Unraveling a histopathological needle-in-haystack problem: exploring the challenges of detecting tumor budding in colorectal carcinoma histology

Background: In this study focusing on colorectal carcinoma (CRC), we address the imperative task of predicting post-surgery treatment needs by identifying crucial tumor features within whole slide images of solid tumors, analogous to locating a needle in a histological haystack. We evaluate two appr...

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Hauptverfasser: Rusche, Daniel (VerfasserIn) , Englert, Nils (VerfasserIn) , Runz, Marlen (VerfasserIn) , Hetjens, Svetlana (VerfasserIn) , Langner, Cord (VerfasserIn) , Gaiser, Timo (VerfasserIn) , Weis, Cleo-Aron Thias (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 22 January 2024
In: Applied Sciences
Year: 2024, Jahrgang: 14, Heft: 2
ISSN:2076-3417
DOI:10.3390/app14020949
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.3390/app14020949
Verlag, kostenfrei, Volltext: https://www.webofscience.com/api/gateway?GWVersion=2&SrcAuth=DOISource&SrcApp=WOS&KeyAID=10.3390%2Fapp14020949&DestApp=DOI&SrcAppSID=EUW1ED0A5BJ6f1gfv6ICbMpdNbFux&SrcJTitle=APPLIED+SCIENCES-BASEL&DestDOIRegistrantName=MDPI+AG
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Verfasserangaben:Daniel Rusche, Nils Englert, Marlen Runz, Svetlana Hetjens, Cord Langner, Timo Gaiser and Cleo-Aron Weis

MARC

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520 |a Background: In this study focusing on colorectal carcinoma (CRC), we address the imperative task of predicting post-surgery treatment needs by identifying crucial tumor features within whole slide images of solid tumors, analogous to locating a needle in a histological haystack. We evaluate two approaches to address this challenge using a small CRC dataset. Methods: First, we explore a conventional tile-level training approach, testing various data augmentation methods to mitigate the memorization effect in a noisy label setting. Second, we examine a multi-instance learning (MIL) approach at the case level, adapting data augmentation techniques to prevent over-fitting in the limited data set context. Results: The tile-level approach proves ineffective due to the limited number of informative image tiles per case. Conversely, the MIL approach demonstrates success for the small dataset when coupled with post-feature vector creation data augmentation techniques. In this setting, the MIL model accurately predicts nodal status corresponding to expert-based budding scores for these cases. Conclusions: This study incorporates data augmentation techniques into a MIL approach, highlighting the effectiveness of the MIL method in detecting predictive factors such as tumor budding, despite the constraints of a limited dataset size. 
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