Automated detection of DCIS in whole-slide H E stained breast histopathology images

This paper presents and evaluates a fully automatic method for detection of ductal carcinoma in situ (DCIS) in digitized hematoxylin and eosin (H&E) stained histopathological slides of breast tissue. The proposed method applies multi-scale superpixel classification to detect epithelial regions i...

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Hauptverfasser: Bejnordi, Babak Ehteshami (VerfasserIn) , Balkenhol, Maschenka (VerfasserIn) , Litjens, Geert (VerfasserIn) , Holland, Roland (VerfasserIn) , Bult, Peter (VerfasserIn) , Karssemeijer, Nicolaas (VerfasserIn) , Laak, Jeroen van der (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 05 April 2016
In: IEEE transactions on medical imaging
Year: 2016, Jahrgang: 35, Heft: 9, Pages: 2141-2150
ISSN:1558-254X
DOI:10.1109/TMI.2016.2550620
Online-Zugang:Resolving-System, lizenzpflichtig, Volltext: https://doi.org/10.1109/TMI.2016.2550620
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Verfasserangaben:Babak Ehteshami Bejnordi, Maschenka Balkenhol, Geert Litjens, Roland Holland, Peter Bult, Nico Karssemeijer, Jeroen A. W. M. van der Laak

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520 |a This paper presents and evaluates a fully automatic method for detection of ductal carcinoma in situ (DCIS) in digitized hematoxylin and eosin (H&E) stained histopathological slides of breast tissue. The proposed method applies multi-scale superpixel classification to detect epithelial regions in whole-slide images (WSIs). Subsequently, spatial clustering is utilized to delineate regions representing meaningful structures within the tissue such as ducts and lobules. A region-based classifier employing a large set of features including statistical and structural texture features and architectural features is then trained to discriminate between DCIS and benign/normal structures. The system is evaluated on two datasets containing a total of 205 WSIs of breast tissue. Evaluation was conducted both on the slide and the lesion level using FROC analysis. The results show that to detect at least one true positive in every DCIS containing slide, the system finds 2.6 false positives per WSI. The results of the per-lesion evaluation show that it is possible to detect 80% and 83% of the DCIS lesions in an abnormal slide, at an average of 2.0 and 3.0 false positives per WSI, respectively. Collectively, the result of the experiments demonstrate the efficacy and accuracy of the proposed method as well as its potential for application in routine pathological diagnostics. To the best of our knowledge, this is the first DCIS detection algorithm working fully automatically on WSIs. 
650 4 |a Algorithms 
650 4 |a architectural features 
650 4 |a benign structures 
650 4 |a biomedical optical imaging 
650 4 |a Breast 
650 4 |a Breast Neoplasms 
650 4 |a breast tissue 
650 4 |a Breast tissue 
650 4 |a cancer 
650 4 |a Cancer 
650 4 |a Carcinoma, Ductal, Breast 
650 4 |a Carcinoma, Intraductal, Noninfiltrating 
650 4 |a Clustering algorithms 
650 4 |a Computer-aided diagnosis 
650 4 |a DCIS Detection 
650 4 |a DCIS detection algorithm 
650 4 |a DCIS lesion 
650 4 |a Design automation 
650 4 |a digitized hematoxylin and eosin stained histopathological slides 
650 4 |a ductal carcinoma in situ detection 
650 4 |a ducts 
650 4 |a epithelial region 
650 4 |a Feature extraction 
650 4 |a FROC analysis 
650 4 |a fully automatic method 
650 4 |a H&E staining 
650 4 |a Humans 
650 4 |a image classification 
650 4 |a image texture 
650 4 |a lesion level 
650 4 |a Lesions 
650 4 |a lobules 
650 4 |a meaningful structures 
650 4 |a medical image processing 
650 4 |a multiscale superpixel classification 
650 4 |a normal structures 
650 4 |a Pathology 
650 4 |a region-based classifier 
650 4 |a routine pathological diagnostics 
650 4 |a spatial clustering 
650 4 |a statistical texture features 
650 4 |a structural texture features 
650 4 |a tumours 
650 4 |a whole-slide H&E stained breast histopathology images 
650 4 |a whole-slide imaging 
650 4 |a WSI 
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