Saturday, September 07, 2024

New AI tool can diagnose cancer, guide treatment, predict patient survival across 19 different cancer types

Amazing stuff! And this is only the beginning!

"... The new model, called CHIEF (Clinical Histopathology Imaging Evaluation Foundation), was trained on 15 million unlabeled images chunked into sections of interest. The tool was then trained further on 60,000 whole-slide images of tissues including lung, breast, prostate, colorectal, stomach, esophageal, kidney, brain, liver, thyroid, pancreatic, cervical, uterine, ovarian, testicular, skin, soft tissue, adrenal gland, and bladder. Training the model to look both at specific sections of an image and the whole image allowed it to relate specific changes in one region to the overall context. This approach, the researchers said, enabled CHIEF to interpret an image more holistically by considering a broader context, instead of just focusing on a particular region. ...
CHIEF achieved nearly 94 percent accuracy in cancer detection and significantly outperformed current AI approaches across 15 datasets containing 11 cancer types. In five biopsy datasets collected from independent cohorts, CHIEF achieved 96 percent accuracy across multiple cancer types including esophagus, stomach, colon, and prostate. When the researchers tested CHIEF on previously unseen slides from surgically removed tumors of the colon, lung, breast, endometrium, and cervix, the model performed with more than 90 percent accuracy.  ..."

From the abstract:
"Histopathology image evaluation is indispensable for cancer diagnoses and subtype classification. Standard artificial intelligence methods for histopathology image analyses have focused on optimizing specialized models for each diagnostic task. Although such methods have achieved some success, they often have limited generalizability to images generated by different digitization protocols or samples collected from different populations. Here, to address this challenge, we devised the Clinical Histopathology Imaging Evaluation Foundation (CHIEF) model, a general-purpose weakly supervised machine learning framework to extract pathology imaging features for systematic cancer evaluation. CHIEF leverages two complementary pretraining methods to extract diverse pathology representations: unsupervised pretraining for tile-level feature identification and weakly supervised pretraining for whole-slide pattern recognition. We developed CHIEF using 60,530 whole-slide images spanning 19 anatomical sites. Through pretraining on 44 terabytes of high-resolution pathology imaging datasets, CHIEF extracted microscopic representations useful for cancer cell detection, tumour origin identification, molecular profile characterization and prognostic prediction. We successfully validated CHIEF using 19,491 whole-slide images from 32 independent slide sets collected from 24 hospitals and cohorts internationally. Overall, CHIEF outperformed the state-of-the-art deep learning methods by up to 36.1%, showing its ability to address domain shifts observed in samples from diverse populations and processed by different slide preparation methods. CHIEF provides a generalizable foundation for efficient digital pathology evaluation for patients with cancer."

New AI tool can diagnose cancer, guide treatment, predict patient survival— Harvard Gazette "Model uses features of a tumor’s microenvironment across 19 different cancer types"

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