Predicting breast tumor proliferation from whole-slide images: the TUPAC16 challenge

Tumor proliferation is an important biomarker indicative of the prognosis of breast cancer patients. Assessment of tumor proliferation in a clinical setting is highly subjective and labor-intensive task. Previous efforts to automate tumor proliferation assessment by image analysis only focused on mitosis detection in predefined tumor regions. However, in a real-world scenario, automatic mitosis detection should be performed in whole-slide images (WSIs) and an automatic method should be able to produce a tumor proliferation score given a WSI as input. To address this, we organized the TUmor Proliferation Assessment Challenge 2016 (TUPAC16) on prediction of tumor proliferation scores from WSIs. The challenge dataset consisted of 500 training and 321 testing breast cancer histopathology WSIs. In order to ensure fair and independent evaluation, only the ground truth for the training dataset was provided to the challenge participants. The first task of the challenge was to predict mitotic scores, i.e., to reproduce the manual method of assessing tumor proliferation by a pathologist. The second task was to predict the gene expression based PAM50 proliferation scores from the WSI. The best performing automatic method for the first task achieved a quadratic-weighted Cohen's kappa score of $\kappa$ = 0.567, 95% CI [0.464, 0.671] between the predicted scores and the ground truth. For the second task, the predictions of the top method had a Spearman's correlation coefficient of r = 0.617, 95% CI [0.581 0.651] with the ground truth. This was the first study that investigated tumor proliferation assessment from WSIs. The achieved results are promising given the difficulty of the tasks and weakly-labelled nature of the ground truth. However, further research is needed to improve the practical utility of image analysis methods for this task.

Constrained Deep Weak Supervision for Histopathology Image Segmentation

In this paper, we develop a new weakly-supervised learning algorithm to learn to segment cancerous regions in histopathology images. Our work is under a multiple instance learning framework (MIL) with a new formulation, deep weak supervision (DWS); we also propose an effective way to introduce constraints to our neural networks to assist the learning process. The contributions of our algorithm are threefold: (1) We build an end-to-end learning system that segments cancerous regions with fully convolutional networks (FCN) in which image-to-image weakly-supervised learning is performed. (2) We develop a deep week supervision formulation to exploit multi-scale learning under weak supervision within fully convolutional networks. (3) Constraints about positive instances are introduced in our approach to effectively explore additional weakly-supervised information that is easy to obtain and enjoys a significant boost to the learning process. The proposed algorithm, abbreviated as DWS-MIL, is easy to implement and can be trained efficiently. Our system demonstrates state-of-the-art results on large-scale histopathology image datasets and can be applied to various applications in medical imaging beyond histopathology images such as MRI, CT, and ultrasound images.

End-to-End Subtitle Detection and Recognition for Videos in East Asian Languages via CNN Ensemble with Near-Human-Level Performance

In this paper, we propose an innovative end-to-end subtitle detection and recognition system for videos in East Asian languages. Our end-to-end system consists of multiple stages. Subtitles are firstly detected by a novel image operator based on the sequence information of consecutive video frames. Then, an ensemble of Convolutional Neural Networks (CNNs) trained on synthetic data is adopted for detecting and recognizing East Asian characters. Finally, a dynamic programming approach leveraging language models is applied to constitute results of the entire body of text lines. The proposed system achieves average end-to-end accuracies of 98.2% and 98.3% on 40 videos in Simplified Chinese and 40 videos in Traditional Chinese respectively, which is a significant outperformance of other existing methods. The near-perfect accuracy of our system dramatically narrows the gap between human cognitive ability and state-of-the-art algorithms used for such a task.