iScience (Oct 2023)

Focalizing regions of biomarker relevance facilitates biomarker prediction on histopathological images

  • Jiefeng Gan,
  • Hanchen Wang,
  • Hui Yu,
  • Zitong He,
  • Wenjuan Zhang,
  • Ke Ma,
  • Lianghui Zhu,
  • Yutong Bai,
  • Zongwei Zhou,
  • Alan Yullie,
  • Xiang Bai,
  • Mingwei Wang,
  • Dehua Yang,
  • Yanyan Chen,
  • Guoan Chen,
  • Joan Lasenby,
  • Chao Cheng,
  • Jia Wu,
  • Jianjun Zhang,
  • Xinggang Wang,
  • Yaobing Chen,
  • Guoping Wang,
  • Tian Xia

Journal volume & issue
Vol. 26, no. 10
p. 107243

Abstract

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Summary: Image-based AI has thrived as a potentially revolutionary tool for predicting molecular biomarker statuses, which aids in categorizing patients for appropriate medical treatments. However, many methods using hematoxylin and eosin-stained (H&E) whole-slide images (WSIs) have been found to be inefficient because of the presence of numerous uninformative or irrelevant image patches. In this study, we introduced the region of biomarker relevance (ROB) concept to identify the morphological areas most closely associated with biomarkers for accurate status prediction. We actualized this concept within a framework called saliency ROB search (SRS) to enable efficient and effective predictions. By evaluating various lung adenocarcinoma (LUAD) biomarkers, we showcased the superior performance of SRS compared to current state-of-the-art AI approaches. These findings suggest that AI tools, built on the ROB concept, can achieve enhanced molecular biomarker prediction accuracy from pathological images.

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