Glioma subtype classification from histopathological images using in-domain and out-of-domain transfer learning: An experimental study
Vladimir Despotovic,
Sang-Yoon Kim,
Ann-Christin Hau,
Aliaksandra Kakoichankava,
Gilbert Georg Klamminger,
Felix Bruno Kleine Borgmann,
Katrin B.M. Frauenknecht,
Michel Mittelbronn,
Petr V. Nazarov
Affiliations
Vladimir Despotovic
Bioinformatics Platform, Department of Medical Informatics, Luxembourg Institute of Health, Strassen, Luxembourg; Corresponding author.
Sang-Yoon Kim
Bioinformatics Platform, Department of Medical Informatics, Luxembourg Institute of Health, Strassen, Luxembourg
Ann-Christin Hau
Dr. Senckenberg Institute of Neurooncology, University Hospital Frankfurt, Frankfurt am Main, Germany; Edinger Institute, Institute of Neurology, Goethe University, Frankfurt am Main, Germany; Frankfurt Cancer Institute, Goethe University, Frankfurt am Main, Germany; University Cancer Center Frankfurt, Frankfurt am Main, Germany; University Hospital, Goethe University, Frankfurt am Main, Germany; Laboratoire national de santé, National Center of Pathology, Dudelange, Luxembourg
Aliaksandra Kakoichankava
Multi-Omics Data Science group, Department of Cancer Research, Luxembourg Institute of Health, Strassen, Luxembourg
Gilbert Georg Klamminger
Luxembourg Centre of Neuropathology, Dudelange, Luxembourg; Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Saarland University, Homburg, Germany
Felix Bruno Kleine Borgmann
Luxembourg Centre of Neuropathology, Dudelange, Luxembourg; Department of Cancer Research, Luxembourg Institute of Health, Strassen, Luxembourg; Haupitaux Robert Schumann, Kirchberg, Luxembourg
Katrin B.M. Frauenknecht
Laboratoire national de santé, National Center of Pathology, Dudelange, Luxembourg; Luxembourg Centre of Neuropathology, Dudelange, Luxembourg
Michel Mittelbronn
Laboratoire national de santé, National Center of Pathology, Dudelange, Luxembourg; Luxembourg Centre of Neuropathology, Dudelange, Luxembourg; Department of Cancer Research, Luxembourg Institute of Health, Strassen, Luxembourg; Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belval, Luxembourg; Department of Life Sciences and Medicine, University of Luxembourg, Esch-sur-Alzette, Luxembourg; Faculty of Science, Technology and Medicine, University of Luxembourg, Esch-sur-Alzette, Luxembourg
Petr V. Nazarov
Bioinformatics Platform, Department of Medical Informatics, Luxembourg Institute of Health, Strassen, Luxembourg; Multi-Omics Data Science group, Department of Cancer Research, Luxembourg Institute of Health, Strassen, Luxembourg
We provide in this paper a comprehensive comparison of various transfer learning strategies and deep learning architectures for computer-aided classification of adult-type diffuse gliomas. We evaluate the generalizability of out-of-domain ImageNet representations for a target domain of histopathological images, and study the impact of in-domain adaptation using self-supervised and multi-task learning approaches for pretraining the models using the medium-to-large scale datasets of histopathological images. A semi-supervised learning approach is furthermore proposed, where the fine-tuned models are utilized to predict the labels of unannotated regions of the whole slide images (WSI). The models are subsequently retrained using the ground-truth labels and weak labels determined in the previous step, providing superior performance in comparison to standard in-domain transfer learning with balanced accuracy of 96.91% and F1-score 97.07%, and minimizing the pathologist's efforts for annotation. Finally, we provide a visualization tool working at WSI level which generates heatmaps that highlight tumor areas; thus, providing insights to pathologists concerning the most informative parts of the WSI.