Weakly supervised deep learning-based classification for histopathology of gliomas: a single center experience

Abstract Multiple artificial intelligence systems have been created to facilitate accurate and prompt histopathological diagnosis of tumors using hematoxylin-eosin-stained slides. We aimed to investigate whether weakly supervised deep learning can aid in glioma diagnosis. We analyzed 472 whole slide...

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Main Authors: Mingrong Zuo, Xiang Xing, Linmao Zheng, Hao Wang, Yunbo Yuan, Siliang Chen, Tianping Yu, ShuXin Zhang, Yuan Yang, Qing Mao, Yongbin Yu, Ni Chen, Yanhui Liu
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-84238-x
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author Mingrong Zuo
Xiang Xing
Linmao Zheng
Hao Wang
Yunbo Yuan
Siliang Chen
Tianping Yu
ShuXin Zhang
Yuan Yang
Qing Mao
Yongbin Yu
Ni Chen
Yanhui Liu
author_facet Mingrong Zuo
Xiang Xing
Linmao Zheng
Hao Wang
Yunbo Yuan
Siliang Chen
Tianping Yu
ShuXin Zhang
Yuan Yang
Qing Mao
Yongbin Yu
Ni Chen
Yanhui Liu
author_sort Mingrong Zuo
collection DOAJ
description Abstract Multiple artificial intelligence systems have been created to facilitate accurate and prompt histopathological diagnosis of tumors using hematoxylin-eosin-stained slides. We aimed to investigate whether weakly supervised deep learning can aid in glioma diagnosis. We analyzed 472 whole slide images (WSIs) from 226 patients in West China Hospital (WCH) and 1604 WSIs from 880 patients in The Cancer Genome Atlas (TCGA). We utilized the OpenSlide library to load WSIs, segmented them into small patches using the DeepZoom module, and then normalized the color using the Reinhard method. A weakly supervised deep learning model was developed using ResNet-50 combined with an attention mechanism. We investigated the performance of the model by calculating area under the curve (AUC) in a ten-fold cross-validation setting. Heatmap visualizations showed the prediction mechanism of the model. The results were promising, with high AUC values for differentiating grades of astrocytomas, oligodendrogliomas, all gliomas, and glioma types in the TCGA dataset (0.9419, 0.8659, 0.9904, and 0.9298, respectively), and in the WCH cohort (0.9048, 0.7423, 0.9510, and 0.7098, respectively). The model demonstrated a strong ability to infer IDH status in the TCGA dataset (AUC = 0.9488). The weakly supervised deep learning model proved to be an effective and reliable tool for neuropathological diagnosis, making it an attractive auxiliary tool.
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spelling doaj-art-f42211cea2254c3aacafad198fd4f1fa2025-01-05T12:14:02ZengNature PortfolioScientific Reports2045-23222025-01-0115111110.1038/s41598-024-84238-xWeakly supervised deep learning-based classification for histopathology of gliomas: a single center experienceMingrong Zuo0Xiang Xing1Linmao Zheng2Hao Wang3Yunbo Yuan4Siliang Chen5Tianping Yu6ShuXin Zhang7Yuan Yang8Qing Mao9Yongbin Yu10Ni Chen11Yanhui Liu12Department of Neurosurgery, West China Hospital, Sichuan UniversityDepartment of Neurosurgery, West China Hospital, Sichuan UniversityDepartment of Pathology, West China Hospital, Sichuan UniversitySchool of Information and Software Engineering, University of Electronic Science and Technology of ChinaDepartment of Neurosurgery, West China Hospital, Sichuan UniversityDepartment of Neurosurgery, West China Hospital, Sichuan UniversityDepartment of Pathology, West China Hospital, Sichuan UniversityDepartment of Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Neurosurgery, West China Hospital, Sichuan UniversityDepartment of Neurosurgery, West China Hospital, Sichuan UniversitySchool of Information and Software Engineering, University of Electronic Science and Technology of ChinaDepartment of Pathology, West China Hospital, Sichuan UniversityDepartment of Neurosurgery, West China Hospital, Sichuan UniversityAbstract Multiple artificial intelligence systems have been created to facilitate accurate and prompt histopathological diagnosis of tumors using hematoxylin-eosin-stained slides. We aimed to investigate whether weakly supervised deep learning can aid in glioma diagnosis. We analyzed 472 whole slide images (WSIs) from 226 patients in West China Hospital (WCH) and 1604 WSIs from 880 patients in The Cancer Genome Atlas (TCGA). We utilized the OpenSlide library to load WSIs, segmented them into small patches using the DeepZoom module, and then normalized the color using the Reinhard method. A weakly supervised deep learning model was developed using ResNet-50 combined with an attention mechanism. We investigated the performance of the model by calculating area under the curve (AUC) in a ten-fold cross-validation setting. Heatmap visualizations showed the prediction mechanism of the model. The results were promising, with high AUC values for differentiating grades of astrocytomas, oligodendrogliomas, all gliomas, and glioma types in the TCGA dataset (0.9419, 0.8659, 0.9904, and 0.9298, respectively), and in the WCH cohort (0.9048, 0.7423, 0.9510, and 0.7098, respectively). The model demonstrated a strong ability to infer IDH status in the TCGA dataset (AUC = 0.9488). The weakly supervised deep learning model proved to be an effective and reliable tool for neuropathological diagnosis, making it an attractive auxiliary tool.https://doi.org/10.1038/s41598-024-84238-xGliomaWeakly supervised deep learningHematoxylin-eosin stainingDiagnosis
spellingShingle Mingrong Zuo
Xiang Xing
Linmao Zheng
Hao Wang
Yunbo Yuan
Siliang Chen
Tianping Yu
ShuXin Zhang
Yuan Yang
Qing Mao
Yongbin Yu
Ni Chen
Yanhui Liu
Weakly supervised deep learning-based classification for histopathology of gliomas: a single center experience
Scientific Reports
Glioma
Weakly supervised deep learning
Hematoxylin-eosin staining
Diagnosis
title Weakly supervised deep learning-based classification for histopathology of gliomas: a single center experience
title_full Weakly supervised deep learning-based classification for histopathology of gliomas: a single center experience
title_fullStr Weakly supervised deep learning-based classification for histopathology of gliomas: a single center experience
title_full_unstemmed Weakly supervised deep learning-based classification for histopathology of gliomas: a single center experience
title_short Weakly supervised deep learning-based classification for histopathology of gliomas: a single center experience
title_sort weakly supervised deep learning based classification for histopathology of gliomas a single center experience
topic Glioma
Weakly supervised deep learning
Hematoxylin-eosin staining
Diagnosis
url https://doi.org/10.1038/s41598-024-84238-x
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