Cancer diagnosis through a tandem of classifiers for digitized histopathological slides

PLoS One. 2019 Jan 16;14(1):e0209274. doi: 10.1371/journal.pone.0209274. eCollection 2019.

Abstract

The current research study is concerned with the automated differentiation between histopathological slides from colon tissues with respect to four classes (healthy tissue and cancerous of grades 1, 2 or 3) through an optimized ensemble of predictors. Six distinct classifiers with prediction accuracies ranging from 87% to 95% are considered for the task. The proposed method of combining them takes into account the probabilities of the individual classifiers for each sample to be assigned to any of the four classes, optimizes weights for each technique by differential evolution and attains an accuracy that is significantly better than the individual results. Moreover, a degree of confidence is defined that would allow the pathologists to separate the data into two distinct sets, one that is correctly classified with a high level of confidence and the rest that would need their further attention. The tandem is also validated on other benchmark data sets. The proposed methodology proves to be efficient in improving the classification accuracy of each algorithm taken separately and performs reasonably well on other data sets, even with default weights. In addition, by establishing a degree of confidence the method becomes more viable for use by actual practitioners.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Colon / diagnostic imaging
  • Colon / pathology
  • Colonic Neoplasms / classification
  • Colonic Neoplasms / diagnosis*
  • Colonic Neoplasms / diagnostic imaging*
  • Diagnosis, Computer-Assisted / methods*
  • Diagnosis, Computer-Assisted / statistics & numerical data
  • Early Diagnosis
  • Histological Techniques
  • Humans
  • Image Interpretation, Computer-Assisted / methods
  • Image Interpretation, Computer-Assisted / statistics & numerical data
  • Machine Learning
  • Neoplasm Grading / methods
  • Neoplasm Grading / statistics & numerical data

Associated data

  • figshare/10.6084/m9.figshare.4508672.v1

Grants and funding

Wolfram Research, Inc. provided support in the form of salary to DL but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. CS acknowledges the support of the research grant no. 26/2014, code PN-II-PT-PCCA-2013-4-1153, entitled “Intelligent Medical Information System for the Diagnosis and Monitoring of the Treatment of Patients with Colorectal Neoplasm”; financed by the Romanian Ministry of National Education (MEN) – Research, and the Executive Agency for Higher Education Research Development and Innovation Funding (UEFISCDI). CS received support in the form of salaries and research materials from the UEFISCDI. The grant was led by CS and made possible in collaboration with physicians. The specific roles of these authors are articulated in the ‘author contributions’ section.