A multi-phase deep CNN based mitosis detection framework for breast cancer histopathological images

Sci Rep. 2021 Mar 18;11(1):6215. doi: 10.1038/s41598-021-85652-1.

Abstract

The mitotic activity index is a key prognostic measure in tumour grading. Microscopy based detection of mitotic nuclei is a significant overhead and necessitates automation. This work proposes deep CNN based multi-phase mitosis detection framework "MP-MitDet" for mitotic nuclei identification in breast cancer histopathological images. The workflow constitutes: (1) label-refiner, (2) tissue-level mitotic region selection, (3) blob analysis, and (4) cell-level refinement. We developed an automatic label-refiner to represent weak labels with semi-sematic information for training of deep CNNs. A deep instance-based detection and segmentation model is used to explore probable mitotic regions on tissue patches. More probable regions are screened based on blob area and then analysed at cell-level by developing a custom CNN classifier "MitosRes-CNN" to filter false mitoses. The performance of the proposed "MitosRes-CNN" is compared with the state-of-the-art CNNs that are adapted to cell-level discrimination through cross-domain transfer learning and by adding task-specific layers. The performance of the proposed framework shows good discrimination ability in terms of F-score (0.75), recall (0.76), precision (0.71) and area under the precision-recall curve (0.78) on challenging TUPAC16 dataset. Promising results suggest good generalization of the proposed framework that can learn characteristic features from heterogenous mitotic nuclei.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Automation
  • Benchmarking
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / pathology
  • Breast Neoplasms / surgery
  • Cell Nucleus / pathology
  • Datasets as Topic
  • Female
  • Humans
  • Image Processing, Computer-Assisted / statistics & numerical data*
  • Mitosis*
  • Mitotic Index
  • Neoplasm Grading
  • Neural Networks, Computer*