many regions. Fast diagnosis of COVID-19, and finding high-risk patients with worse prognosis for early prevention and medical resources optimization is important. Here, we proposed a fully automatic deep learning system for COVID-19 diagnostic and prognostic analysis by routinely used computed tomography.We retrospectively collected 5372 patients with computed tomography images from 7 cities or provinces. Firstly, 4106 patients with computed tomography images and gene information were used to pre-train the DL system, making it learn lung features. Afterwards, 1266 patients (924 with COVID-19, and 471 had follow-up for 5+ days; 342 with other pneumonia) from 6 cities or provinces were enrolled to train and externally validate the performance of the deep learning system.In the 4 external validation sets, the deep learning system achieved good performance in identifying COVID-19 from other pneumonia (AUC=0.87 and 0.88) and viral pneumonia (AUC=0.86). Moreover, the deep learning system succeeded to stratify patients into high-risk and low-risk groups whose hospital-stay time have significant difference (p=0.013 and 0.014). Without human-assistance, the deep learning system automatically focused on abnormal areas that showed consistent characteristics with reported radiological findings.Deep learning provides a convenient tool for fast screening COVID-19 and finding potential high-risk patients, which may be helpful for medical resource optimization and early prevention before patients show severe symptoms.Take-home messageFully automatic deep learning system provides a convenient method for COVID-19 diagnostic and prognostic analysis, which can help COVID-19 screening and finding potential high-risk patients with worse prognosis.


Author(s):  
José Denes Lima Araújo ◽  
Luana Batista da Cruz ◽  
João Otávio Bandeira Diniz ◽  
Jonnison Lima Ferreira ◽  
Aristófanes Corrêa Silva ◽  
...  

2020 ◽  
Author(s):  
Yodit Abebe Ayalew ◽  
Kinde Anlay Fante ◽  
Mohammed Aliy

Abstract Background: Liver cancer is the sixth most common cancer worldwide. According to WHO data in 2017, the liver cancer death in Ethiopia reached 1040 (0.16%) from all cancer deaths. Hepatocellular carcinoma (HCC), primary liver cancer causes the death of around 700,000 people each year worldwide and this makes it the third leading cause of cancer death. HCC is occurred due to cirrhosis and hepatitis B or C viruses. Liver cancer mostly diagnosed with a computed tomography (CT) scan. But, the detection of the tumor from the CT scan image is difficult since tumors have similar intensity with nearby tissues and may have a different appearance depending on their type, state, and equipment setting. Nowadays deep learning methods have been used for the segmentation of liver and its tumor from the CT scan images and they are more efficient than those traditional methods. But, they are computationally expensive and need many labeled samples for training, which are difficult in the case of biomedical images. Results: A deep learning-based segmentation algorithm is employed for liver and tumor segmentation from abdominal CT scan images. Three separate UNet models, one for liver segmentation and the others two for tumor segmentation from the segmented liver and directly from the abdominal CT scan image were used. A dice score of 0.96 was obtained for liver segmentation. And a dice score of 0.74 and 0.63 was obtained for segmentation of tumor from the liver and from abdominal CT scan image respectively. Conclusion: The research improves the liver tumor segmentation that will help the physicians in the diagnosis and detection of liver tumors and in designing a treatment plan for the patient. And for the patient, it increases the patients’ chance of getting treatment and decrease the mortality rate due to liver cancer.


2019 ◽  
Vol 152 ◽  
pp. 25-39 ◽  
Author(s):  
Carlos M.J.M. Dourado Jr ◽  
Suane Pires P. da Silva ◽  
Raul Victor M. da Nóbrega ◽  
Antonio Carlos da S. Barros ◽  
Pedro P. Rebouças Filho ◽  
...  

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Ellery Wulczyn ◽  
David F. Steiner ◽  
Melissa Moran ◽  
Markus Plass ◽  
Robert Reihs ◽  
...  

AbstractDeriving interpretable prognostic features from deep-learning-based prognostic histopathology models remains a challenge. In this study, we developed a deep learning system (DLS) for predicting disease-specific survival for stage II and III colorectal cancer using 3652 cases (27,300 slides). When evaluated on two validation datasets containing 1239 cases (9340 slides) and 738 cases (7140 slides), respectively, the DLS achieved a 5-year disease-specific survival AUC of 0.70 (95% CI: 0.66–0.73) and 0.69 (95% CI: 0.64–0.72), and added significant predictive value to a set of nine clinicopathologic features. To interpret the DLS, we explored the ability of different human-interpretable features to explain the variance in DLS scores. We observed that clinicopathologic features such as T-category, N-category, and grade explained a small fraction of the variance in DLS scores (R2 = 18% in both validation sets). Next, we generated human-interpretable histologic features by clustering embeddings from a deep-learning-based image-similarity model and showed that they explained the majority of the variance (R2 of 73–80%). Furthermore, the clustering-derived feature most strongly associated with high DLS scores was also highly prognostic in isolation. With a distinct visual appearance (poorly differentiated tumor cell clusters adjacent to adipose tissue), this feature was identified by annotators with 87.0–95.5% accuracy. Our approach can be used to explain predictions from a prognostic deep learning model and uncover potentially-novel prognostic features that can be reliably identified by people for future validation studies.


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