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author:

Huang, X. (Huang, X..) [1] | Fu, F. (Fu, F..) [2] | Guo, W. (Guo, W..) [3] | Kang, D. (Kang, D..) [4] | Han, X. (Han, X..) [5] | Zheng, L. (Zheng, L..) [6] | Zhan, Z. (Zhan, Z..) [7] | Wang, C. (Wang, C..) [8] | Zhang, Q. (Zhang, Q..) [9] | Wang, S. (Wang, S..) [10] | Xu, S. (Xu, S..) [11] | Ma, J. (Ma, J..) [12] | Qiu, L. (Qiu, L..) [13] | Chen, J. (Chen, J..) [14] | Li, L. (Li, L..) [15]

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Abstract:

Purpose: Collagen features in breast tumor microenvironment is closely associated with the prognosis of patients. We aim to explore the prognostic significance of collagen features at breast tumor border by combining multiphoton imaging and imaging analysis. Methods: We used multiphoton microscopy (MPM) to label-freely image human breast tumor samples and then constructed an automatic classification model based on deep learning to identify collagen signatures from multiphoton images. We recognized three kinds of collagen signatures at tumor boundary (CSTB I-III) in a small-scale, and furthermore obtained a CSTB score for each patient based on the combined CSTB I-III by using the ridge regression analysis. The prognostic performance of CSTB score is assessed by the area under the receiver operating characteristic curve (AUC), Cox proportional hazard regression analysis, as well as Kaplan-Meier survival analysis. Results: As an independent prognostic factor, statistical results reveal that the prognostic performance of CSTB score is better than that of the clinical model combining three independent prognostic indicators, molecular subtype, tumor size, and lymph nodal metastasis (AUC, Training dataset: 0.773 vs. 0.749; External validation: 0.753 vs. 0.724; HR, Training dataset: 4.18 vs. 3.92; External validation: 4.98 vs. 4.16), and as an auxiliary indicator, it can greatly improve the accuracy of prognostic prediction. And furthermore, a nomogram combining the CSTB score with the clinical model is established for prognosis prediction and clinical decision making. Conclusion: This standardized and automated imaging prognosticator may convince pathologists to adopt it as a prognostic factor, thereby customizing more effective treatment plans for patients. © 2023, Springer Nature Switzerland AG.

Keyword:

Breast cancer Classification model Collagen signatures Prognosis prediction

Community:

  • [ 1 ] [Huang X.]Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Provincial Key Laboratory of Photonics Technology, Fujian Normal University, Fuzhou, 350007, China
  • [ 2 ] [Fu F.]Department of Breast Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China
  • [ 3 ] [Guo W.]Department of Breast Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China
  • [ 4 ] [Kang D.]Department of Pathology, Fujian Medical University Union Hospital, Fuzhou, 350001, China
  • [ 5 ] [Han X.]Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Provincial Key Laboratory of Photonics Technology, Fujian Normal University, Fuzhou, 350007, China
  • [ 6 ] [Zheng L.]Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Provincial Key Laboratory of Photonics Technology, Fujian Normal University, Fuzhou, 350007, China
  • [ 7 ] [Zhan Z.]Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Provincial Key Laboratory of Photonics Technology, Fujian Normal University, Fuzhou, 350007, China
  • [ 8 ] [Wang C.]Department of Breast Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China
  • [ 9 ] [Zhang Q.]Department of Medical Oncology, Harbin Medical University Cancer Hospital, Harbin, 150081, China
  • [ 10 ] [Wang S.]Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Provincial Key Laboratory of Photonics Technology, Fujian Normal University, Fuzhou, 350007, China
  • [ 11 ] [Wang S.]College of Mechanical Engineering and Automation, Fuzhou University, Fuzhou, 350108, China
  • [ 12 ] [Xu S.]School of Electronic and Mechanical Engineering, Fujian Polytechnic Normal University, Fuqing, 350300, China
  • [ 13 ] [Ma J.]Department of Radiation Oncology, Harbin Medical University Cancer Hospital, Harbin, 150081, China
  • [ 14 ] [Qiu L.]College of Physics and Electronic Information Engineering, Minjiang University, Fuzhou, 350108, China
  • [ 15 ] [Chen J.]Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Provincial Key Laboratory of Photonics Technology, Fujian Normal University, Fuzhou, 350007, China
  • [ 16 ] [Li L.]Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Provincial Key Laboratory of Photonics Technology, Fujian Normal University, Fuzhou, 350007, China

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Source :

Cellular Oncology

ISSN: 2211-3428

Year: 2023

Issue: 1

Volume: 47

Page: 69-80

4 . 9

JCR@2023

4 . 9 0 0

JCR@2023

JCR Journal Grade:1

CAS Journal Grade:2

Cited Count:

WoS CC Cited Count: 0

SCOPUS Cited Count: 3

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 1

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