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Prediction Tumor Mutation Burden of Lung Adenocarcinoma Based on Deep Learning |
Sun Dewei1, Wang Zhigang2, Yang Xiaolin2*, Meng Xiangfu1* |
1(School of Electronics and Information Engineering, Liaoning Technical University, Huludao 125000, Liaoning, China) 2(Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College Beijing, 100005, China) |
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Abstract A number of existing medical studies have found out that tumor mutation burden (TMB) is positively correlated with the efficacy of non-small cell lung cancer (NSCLC) immunotherapy, and in the recent related studies, tumor mutation load also has a certain predictive effect on the efficacy of targeted therapy and chemotherapy. Based on above situations, this paper proposed an inception deep learning model CAIM (combine attention and inception-block module) to identify the pathological sections of lung adenocarcinoma in non-small cell lung cancer from the Cancer Genome Atlas (TCGA) dataset. First, by segmenting the data samples, cutting them into small slices, and then sending them to the deep learning model, learning image features through convolution, and then combining with the attention mechanism to further strengthen the feature extraction. Finally, through the integration of the prediction information of the small slices, the TMB value of the pathological tiles of lung adenocarcinoma (LUAD) could be automatically determined. The data set consisted of 337 LUAD pathological tissue sections, including 271 data with high TMB value and 66 data experiments with low TMB value. Experimental results showed that the averaged area under the curve (AUC) of the proposed method was 0.82, which significantly better than the AUC value of 0.66 for the residual network of image classification method and was of great significance for the detection of tumor mutation burden and auxiliary diagnosis in clinical practice.
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Received: 13 May 2021
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[1] Pang Shanchen, Zhang Yaqin, Ding Mao, et al. A deep model for lung cancer type identification by densely connected convolutional networks and adaptive boosting [J]. IEEE Access, 2019, 8: 4799-4805. [2] Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries [J]. CA: a Cancer Journal for Clinicians, 2020, 70(4): 313-313. [3] Ramalingam S, Belani CP. State-of-the-art chemotherapy for advanced non-small cell lung cancer [J]. Seminars in Oncology, 2004, 31: 68-74. [4] Borghaei H, Paz-Ares L, Horn L, et al. Nivolumab versus docetaxel in advanced nonsquamous non-small-cell lung cancer [J]. New England Journal of Medicine, 2015, 373: 1627-1639. [5] Motzer RJ, Escudier B, McDermott DF, et al. Nivolumab versus everolimus in advanced renal-cell carcinoma [J]. New England Journal of Medicine, 2015, 373(19): 1803-1813. [6] Rosenberg JE, Hoffman-Censits J, Powles T, et al. Atezolizumab in patients with locally advanced and metastatic urothelial carcinoma who have progressed following treatment with platinum-based chemotherapy: a single-arm, multicentre, phase 2 trial [J]. The Lancet, 2016, 387(10031): 1909-1920. [7] Rizvi NA, Hellmann MD, Snyder A, et al. Mutational landscape determines sensitivity to PD-1 blockade in non–small cell lung cancer [J]. Science, 2015, 348(6230): 124-128. [8] Chalmers ZR, Connelly CF, Fabrizio D, et al. Analysis of 100,000 human cancer genomes reveals the landscape of tumor mutational burden [J]. Genome Medicine, 2017, 9(1): 1-14. [9] Goodman AM, Kato S, Bazhenova L, et al. Tumor mutational burden as an independent predictor of response to immunotherapy in diverse cancers[J]. Molecular Cancer Therapeutics, 2017, 16(11): 2598-2608. [10] Coudray N, Ocampo PS, Sakellaropoulos T, et al. Classification and mutation prediction from non–small cell lung cancer histopathology images using deep learning [J]. Nature Medicine, 2018, 24(10): 1559-1567. [11] Kureshi N, Abidi SSR, Blouin C. A predictive model for personalized therapeutic interventions in non-small cell lung cancer [J]. IEEE Journal of Biomedical and Health Informatics, 2014, 20(1): 424-431. [12] Sahiner B, Chan HP, Petrick N, et al. Classification of mass and normal breast tissue: a convolution neural network classifier with spatial domain and texture images [J]. IEEE Transactions on Medical Imaging, 1996, 15(5): 598-610. [13] Lo SCB, Lin JS, Freedman MT, et al. Computer-assisted diagnosis of lung nodule detection using artificial convoultion neural network[C]//Medical Imaging 1993: Image Processing. Newport Beach: Society of Photo Optical, 1993: 859-869. [14] Bar Y, Diamant I, Wolf L, et al. Deep learning with non-medical training used for chest pathology identification[C]//Medical Imaging 2015: Computer-Aided Diagnosis. Florida: SPIE, 2015: 94140V. [15] Van Ginneken B, Setio AAA, Jacobs C, et al. Off-the-shelf convolutional neural network features for pulmonary nodule detection in computed tomography scans [C]//2015 IEEE 12th International Symposium on Biomedical Imaging (ISBI). Brooklyn: IEEE, 2015: 286-289. [16] Shin HC, Roth HR, Gao Mingchen, et al. Deep convolutional neural networks for computer-aided detection: CNN architectures, dataset characteristics and transfer learning [J]. IEEE Transactions on Medical Imaging, 2016, 35: 1285-1298. [17] Tajbakhsh N, Shin JY, Gurudu SR, et al. Convolutional neural networks for medical image analysis: Full training or fine tuning? [J]. IEEE Transactions on Medical Imaging, 2016, 35(5): 1299-1312. [18] Szegedy C, Liu Wei, Jia Yangqing, et al. Going deeper with convolutions[C]//Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition. Boston: IEEE, 2015: 1-9. [19] Stenzinger A, Allen JD, Maas J, et al. Tumor mutational burden standardization initiatives: recommendations for consistent tumor mutational burden assessment in clinical samples to guide immunotherapy treatment decisions [J]. Genes, Chromosomes and Cancer, 2019, 58(8): 578-588. [20] Simonyan K, Zisserman A. Very deep convolutional networks for large-scale image recognition[C]// The 3rd International Conference on Learning Representations. San Diego: IEEE, 2014: 1-14. [21] Woo S, Park J, Lee JY, et al. Cbam: Convolutional block attention module[C]//Proceedings of the European Conference on Computer Vision (ECCV). Munich: Springer, 2018: 3-19. [22] Hu Jie, Shen Li, Sun Gang. Squeeze-and-excitation networks[C]//Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition. New York: IEEE, 2018: 7132-7141. [23] Steuer CE, Ramalingam SS. Tumor mutation burden: leading immunotherapy to the era of precision medicine [J]. J Clin Oncol, 2018, 36(7): 631-632. [24] Galon J, Bruni D. Approaches to treat immune hot, altered and cold tumours with combination immunotherapies [J]. Nature Reviews Drug Discovery, 2019, 18(3): 197-218. [25] Bergstra J, Bardenet R, Bengio Y, et al. Algorithms for hyper-parameter optimization [J]. Advances in Neural Information Processing Systems, 2011, 24:2546-2566. [26] Zhang Hong, Ren Fei, Wang Zhonglie, et al. Predicting tumor mutational burden from liver cancer pathological images using convolutional neural network[C]//2019 IEEE International Conference on Bioinformatics and Biomedicine (BIBM). San Diego: IEEE, 2019: 920-925. [27] Chen Cheng, Dou Qi, Chen Hao, et al. Synergistic image and feature adaptation: Towards cross-modality domain adaptation for medical image segmentation[C]//Proceedings of the AAAI Conferenceon Artificial Intelligence. Hawaii: AAAI, 2019, 33(1): 865-872. [28] Lu Wenqi, Graham S, Bilal M, et al. Capturing cellular topology in multi-gigapixel pathology images [C]//Proceedings of the IEEE/CVF Conference on Computer Vision and Pattern RecognitionWorkshops. Seattle:IEEE, 2020: 260-261. |
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