AI in Histopathology: Automated Cancer Diagnosis to Detect Cancerous Cells and Assess Tumor Grade

  • Muhammad Fahad
  • Muhammad Umer Qayyum
  • Nasrullah Abbasi
Keywords: Artificial Intelligence (AI), Histopathology, Machine Learning (ML), Deep Learning (DL), Cancer Diagnosis, Tumor Grading, AI in Healthcare

Abstract

Artificial intelligence has revolutionized the field of histopathology by making automated cancer diagnosis possible with high degrees of accuracy, especially in detecting cancerous cells from non-cancerous cells and tumor grading. Traditionally, histopathology relies on microscopic observation of stained tissue samples to identify and classify various kinds of cancers; therefore, it plays a very important role in diagnosis. However, there is an inherent limitation to manual examination such as subjectivity, variability, and a time-consuming process. The integration of AI with Machine Learning (ML) and Deep Learning (DL) algorithms introduces improvement in diagnostic accuracy and efficiency by processing whole slide images (WSIs) within histopathological diagnosis. A number of machine learning techniques, such as convolutional neural networks (CNNs) and recurrent neural networks (RNNs), have been able to adopt automated identification of malignant features, hence improving on the grading, staging, and prognosis of cancer. Besides, the AI-based computational pathology models outperform the conventional diagnostic approach due to a minimal incidence of errors, leading to consistency in results. This review paper discusses, for a variety of cancers such as breast, lung, and prostate, the state of the art in AI applications for cancer diagnosis in histopathology. It also summarized the growing benefits of AI in enhancing workflow efficiency, reducing variability in diagnosis, and improving immunohistochemistry IHC biomarker assessments. As AI technology continues to evolve, it has the potential to alter the future of clinical decision-making and streamline cancer diagnostics.

References

Abdeltawab, H., Khalifa, F., Ghazal, M., Cheng, L., Gondim, D., & El-Baz, A. (2021). A pyramidal deep learning pipeline for kidney whole-slide histology images classification. Scientific reports, 11(1), 20189.
Acs, B., Rantalainen, M., & Hartman, J. (2020). Artificial intelligence as the next step towards precision pathology. Journal of internal medicine, 288(1), 62-81.
Ahmed, A. A., Abouzid, M., & Kaczmarek, E. (2022). Deep learning approaches in histopathology. Cancers, 14(21), 5264.
Allen, T. C. (2019). Regulating artificial intelligence for a successful pathology future. Archives of pathology & laboratory medicine, 143(10), 1175-1179.
Bejnordi, B. E., Lin, J., Glass, B., Mullooly, M., Gierach, G. L., Sherman, M. E., ... & Beck, A. H. (2017, April). Deep learning-based assessment of tumor-associated stroma for diagnosing breast cancer in histopathology images. In 2017 IEEE 14th international symposium on biomedical imaging (ISBI 2017) (pp. 929-932). IEEE.
Bejnordi, B. E., Veta, M., Van Diest, P. J., Van Ginneken, B., Karssemeijer, N., Litjens, G., ... & CAMELYON16 Consortium. (2017). Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer. Jama, 318(22), 2199-2210.
Bejnordi, B. E., Zuidhof, G., Balkenhol, M., Hermsen, M., Bult, P., van Ginneken, B., ... & van der Laak, J. (2017). Context-aware stacked convolutional neural networks for classification of breast carcinomas in whole-slide histopathology images. Journal of Medical Imaging, 4(4), 044504-044504.
Cifci, D., Foersch, S., & Kather, J. N. (2022). Artificial intelligence to identify genetic alterations in conventional histopathology. The Journal of Pathology, 257(4), 430-444.
Colling, R., Pitman, H., Oien, K., Rajpoot, N., Macklin, P., CM‐Path AI in Histopathology Working Group, ... & Verrill, C. (2019). Artificial intelligence in digital pathology: a roadmap to routine use in clinical practice. The Journal of pathology, 249(2), 143-150.
Coudray, N., Ocampo, P. S., Sakellaropoulos, T., Narula, N., Snuderl, M., Fenyö, D., ... & Tsirigos, A. (2018). Classification and mutation prediction from non–small cell lung cancer histopathology images using deep learning. Nature medicine, 24(10), 1559-1567.
Dean, W. (2020). Emerging advances to transform histopathology using virtual staining. BME frontiers, 2020, 9647163.
Doyle, S., Hwang, M., Shah, K., Madabhushi, A., Feldman, M., & Tomaszeweski, J. (2007, April). Automated grading of prostate cancer using architectural and textural image features. In 2007 4th IEEE International Symposium on Biomedical Imaging: From Nano to Macro (pp. 1284-1287). IEEE.
Ehteshami Bejnordi, B., Mullooly, M., Pfeiffer, R. M., Fan, S., Vacek, P. M., Weaver, D. L., ... & Sherman, M. E. (2018). Using deep convolutional neural networks to identify and classify tumor-associated stroma in diagnostic breast biopsies. Modern Pathology, 31(10), 1502-1512.
Fu, Q., Chen, N., Ge, C., Li, R., Li, Z., Zeng, B., ... & Li, G. (2019). Prognostic value of tumor-infiltrating lymphocytes in melanoma: a systematic review and meta-analysis. Oncoimmunology, 8(7), e1593806.
He, L., Long, L. R., Antani, S., & Thoma, G. R. (2012). Histology image analysis for carcinoma detection and grading. Computer methods and programs in biomedicine, 107(3), 538-556.
He, W., Liu, T., Han, Y., Ming, W., Du, J., Liu, Y., ... & Cao, C. (2022). A review: The detection of cancer cells in histopathology based on machine vision. Computers in Biology and Medicine, 146, 105636.
Hegde, N., Hipp, J. D., Liu, Y., Emmert-Buck, M., Reif, E., Smilkov, D., ... & Stumpe, M. C. (2019). Similar image search for histopathology: SMILY. NPJ digital medicine, 2(1), 56.
Iizuka, O., Kanavati, F., Kato, K., Rambeau, M., Arihiro, K., & Tsuneki, M. (2020). Deep learning models for histopathological classification of gastric and colonic epithelial tumours. Scientific reports, 10(1), 1504.
Kim, M., Yun, J., Cho, Y., Shin, K., Jang, R., Bae, H. J., & Kim, N. (2020). Deep learning in medical imaging. Neurospine, 17(2), 471.
Koelzer, V. H., Gisler, A., Hanhart, J. C., Griss, J., Wagner, S. N., Willi, N., ... & Mertz, K. D. (2018). Digital image analysis improves precision of PD‐L1 scoring in cutaneous melanoma. Histopathology, 73(3), 397-406.
Komura, D., & Ishikawa, S. (2018). Machine learning methods for histopathological image analysis. Computational and structural biotechnology journal, 16, 34-42.
Lin, H., Chen, H., Weng, L., Shao, J., & Lin, J. (2021). Automatic detection of oral cancer in smartphone-based images using deep learning for early diagnosis. Journal of Biomedical Optics, 26(8), 086007-086007.
Mercan, E., Mehta, S., Bartlett, J., Shapiro, L. G., Weaver, D. L., & Elmore, J. G. (2019). Assessment of machine learning of breast pathology structures for automated differentiation of breast cancer and high-risk proliferative lesions. JAMA network open, 2(8), e198777-e198777.
Moxley-Wyles, B., Colling, R., & Verrill, C. (2020). Artificial intelligence in pathology: an overview. Diagnostic Histopathology, 26(11), 513-520.
Nagpal, K., Foote, D., Liu, Y., Chen, P. H. C., Wulczyn, E., Tan, F., ... & Stumpe, M. C. (2019). Development and validation of a deep learning algorithm for improving Gleason scoring of prostate cancer. NPJ digital medicine, 2(1), 48.
Rawat, W., & Wang, Z. (2017). Deep convolutional neural networks for image classification: A comprehensive review. Neural computation, 29(9), 2352-2449.
Saltz, J., Gupta, R., Hou, L., Kurc, T., Singh, P., Nguyen, V., ... & Danilova, L. (2018). Spatial organization and molecular correlation of tumor-infiltrating lymphocytes using deep learning on pathology images. Cell reports, 23(1), 181-193.
Sultan, A. S., Elgharib, M. A., Tavares, T., Jessri, M., & Basile, J. R. (2020). The use of artificial intelligence, machine learning and deep learning in oncologic histopathology. Journal of Oral Pathology & Medicine, 49(9), 849-856.
Xing, F., & Yang, L. (2016). Machine learning and its application in microscopic image analysis. In Machine learning and medical imaging (pp. 97-127). Academic Press.
Ye, J. J. (2015). Artificial intelligence for pathologists is not near—it is here: description of a prototype that can transform how we practice pathology tomorrow. Archives of Pathology and Laboratory Medicine, 139(7), 929-935.
Zeng, Y., & Zhang, J. (2020). A machine learning model for detecting invasive ductal carcinoma with Google Cloud AutoML Vision. Computers in biology and medicine, 122, 103861.
Zhang, L., Lu, L., Nogues, I., Summers, R. M., Liu, S., & Yao, J. (2017). DeepPap: deep convolutional networks for cervical cell classification. IEEE journal of biomedical and health informatics, 21(6), 1633-1643.
Published
2023-12-31
How to Cite
Fahad, M., Qayyum, M. U., & Abbasi, N. (2023). AI in Histopathology: Automated Cancer Diagnosis to Detect Cancerous Cells and Assess Tumor Grade. European Journal of Science, Innovation and Technology, 3(5), 396-403. Retrieved from https://ejsit-journal.com/index.php/ejsit/article/view/505
Section
Articles