Cutaneous squamous cell carcinoma characterized by MALDI mass spectrometry imaging in combination with machine learning.

Journal: Scientific reports
Published Date:

Abstract

Cutaneous squamous cell carcinoma (SCC) is an increasingly prevalent global health concern. Current diagnostic and surgical methods are reliable, but they require considerable resources and do not provide metabolomic insight. Matrix-assisted laser desorption/ionization mass spectrometry imaging (MALDI-MSI) enables detailed, spatially resolved metabolomic analysis of tissue samples. Integrated with machine learning, MALDI-MSI could yield detailed information pertaining to the metabolic alterations characteristic for SCC. These insights have the potential to enhance SCC diagnosis and therapy, improving patient outcomes while tackling the growing disease burden. This study employs MALDI-MSI data, labelled according to histology, to train a supervised machine learning model (logistic regression) for the recognition and delineation of SCC. The model, based on data acquired from discrete tumor sections (n = 25) from a mouse model of SCC, achieved a predictive accuracy of 92.3% during cross-validation on the labelled data. A pathologist unacquainted with the dataset and tasked with evaluating the predictive power of the model in the unlabelled regions, agreed with the model prediction for over 99% of the tissue areas. These findings highlight the potential value of integrating MALDI-MSI with machine learning to characterize and delineate SCC, suggesting a promising direction for the advancement of mass spectrometry techniques in the clinical diagnosis of SCC and related keratinocyte carcinomas.

Authors

  • Lauritz F Brorsen
    Department of Dermatology, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Nielsine Nielsens Vej 9, 2400, Copenhagen, Denmark. lauritz.brorsen@sund.ku.dk.
  • James S McKenzie
    Department of Digestion, Metabolism and Reproduction, Imperial College London, London, UK.
  • Mette F Tullin
    Department of Pharmacy, University of Copenhagen, Copenhagen, Denmark.
  • Katja M S Bendtsen
    Department of Veterinary and Animal Sciences, University of Copenhagen, Copenhagen, Denmark.
  • Fernanda E Pinto
    Department of Dermatology, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Nielsine Nielsens Vej 9, 2400, Copenhagen, Denmark.
  • Henrik E Jensen
    Section of Pathology, University of Copenhagen, Kobenhavn, Denmark.
  • Merete Haedersdal
    Department of Dermatology, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Nielsine Nielsens Vej 9, 2400, Copenhagen, Denmark.
  • Zoltan Takáts
    Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, U.K.
  • Christian Janfelt
    Department of Pharmacy, University of Copenhagen, Copenhagen, Denmark.
  • Catharina M Lerche
    Department of Dermatology, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Nielsine Nielsens Vej 9, 2400, Copenhagen, Denmark.