Generalizable biomarker prediction from cancer pathology slides with self-supervised deep learning: A retrospective multi-centric study

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Jan Moritz Niehues - , Else Kröner Fresenius Center for Digital Health, University Hospital Aachen (Author)
  • Philip Quirke - , University of Leeds (Author)
  • Nicholas P. West - , University of Leeds (Author)
  • Heike I. Grabsch - , University of Leeds (Author)
  • Marko van Treeck - , Else Kröner Fresenius Center for Digital Health, University Hospital Aachen (Author)
  • Yoni Schirris - , Department of Child and Adolescent Psychiatry and Psychotherapy (Author)
  • Gregory P. Veldhuizen - , Else Kröner Fresenius Center for Digital Health, University Hospital Aachen (Author)
  • Gordon G. A. Hutchins - , University of Leeds (Author)
  • Susan D. Richman - , University of Leeds (Author)
  • Sebastian Foersch - , University Medical Center Mainz (Author)
  • Titus J. Brinker - , German Cancer Research Center (DKFZ) (Author)
  • Junya Fukuoka - , Nagasaki University (Author)
  • Andrey Bychkov - , Kameda Medical Center (Author)
  • Wataru Uegami - , Kameda Medical Center (Author)
  • Daniel Truhn - , University Hospital Aachen (Author)
  • Hermann Brenner - , German Cancer Research Center (DKFZ) (Author)
  • Alexander Brobeil - , University Hospital Heidelberg (Author)
  • Michael Hoffmeister - , German Cancer Research Center (DKFZ) (Author)
  • Jakob Nikolas Kather - , Else Kröner Fresenius Center for Digital Health, Department of internal Medicine I, University Hospital Aachen, University of Leeds, National Center for Tumor Diseases (NCT) Heidelberg (Author)

Abstract

Deep learning (DL) can predict microsatellite instability (MSI) from routine histopathology slides of colorectal cancer (CRC). However, it is unclear whether DL can also predict other biomarkers with high performance and whether DL predictions generalize to external patient populations. Here, we acquire CRC tissue samples from two large multi-centric studies. We systematically compare six different state-of-the-art DL architectures to predict biomarkers from pathology slides, including MSI and mutations in BRAF, KRAS, NRAS, and PIK3CA. Using a large external validation cohort to provide a realistic evaluation setting, we show that models using self-supervised, attention-based multiple-instance learning consistently outperform previous approaches while offering explainable visualizations of the indicative regions and morphologies. While the prediction of MSI and BRAF mutations reaches a clinical-grade performance, mutation prediction of PIK3CA, KRAS, and NRAS was clinically insufficient.

Details

Original languageEnglish
Article number100980
JournalCell Reports : Medicine
Volume4
Issue number4
Publication statusPublished - 18 Apr 2023
Peer-reviewedYes

External IDs

PubMedCentral PMC10140458
Scopus 85152732214

Keywords

Sustainable Development Goals

Keywords

  • Humans, Retrospective Studies, Proto-Oncogene Proteins B-raf/genetics, Deep Learning, Proto-Oncogene Proteins p21(ras)/genetics, Colorectal Neoplasms/genetics, Biomarkers, Microsatellite Instability, Class I Phosphatidylinositol 3-Kinases/genetics

Library keywords