Fibrosis severity scoring on Sirius red histology with multiple-instance deep learning
Author(s)
Naik, Sneha N
Forlano, Roberta
Manousou, Pinelopi
Goldin, Robert
Angelini, Elsa D
Type
Journal Article
Abstract
Non-alcoholic fatty liver disease (NAFLD) is now the leading cause of chronic liver disease, affecting approximately 30% of people worldwide. Histopathology reading of fibrosis patterns is crucial to diagnosing NAFLD. In particular, separating mild from severe stages corresponds to a critical transition as it correlates with clinical outcomes. Deep Learning for digitized histopathology whole-slide images (WSIs) can reduce high inter- and intra-rater variability. We demonstrate a novel solution to score fibrosis severity on a retrospective cohort of 152 Sirius-Red WSIs, with fibrosis stage annotated at slide level by an expert pathologist. We exploit multiple instance learning and multiple-inferences to address the sparsity of pathological signs. We achieved an accuracy of 78:98 ± 5:86%, an F1 score of 77:99 ± 5:64%, and an AUC of 0:87 ± 0:06. These results set new state-of-the-art benchmarks for this application.
Date Issued
2023
Date Acceptance
2023-06-23
Citation
Biological Imaging, 2023, 3
ISSN
2633-903X
Publisher
Cambridge University Press
Journal / Book Title
Biological Imaging
Volume
3
Copyright Statement
© The Author(s), 2023. Published by Cambridge University Press This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
License URL
Identifier
http://dx.doi.org/10.1017/s2633903x23000144
Publication Status
Published
Article Number
e17
Date Publish Online
2023-07-18