Deep learning in cancer pathology: a new generation of clinical biomarkers

Research output: Contribution to journalReview articleContributedpeer-review

Contributors

  • Amelie Echle - , RWTH Aachen University (Author)
  • Niklas Timon Rindtorff - , German Cancer Research Center (DKFZ) (Author)
  • Titus Josef Brinker - , German Cancer Research Center (DKFZ) (Author)
  • Tom Luedde - , University Hospital Duesseldorf (Author)
  • Alexander Thomas Pearson - , The University of Chicago (Author)
  • Jakob Nikolas Kather - , RWTH Aachen University, German Cancer Research Center (DKFZ) (Author)

Abstract

Clinical workflows in oncology rely on predictive and prognostic molecular biomarkers. However, the growing number of these complex biomarkers tends to increase the cost and time for decision-making in routine daily oncology practice; furthermore, biomarkers often require tumour tissue on top of routine diagnostic material. Nevertheless, routinely available tumour tissue contains an abundance of clinically relevant information that is currently not fully exploited. Advances in deep learning (DL), an artificial intelligence (AI) technology, have enabled the extraction of previously hidden information directly from routine histology images of cancer, providing potentially clinically useful information. Here, we outline emerging concepts of how DL can extract biomarkers directly from histology images and summarise studies of basic and advanced image analysis for cancer histology. Basic image analysis tasks include detection, grading and subtyping of tumour tissue in histology images; they are aimed at automating pathology workflows and consequently do not immediately translate into clinical decisions. Exceeding such basic approaches, DL has also been used for advanced image analysis tasks, which have the potential of directly affecting clinical decision-making processes. These advanced approaches include inference of molecular features, prediction of survival and end-to-end prediction of therapy response. Predictions made by such DL systems could simplify and enrich clinical decision-making, but require rigorous external validation in clinical settings.

Details

Original languageEnglish
Pages (from-to)686-696
Number of pages11
JournalBritish journal of cancer
Volume124
Issue number4
Publication statusPublished - 16 Feb 2021
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 33204028

Keywords

Sustainable Development Goals

ASJC Scopus subject areas