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author:

Li, L. (Li, L..) [1] | Geng, Y. (Geng, Y..) [2] | Chen, T. (Chen, T..) [3] | Lin, K. (Lin, K..) [4] | Xie, C. (Xie, C..) [5] | Qi, J. (Qi, J..) [6] | Wei, H. (Wei, H..) [7] | Wang, J. (Wang, J..) [8] | Wang, D. (Wang, D..) [9] | Yuan, Z. (Yuan, Z..) [10] | Wan, Z. (Wan, Z..) [11] | Li, T. (Li, T..) [12] | Luo, Y. (Luo, Y..) [13] | Niu, D. (Niu, D..) [14] | Li, J. (Li, J..) [15] | Yu, H. (Yu, H..) [16]

Indexed by:

Scopus

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. © The Author(s) 2024.

Keyword:

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

Community:

  • [ 1 ] [Li L.]Fujian Key Lab for Intelligent Processing and Wireless Transmission of Media Information, College of Physics and Information Engineering, Fuzhou University, Fuzhou, 350108, China
  • [ 2 ] [Geng Y.]Fujian Key Lab for Intelligent Processing and Wireless Transmission of Media Information, College of Physics and Information Engineering, Fuzhou University, Fuzhou, 350108, China
  • [ 3 ] [Chen T.]Fujian Key Lab for Intelligent Processing and Wireless Transmission of Media Information, College of Physics and Information Engineering, Fuzhou University, Fuzhou, 350108, China
  • [ 4 ] [Lin K.]Department of General Surgery (Colorectal Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, China
  • [ 5 ] [Lin K.]Guangdong Institute of Gastroenterology, Guangdong, Guangzhou, 510655, China
  • [ 6 ] [Lin K.]Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 7 ] [Lin K.]Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 8 ] [Lin K.]Key Laboratory of Human Microbiome and Chronic Diseases (Sun Yat-sen University), Ministry of Education, Guangzhou, China
  • [ 9 ] [Xie C.]Fujian Key Lab for Intelligent Processing and Wireless Transmission of Media Information, College of Physics and Information Engineering, Fuzhou University, Fuzhou, 350108, China
  • [ 10 ] [Qi J.]Fujian Key Lab for Intelligent Processing and Wireless Transmission of Media Information, College of Physics and Information Engineering, Fuzhou University, Fuzhou, 350108, China
  • [ 11 ] [Wei H.]Fujian Key Lab for Intelligent Processing and Wireless Transmission of Media Information, College of Physics and Information Engineering, Fuzhou University, Fuzhou, 350108, China
  • [ 12 ] [Wang J.]Department of Gastroenterology, Third People’s Hospital, Fujian University of Traditional Chinese Medicine, Fujian, Fuzhou, 350108, China
  • [ 13 ] [Wang D.]College of Chemical and Engineering, Fuzhou University, Fuzhou, 350108, China
  • [ 14 ] [Yuan Z.]Guangdong Institute of Gastroenterology, Guangdong, Guangzhou, 510655, China
  • [ 15 ] [Yuan Z.]Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 16 ] [Yuan Z.]Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 17 ] [Wan Z.]Guangdong Institute of Gastroenterology, Guangdong, Guangzhou, 510655, China
  • [ 18 ] [Wan Z.]Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 19 ] [Wan Z.]Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 20 ] [Li T.]Department of General Surgery (Colorectal Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, China
  • [ 21 ] [Li T.]Guangdong Institute of Gastroenterology, Guangdong, Guangzhou, 510655, China
  • [ 22 ] [Li T.]Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 23 ] [Li T.]Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 24 ] [Luo Y.]Department of General Surgery (Colorectal Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, China
  • [ 25 ] [Luo Y.]Guangdong Institute of Gastroenterology, Guangdong, Guangzhou, 510655, China
  • [ 26 ] [Luo Y.]Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 27 ] [Luo Y.]Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 28 ] [Luo Y.]Key Laboratory of Human Microbiome and Chronic Diseases (Sun Yat-sen University), Ministry of Education, Guangzhou, China
  • [ 29 ] [Niu D.]Department of Urology, Guangdong Second Provincial General Hospital, Guangzhou, 510000, China
  • [ 30 ] [Li J.]Department of General Surgery (Colorectal Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, China
  • [ 31 ] [Li J.]Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 32 ] [Li J.]Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 33 ] [Li J.]Department of Endoscopic Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 34 ] [Yu H.]Department of General Surgery (Colorectal Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, China
  • [ 35 ] [Yu H.]Guangdong Institute of Gastroenterology, Guangdong, Guangzhou, 510655, China
  • [ 36 ] [Yu H.]Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 37 ] [Yu H.]Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, 510655, China
  • [ 38 ] [Yu H.]Key Laboratory of Human Microbiome and Chronic Diseases (Sun Yat-sen University), Ministry of Education, Guangzhou, China

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Source :

Journal of Translational Medicine

ISSN: 1479-5876

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

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Chinese Cited Count:

30 Days PV: 0

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