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FältnamnIndikatorerMetadata
00006284naa a2200757 4500
001oai:lup.lub.lu.se:907410b6-33f1-4174-950a-29df64749d30
003SwePub
008220223s2022 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/907410b6-33f1-4174-950a-29df64749d302 URI
024a https://doi.org/10.3389/fonc.2022.8215942 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Yu, Wenjinu Northwest University (China)4 aut
2451 0a Deep Learning-Based Classification of Cancer Cell in Leptomeningeal Metastasis on Cytomorphologic Features of Cerebrospinal Fluid
264 c 2022-02-22
264 1b Frontiers Media SA,c 2022
520 a Background: It is a critical challenge to diagnose leptomeningeal metastasis (LM), given its technical difficulty and the lack of typical symptoms. The existing gold standard of diagnosing LM is to use positive cerebrospinal fluid (CSF) cytology, which consumes significantly more time to classify cells under a microscope.Objective: This study aims to establish a deep learning model to classify cancer cells in CSF, thus facilitating doctors to achieve an accurate and fast diagnosis of LM in an early stage.Method: The cerebrospinal fluid laboratory of Xijing Hospital provides 53,255 cells from 90 LM patients in the research. We used two deep convolutional neural networks (CNN) models to classify cells in the CSF. A five-way cell classification model (CNN1) consists of lymphocytes, monocytes, neutrophils, erythrocytes, and cancer cells. A four-way cancer cell classification model (CNN2) consists of lung cancer cells, gastric cancer cells, breast cancer cells, and pancreatic cancer cells. Here, the CNN models were constructed by Resnet-inception-V2. We evaluated the performance of the proposed models on two external datasets and compared them with the results from 42 doctors of various levels of experience in the human-machine tests. Furthermore, we develop a computer-aided diagnosis (CAD) software to generate cytology diagnosis reports in the research rapidly.Results: With respect to the validation set, the mean average precision (mAP) of CNN1 is over 95% and that of CNN2 is close to 80%. Hence, the proposed deep learning model effectively classifies cells in CSF to facilitate the screening of cancer cells. In the human-machine tests, the accuracy of CNN1 is similar to the results from experts, with higher accuracy than doctors in other levels. Moreover, the overall accuracy of CNN2 is 10% higher than that of experts, with a time consumption of only one-third of that consumed by an expert. Using the CAD software saves 90% working time of cytologists.Conclusion: A deep learning method has been developed to assist the LM diagnosis with high accuracy and low time consumption effectively. Thanks to labeled data and step-by-step training, our proposed method can successfully classify cancer cells in the CSF to assist LM diagnosis early. In addition, this unique research can predict cancer’s primary source of LM, which relies on cytomorphologic features without immunohistochemistry. Our results show that deep learning can be widely used in medical images to classify cerebrospinal fluid cells. For complex cancer classification tasks, the accuracy of the proposed method is significantly higher than that of specialist doctors, and its performance is better than that of junior doctors and interns. The application of CNNs and CAD software may ultimately aid in expediting the diagnosis and overcoming the shortage of experienced cytologists, thereby facilitating earlier treatment and improving the prognosis of LM.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaperx Neurovetenskaper0 (SwePub)301052 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Basic Medicinex Neurosciences0 (SwePub)301052 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Neurologi0 (SwePub)302072 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Neurology0 (SwePub)302072 hsv//eng
700a Liu, Yangyangu Xi'an Jiaotong University4 aut
700a Zhao, Yunsongu Fourth Military Medical University4 aut
700a Huang, Haofanu Shenzhen University4 aut
700a Liu, Jiahaou Yan'an University4 aut
700a Yao, Xiaofengu Yan'an University4 aut
700a Li, Jingwenu Xiamen University4 aut
700a Xie, Zhenu Northwest University (China)4 aut
700a Jiang, Luyueu Xi'an Jiaotong University4 aut
700a Wu, Hepingu Xi'an Jiaotong University4 aut
700a Cao, Xinhao4 aut
700a Zhou, Jiamingu Lund University,Lunds universitet,Oftalmologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Ophthalmology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)ji6872zh
700a Guo, Yuting4 aut
700a Li, Gaoyang4 aut
700a Ren, Matthew Xinhu4 aut
700a Yi, Quan4 aut
700a Mu, Tingmin4 aut
700a Izquierdo11, Guillermo Ayuso4 aut
700a Zhang, Guoxun4 aut
700a Zhao, Runze4 aut
700a Zhao, Di4 aut
700a Yan, Jiangyun4 aut
700a Zhang, Haijun4 aut
700a Lv, Junchao4 aut
700a Yao, Qian4 aut
700a Duan, Yan4 aut
700a Zhou, Huimin4 aut
700a Liu, Tingting4 aut
700a He, Ying4 aut
700a Bian, Ting4 aut
700a Dai, Wen4 aut
700a Huai, Jiahui4 aut
700a He, Qian4 aut
700a Gao, Yi4 aut
700a Ren, Wei4 aut
700a Niu, Gang4 aut
700a Zhao, Gang4 aut
710a Northwest University (China)b Xi'an Jiaotong University4 org
773t Frontiers in Oncologyd : Frontiers Media SAg 12, s. 1-11q 12<1-11x 2234-943X
856u http://dx.doi.org/10.3389/fonc.2022.821594x freey FULLTEXT
856u https://www.frontiersin.org/articles/10.3389/fonc.2022.821594/pdf
8564 8u https://lup.lub.lu.se/record/907410b6-33f1-4174-950a-29df64749d30
8564 8u https://doi.org/10.3389/fonc.2022.821594

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