Unsupervised subtyping of cholangiocarcinoma using a deep clustering convolutional autoencoder Conference Paper


Authors: Muhammad, H.; Sigel, C. S.; Campanella, G.; Boerner, T.; Pak, L. M.; Büttner, S.; Ijzermans, J. N. M.; Koerkamp, B. G.; Doukas, M.; Jarnagin, W. R.; Simpson, A. L.; Fuchs, T. J.
Title: Unsupervised subtyping of cholangiocarcinoma using a deep clustering convolutional autoencoder
Conference Title: 22nd International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2019)
Abstract: Unlike common cancers, such as those of the prostate and breast, tumor grading in rare cancers is difficult and largely undefined because of small sample sizes, the sheer volume of time and experience needed to undertake such a task, and the inherent difficulty of extracting human-observed patterns. One of the most challenging examples is intrahepatic cholangiocarcinoma (ICC), a primary liver cancer arising from the biliary system, for which there is well-recognized tumor heterogeneity and no grading paradigm or prognostic biomarkers. In this paper, we propose a new unsupervised deep convolutional autoencoder-based clustering model that groups together cellular and structural morphologies of tumor in 246 digitized whole slides, based on visual similarity. Clusters based on this visual dictionary of histologic patterns are interpreted as new ICC subtypes and evaluated by training Cox-proportional hazard survival models, resulting in statistically significant patient stratification. © 2019, Springer Nature Switzerland AG.
Keywords: medical imaging; tumors; cholangiocarcinoma; medical computing; diseases; proportional hazards; tumor heterogeneity; grading; clustering; learning systems; convolution; computational pathology; primary liver cancers; structural morphology; visual dictionaries; visual similarity
Journal Title Lecture Notes in Computer Science
Volume: 11764
Conference Dates: 2019 Oct 13-17
Conference Location: Shenzhen, China
ISBN: 0302-9743
Publisher: Springer  
Date Published: 2019-01-01
Start Page: 604
End Page: 612
Language: English
DOI: 10.1007/978-3-030-32239-7_67
PROVIDER: scopus
DOI/URL:
Notes: (ISBN: 978-3-030-32238-0) -- Source: Scopus
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  1. William R Jarnagin
    903 Jarnagin
  2. Carlie Selbo Sigel
    115 Sigel
  3. Thomas   Fuchs
    29 Fuchs
  4. Linda Ma Pak
    30 Pak
  5. Thomas Boerner
    71 Boerner