Automated Diagnosis of Lymphoma with Digital Pathology Images Using Deep Learning.

Journal: Annals of clinical and laboratory science
Published Date:

Abstract

Recent studies have shown promising results in using Deep Learning to detect malignancy in whole slide imaging, however, they were limited to just predicting a positive or negative finding for a specific neoplasm. We attempted to use Deep Learning with a convolutional neural network (CNN) algorithm to build a lymphoma diagnostic model for four diagnostic categories: (1) benign lymph node, (2) diffuse large B-cell lymphoma, (3) Burkitt lymphoma, and (4) small lymphocytic lymphoma. Our software was written in Python language. We obtained digital whole-slide images of Hematoxylin and Eosin stained slides of 128 cases including 32 cases for each diagnostic category. Four sets of 5 representative images, 40x40 pixels in dimension, were taken for each case. A total of 2,560 images were obtained from which 1,856 were used for training, 464 for validation, and 240 for testing. For each test set of 5 images, the predicted diagnosis was combined from the prediction of five images. The test results showed excellent diagnostic accuracy at 95% for image-by-image prediction and at 100% for set-by-set prediction. This preliminary study provided a proof of concept for incorporating automated lymphoma diagnostic screen into future pathology work-flow to augment the pathologists' productivity.

Authors

  • Hanadi El Achi
    Department of Pathology and Laboratory Medicine, Hematopathology Section, University of Texas Health Science Center at Houston, Texas, TX, USA.
  • Tatiana Belousova
    Department of Pathology and Laboratory Medicine, Hematopathology Section, University of Texas Health Science Center at Houston, Texas, TX, USA.
  • Lei Chen
    Department of Chemistry, Stony Brook University Stony Brook NY USA.
  • Amer Wahed
    The University of Texas Health Science Center at Houston-Department of Pathology and Laboratory Medicine, Houston, TX, USA.
  • Iris Wang
    Department of Pathology and Laboratory Medicine, Hematopathology Section, University of Texas Health Science Center at Houston, Texas, TX, USA.
  • Zhihong Hu
    Department of Pathology and Laboratory Medicine, Hematopathology Section, University of Texas Health Science Center at Houston, Texas, TX, USA.
  • Zeyad Kanaan
    Department of Internal Medicine, Hematologic Oncology Section, University of Texas Health Science Center at Houston, Texas, TX, USA.
  • Adan Rios
    Department of Internal Medicine, Hematologic Oncology Section, University of Texas Health Science Center at Houston, Texas, TX, USA.
  • Andy N D Nguyen
    The University of Texas Health Science Center at Houston-Department of Pathology and Laboratory Medicine, Houston, TX, USA Richard.Huang.1@uth.tmc.edu Nghia.D.Nguyen@uth.tmc.edu.