Deep Neural Network for Differentiation of Brain Tumor Tissue Displayed by Confocal Laser Endomicroscopy.

brain tumor confocal laser endomicroscopy deep neural network fluorescein sodium image analysis machine learning

Journal

Frontiers in oncology
ISSN: 2234-943X
Titre abrégé: Front Oncol
Pays: Switzerland
ID NLM: 101568867

Informations de publication

Date de publication:
2021
Historique:
received: 15 02 2021
accepted: 09 04 2021
entrez: 28 5 2021
pubmed: 29 5 2021
medline: 29 5 2021
Statut: epublish

Résumé

Reliable on site classification of resected tumor specimens remains a challenge. Implementation of high-resolution confocal laser endoscopic techniques (CLEs) during fluorescence-guided brain tumor surgery is a new tool for intraoperative tumor tissue visualization. To overcome observer dependent errors, we aimed to predict tumor type by applying a deep learning model to image data obtained by CLE. Human brain tumor specimens from 25 patients with brain metastasis, glioblastoma, and meningioma were evaluated within this study. In addition to routine histopathological analysis, tissue samples were stained with fluorescein Multiple CLE images were obtained from each specimen with a total number of 13,972 fluorescein based images. Test accuracy of 90.9% was achieved after applying a two-class prediction for glioblastomas and brain metastases with an area under the curve (AUC) value of 0.92. For three class predictions, our model achieved a ratio of correct predicted label of 85.8% in the test set, which was confirmed with five-fold cross validation, without definition of confidence. Applying a confidence rate of 0.999 increased the prediction accuracy to 98.6% when images with substantial artifacts were excluded before the analysis. 36.3% of total images met the output criteria. We trained a residual network model that allows automated, on site analysis of resected tumor specimens based on CLE image datasets. Further

Sections du résumé

BACKGROUND BACKGROUND
Reliable on site classification of resected tumor specimens remains a challenge. Implementation of high-resolution confocal laser endoscopic techniques (CLEs) during fluorescence-guided brain tumor surgery is a new tool for intraoperative tumor tissue visualization. To overcome observer dependent errors, we aimed to predict tumor type by applying a deep learning model to image data obtained by CLE.
METHODS METHODS
Human brain tumor specimens from 25 patients with brain metastasis, glioblastoma, and meningioma were evaluated within this study. In addition to routine histopathological analysis, tissue samples were stained with fluorescein
RESULTS RESULTS
Multiple CLE images were obtained from each specimen with a total number of 13,972 fluorescein based images. Test accuracy of 90.9% was achieved after applying a two-class prediction for glioblastomas and brain metastases with an area under the curve (AUC) value of 0.92. For three class predictions, our model achieved a ratio of correct predicted label of 85.8% in the test set, which was confirmed with five-fold cross validation, without definition of confidence. Applying a confidence rate of 0.999 increased the prediction accuracy to 98.6% when images with substantial artifacts were excluded before the analysis. 36.3% of total images met the output criteria.
CONCLUSIONS CONCLUSIONS
We trained a residual network model that allows automated, on site analysis of resected tumor specimens based on CLE image datasets. Further

Identifiants

pubmed: 34046358
doi: 10.3389/fonc.2021.668273
pmc: PMC8147727
doi:

Types de publication

Journal Article

Langues

eng

Pagination

668273

Informations de copyright

Copyright © 2021 Ziebart, Stadniczuk, Roos, Ratliff, von Deimling, Hänggi and Enders.

Déclaration de conflit d'intérêts

DS was employed by the company Clevertech Inc. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Andreas Ziebart (A)

Department of Neurosurgery, University Hospital Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.

Denis Stadniczuk (D)

Department of Software Engineering, Clevertech Inc., New York, NY, United States.

Veronika Roos (V)

Department of Neurosurgery, University Hospital Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.

Miriam Ratliff (M)

Department of Neurosurgery, University Hospital Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.

Andreas von Deimling (A)

Department of Neuropathology, University Hospital Heidelberg, and CCU Neuropathology, DKFZ, Heidelberg, Germany.

Daniel Hänggi (D)

Department of Neurosurgery, University Hospital Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
Department of Neurosurgery, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.

Frederik Enders (F)

Department of Neurosurgery, University Hospital Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.

Classifications MeSH