Gastric Cancer Image Classification: A Comparative Analysis and Feature Fusion Strategies

J Imaging. 2024 Aug 10;10(8):195. doi: 10.3390/jimaging10080195.

Abstract

Gastric cancer is the fifth most common and fourth deadliest cancer worldwide, with a bleak 5-year survival rate of about 20%. Despite significant research into its pathobiology, prognostic predictability remains insufficient due to pathologists' heavy workloads and the potential for diagnostic errors. Consequently, there is a pressing need for automated and precise histopathological diagnostic tools. This study leverages Machine Learning and Deep Learning techniques to classify histopathological images into healthy and cancerous categories. By utilizing both handcrafted and deep features and shallow learning classifiers on the GasHisSDB dataset, we conduct a comparative analysis to identify the most effective combinations of features and classifiers for differentiating normal from abnormal histopathological images without employing fine-tuning strategies. Our methodology achieves an accuracy of 95% with the SVM classifier, underscoring the effectiveness of feature fusion strategies. Additionally, cross-magnification experiments produced promising results with accuracies close to 80% and 90% when testing the models on unseen testing images with different resolutions.

Keywords: computational pathology; convolutional neural networks; deep learning; feature combination; feature extraction; gastric cancer; histopathological imaging; machine learning.

Grants and funding

We acknowledge financial support under the National Recovery and Resilience Plan (NRRP), Mission 4 Component 2 Investment 1.5—Call for tender No. 3277 published on 30 December 2021 by the Italian Ministry of University and Research (MUR) funded by the European Union—NextGenerationEU. Project Code ECS0000038—Project Title eINS Ecosystem of Innovation for Next Generation Sardinia—CUP F53C22000430001-Grant Assignment Decree No. 1056 adopted on 23 June 2022 by the Italian Ministry of University and Research (MUR) and by the project DEMON “Detect and Evaluate Manipulation of ONline information” funded by MIUR under the PRIN 2022 grant 2022BAXSPY (CUP F53D23004270006, NextGenerationEU).