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author:

Li, Lanlan (Li, Lanlan.) [1] | Geng, Yi (Geng, Yi.) [2] | Chen, Tao (Chen, Tao.) [3] | Lin, Kaixin (Lin, Kaixin.) [4] | Xie, Chengjie (Xie, Chengjie.) [5] | Qi, Jing (Qi, Jing.) [6] | Wei, Hongan (Wei, Hongan.) [7] | Wang, Jianping (Wang, Jianping.) [8] | Wang, Dabiao (Wang, Dabiao.) [9] | Yuan, Ze (Yuan, Ze.) [10] | Wan, Zixiao (Wan, Zixiao.) [11] | Li, Tuoyang (Li, Tuoyang.) [12] | Luo, Yanxin (Luo, Yanxin.) [13] | Niu, Decao (Niu, Decao.) [14] | Li, Juan (Li, Juan.) [15] | Yu, Huichuan (Yu, Huichuan.) [16]

Indexed by:

Scopus SCIE

Abstract:

Accurate and fast histological diagnosis of cancers is crucial for successful treatment. The deep learning-based approaches have assisted pathologists in efficient cancer diagnosis. The remodeled microenvironment and field cancerization may enable the cancer-specific features in the image of non-cancer regions surrounding cancer, which may provide additional information not available in the cancer region to improve cancer diagnosis. Here, we proposed a deep learning framework with fine-tuning target proportion towards cancer surrounding tissues in histological images for gastric cancer diagnosis. Through employing six deep learning-based models targeting region-of-interest (ROI) with different proportions of no-cancer and cancer regions, we uncovered the diagnostic value of non-cancer ROI, and the model performance for cancer diagnosis depended on the proportion. Then, we constructed a model based on MobileNetV2 with the optimized weights targeting non-cancer and cancer ROI to diagnose gastric cancer (DeepNCCNet). In the external validation, the optimized DeepNCCNet demonstrated excellent generalization abilities with an accuracy of 93.96%. In conclusion, we discovered a non-cancer ROI weight-dependent model performance, indicating the diagnostic value of non-cancer regions with potential remodeled microenvironment and field cancerization, which provides a promising image resource for cancer diagnosis. The DeepNCCNet could be readily applied to clinical diagnosis for gastric cancer, which is useful for some clinical settings such as the absence or minimum amount of tumor tissues in the insufficient biopsy.

Keyword:

Cancer-adjacent tissues Cancer diagnosis Deep learning Field cancerization Histological image

Community:

  • [ 1 ] [Li, Lanlan]Fuzhou Univ, Coll Phys & Informat Engn, Fujian Key Lab Intelligent Proc & Wireless Transmi, Fuzhou 350108, Peoples R China
  • [ 2 ] [Geng, Yi]Fuzhou Univ, Coll Phys & Informat Engn, Fujian Key Lab Intelligent Proc & Wireless Transmi, Fuzhou 350108, Peoples R China
  • [ 3 ] [Chen, Tao]Fuzhou Univ, Coll Phys & Informat Engn, Fujian Key Lab Intelligent Proc & Wireless Transmi, Fuzhou 350108, Peoples R China
  • [ 4 ] [Xie, Chengjie]Fuzhou Univ, Coll Phys & Informat Engn, Fujian Key Lab Intelligent Proc & Wireless Transmi, Fuzhou 350108, Peoples R China
  • [ 5 ] [Qi, Jing]Fuzhou Univ, Coll Phys & Informat Engn, Fujian Key Lab Intelligent Proc & Wireless Transmi, Fuzhou 350108, Peoples R China
  • [ 6 ] [Wei, Hongan]Fuzhou Univ, Coll Phys & Informat Engn, Fujian Key Lab Intelligent Proc & Wireless Transmi, Fuzhou 350108, Peoples R China
  • [ 7 ] [Lin, Kaixin]Sun Yat Sen Univ, Affiliated Hosp 6, Dept Gen Surg Colorectal Surg, Guangzhou, Guangdong, Peoples R China
  • [ 8 ] [Li, Tuoyang]Sun Yat Sen Univ, Affiliated Hosp 6, Dept Gen Surg Colorectal Surg, Guangzhou, Guangdong, Peoples R China
  • [ 9 ] [Luo, Yanxin]Sun Yat Sen Univ, Affiliated Hosp 6, Dept Gen Surg Colorectal Surg, Guangzhou, Guangdong, Peoples R China
  • [ 10 ] [Li, Juan]Sun Yat Sen Univ, Affiliated Hosp 6, Dept Gen Surg Colorectal Surg, Guangzhou, Guangdong, Peoples R China
  • [ 11 ] [Yu, Huichuan]Sun Yat Sen Univ, Affiliated Hosp 6, Dept Gen Surg Colorectal Surg, Guangzhou, Guangdong, Peoples R China
  • [ 12 ] [Lin, Kaixin]Guangdong Inst Gastroenterol, Guangzhou 510655, Guangdong, Peoples R China
  • [ 13 ] [Yuan, Ze]Guangdong Inst Gastroenterol, Guangzhou 510655, Guangdong, Peoples R China
  • [ 14 ] [Wan, Zixiao]Guangdong Inst Gastroenterol, Guangzhou 510655, Guangdong, Peoples R China
  • [ 15 ] [Li, Tuoyang]Guangdong Inst Gastroenterol, Guangzhou 510655, Guangdong, Peoples R China
  • [ 16 ] [Luo, Yanxin]Guangdong Inst Gastroenterol, Guangzhou 510655, Guangdong, Peoples R China
  • [ 17 ] [Yu, Huichuan]Guangdong Inst Gastroenterol, Guangzhou 510655, Guangdong, Peoples R China
  • [ 18 ] [Lin, Kaixin]Sun Yat Sen Univ, Affiliated Hosp 6, Guangdong Prov Key Lab Colorectal & Pelv Floor Dis, Guangzhou 510655, Guangdong, Peoples R China
  • [ 19 ] [Yuan, Ze]Sun Yat Sen Univ, Affiliated Hosp 6, Guangdong Prov Key Lab Colorectal & Pelv Floor Dis, Guangzhou 510655, Guangdong, Peoples R China
  • [ 20 ] [Wan, Zixiao]Sun Yat Sen Univ, Affiliated Hosp 6, Guangdong Prov Key Lab Colorectal & Pelv Floor Dis, Guangzhou 510655, Guangdong, Peoples R China
  • [ 21 ] [Li, Tuoyang]Sun Yat Sen Univ, Affiliated Hosp 6, Guangdong Prov Key Lab Colorectal & Pelv Floor Dis, Guangzhou 510655, Guangdong, Peoples R China
  • [ 22 ] [Luo, Yanxin]Sun Yat Sen Univ, Affiliated Hosp 6, Guangdong Prov Key Lab Colorectal & Pelv Floor Dis, Guangzhou 510655, Guangdong, Peoples R China
  • [ 23 ] [Li, Juan]Sun Yat Sen Univ, Affiliated Hosp 6, Guangdong Prov Key Lab Colorectal & Pelv Floor Dis, Guangzhou 510655, Guangdong, Peoples R China
  • [ 24 ] [Yu, Huichuan]Sun Yat Sen Univ, Affiliated Hosp 6, Guangdong Prov Key Lab Colorectal & Pelv Floor Dis, Guangzhou 510655, Guangdong, Peoples R China
  • [ 25 ] [Lin, Kaixin]Sun Yat sen Univ, Affiliated Hosp 6, Biomed Innovat Ctr, Guangzhou 510655, Guangdong, Peoples R China
  • [ 26 ] [Yuan, Ze]Sun Yat sen Univ, Affiliated Hosp 6, Biomed Innovat Ctr, Guangzhou 510655, Guangdong, Peoples R China
  • [ 27 ] [Wan, Zixiao]Sun Yat sen Univ, Affiliated Hosp 6, Biomed Innovat Ctr, Guangzhou 510655, Guangdong, Peoples R China
  • [ 28 ] [Li, Tuoyang]Sun Yat sen Univ, Affiliated Hosp 6, Biomed Innovat Ctr, Guangzhou 510655, Guangdong, Peoples R China
  • [ 29 ] [Luo, Yanxin]Sun Yat sen Univ, Affiliated Hosp 6, Biomed Innovat Ctr, Guangzhou 510655, Guangdong, Peoples R China
  • [ 30 ] [Li, Juan]Sun Yat sen Univ, Affiliated Hosp 6, Biomed Innovat Ctr, Guangzhou 510655, Guangdong, Peoples R China
  • [ 31 ] [Yu, Huichuan]Sun Yat sen Univ, Affiliated Hosp 6, Biomed Innovat Ctr, Guangzhou 510655, Guangdong, Peoples R China
  • [ 32 ] [Lin, Kaixin]Sun Yat Sen Univ, Key Lab Human Microbiome & Chron Dis, Minist Educ, Guangzhou, Peoples R China
  • [ 33 ] [Luo, Yanxin]Sun Yat Sen Univ, Key Lab Human Microbiome & Chron Dis, Minist Educ, Guangzhou, Peoples R China
  • [ 34 ] [Yu, Huichuan]Sun Yat Sen Univ, Key Lab Human Microbiome & Chron Dis, Minist Educ, Guangzhou, Peoples R China
  • [ 35 ] [Wang, Jianping]Fujian Univ Tradit Chinese Med, Peoples Hosp 3, Dept Gastroenterol, Fuzhou 350108, Fujian, Peoples R China
  • [ 36 ] [Wang, Dabiao]Fuzhou Univ, Coll Chem & Engn, Fuzhou 350108, Peoples R China
  • [ 37 ] [Niu, Decao]Guangdong Second Prov Gen Hosp, Dept Urol, Guangzhou 510000, Peoples R China
  • [ 38 ] [Li, Juan]Sun Yat Sen Univ, Affiliated Hosp 6, Dept Endoscop Surg, Guangzhou 510655, Guangdong, Peoples R China

Reprint 's Address:

  • [Li, Juan]Sun Yat Sen Univ, Affiliated Hosp 6, Dept Gen Surg Colorectal Surg, Guangzhou, Guangdong, Peoples R China;;[Yu, Huichuan]Sun Yat Sen Univ, Affiliated Hosp 6, Dept Gen Surg Colorectal Surg, Guangzhou, Guangdong, Peoples R China;;[Yu, Huichuan]Guangdong Inst Gastroenterol, Guangzhou 510655, Guangdong, Peoples R China;;[Li, Juan]Sun Yat Sen Univ, Affiliated Hosp 6, Guangdong Prov Key Lab Colorectal & Pelv Floor Dis, Guangzhou 510655, Guangdong, Peoples R China;;[Yu, Huichuan]Sun Yat Sen Univ, Affiliated Hosp 6, Guangdong Prov Key Lab Colorectal & Pelv Floor Dis, Guangzhou 510655, Guangdong, Peoples R China;;[Li, Juan]Sun Yat sen Univ, Affiliated Hosp 6, Biomed Innovat Ctr, Guangzhou 510655, Guangdong, Peoples R China;;[Yu, Huichuan]Sun Yat sen Univ, Affiliated Hosp 6, Biomed Innovat Ctr, Guangzhou 510655, Guangdong, Peoples R China;;[Yu, Huichuan]Sun Yat Sen Univ, Key Lab Human Microbiome & Chron Dis, Minist Educ, Guangzhou, Peoples R China;;[Niu, Decao]Guangdong Second Prov Gen Hosp, Dept Urol, Guangzhou 510000, Peoples R China;;[Li, Juan]Sun Yat Sen Univ, Affiliated Hosp 6, Dept Endoscop Surg, Guangzhou 510655, Guangdong, Peoples R China

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Source :

JOURNAL OF TRANSLATIONAL MEDICINE

Year: 2025

Issue: 1

Volume: 23

6 . 1 0 0

JCR@2023

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 0

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