Oral dysplasia is a pre-malignant stage of oral epithelial carcinomas, e.g., oral squamous cell carcinoma, where significant changes in tissue layers and cells can be observed under the microscope. However, malignancy can be reverted or cured using proper medication or surgery if the grade of malignancy is assessed properly. The assessment of correct grade is therefore critical in patient management as it can change the treatment decisions and prognosis for the dysplastic lesion. This assessment is highly challenging due to considerable inter- and intraobserver variability in pathologists’ agreement, which highlights the need for an automated grading system that can predict more accurate and reliable grade. Recent advancements have made it possible for digital pathology (DP) and artificial intelligence (AI) to join forces from the digitization of tissue slides into images and using those images to train and predict more accurate grades using complex AI models. In this regard, we propose a novel morphometric approach exploiting the architectural features in dysplastic lesions i.e., irregular epithelial stratification where we measure the widths of different layers of the epithelium from the boundary layer i.e., keratin projecting inwards to the epithelium and basal layers to the rest of the tissue section from a clinically significant viewpoint.
There are two main types of lung cancer: small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC), which are grouped accordingly due to similarity in behaviour and response to treatment. The main types of NSCLC are lung adenocarcinoma (LUAD), which accounts for about 40% of all lung cancers and lung squamous cell carcinoma (LUSC), which accounts for about 25-30% of all lung cancers. Due to their differences, automated classification of these two main subtypes of NSCLC is a critical step in developing a computer aided diagnostic system. We present an automated method for NSCLC classification, that consists of a two-part approach. Firstly, we implement a deep learning framework to classify input patches as LUAD, LUSC or non-diagnostic (ND). Next, we extract a collection of statistical and morphological measurements from the labeled whole-slide image (WSI) and use a random forest regression model to classify each WSI as lung adenocarcinoma or lung squamous cell carcinoma. This task is part of the Computational Precision Medicine challenge at the MICCAI 2017 conference, where we achieved the greatest classification accuracy with a score of 0.81.
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