Deep Interactive Learning-based ovarian cancer segmentation of H&E-stained whole slide images to study morphological patterns of BRCA mutation Journal Article


Authors: Ho, D. J.; Chui, M. H.; Vanderbilt, C. M.; Jung, J.; Robson, M. E.; Park, C. S.; Roh, J.; Fuchs, T. J.
Article Title: Deep Interactive Learning-based ovarian cancer segmentation of H&E-stained whole slide images to study morphological patterns of BRCA mutation
Abstract: Deep learning has been widely used to analyze digitized hematoxylin and eosin (H&E)-stained histopathology whole slide images. Automated cancer segmentation using deep learning can be used to diagnose malignancy and to find novel morphological patterns to predict molecular subtypes. To train pixel-wise cancer segmentation models, manual annotation from pathologists is generally a bottleneck due to its time-consuming nature. In this paper, we propose Deep Interactive Learning with a pretrained segmentation model from a different cancer type to reduce manual annotation time. Instead of annotating all pixels from cancer and non-cancer regions on giga-pixel whole slide images, an iterative process of annotating mislabeled regions from a segmentation model and training/finetuning the model with the additional annotation can reduce the time. Especially, employing a pretrained segmentation model can further reduce the time than starting annotation from scratch. We trained an accurate ovarian cancer segmentation model with a pretrained breast segmentation model by 3.5 hours of manual annotation which achieved intersection-over-union of 0.74, recall of 0.86, and precision of 0.84. With automatically extracted high-grade serous ovarian cancer patches, we attempted to train an additional classification deep learning model to predict BRCA mutation. The segmentation model and code have been released at https://github.com/MSKCC-Computational-Pathology/DMMN-ovary. © 2022 The Authors
Keywords: ovarian cancer; segmentation; annotation; deep learning; computational pathology
Journal Title: Journal of Pathology Informatics
Volume: 14
ISSN: 2229-5089
Publisher: Wolters Kluwer - Medknow  
Date Published: 2023-01-01
Start Page: 100160
Language: English
DOI: 10.1016/j.jpi.2022.100160
PROVIDER: scopus
PMCID: PMC9758515
PUBMED: 36536772
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- Export Date: 1 February 2023 -- Source: Scopus
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  1. Mark E Robson
    676 Robson
  2. Michael Herman Chui
    60 Chui
  3. David Joon Ho
    12 Ho