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A deep learning-based algorithm for tall cell detection in papillary thyroid carcinoma.

Sebastian Stenman1,2,3, Nina Linder1,4, Mikael Lundin1

  • 1Institute for Molecular Medicine Finland - FIMM, University of Helsinki, Helsinki, Finland.

Plos One
|August 9, 2022
PubMed
Summary
This summary is machine-generated.

A new deep learning algorithm accurately detects tall cells (TCs) in papillary thyroid carcinoma (PTC). Higher TC scores identified by the algorithm predict poorer relapse-free survival in PTC patients.

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Area of Science:

  • Oncology
  • Pathology
  • Artificial Intelligence in Medicine

Background:

  • The tall cell variant (TCV) of papillary thyroid carcinoma (PTC) is an aggressive subtype, but its definition leads to diagnostic challenges and interobserver variability.
  • Accurate identification and quantification of tall cells (TCs) are crucial for assessing PTC aggressiveness and patient prognosis.
  • Current methods for TC assessment are subjective, highlighting the need for objective and reproducible diagnostic tools.

Purpose of the Study:

  • To develop and validate a deep learning algorithm for the automated detection and quantification of tall cells (TCs) in papillary thyroid carcinoma (PTC).
  • To evaluate the algorithm's performance in comparison to human assessment.
  • To determine the association between algorithm-derived TC scores and patient disease outcomes, specifically relapse-free survival.

Main Methods:

  • A deep learning algorithm was trained using supervised learning on PTC samples.
  • The algorithm was tested on an independent dataset and validated on 90 PTC samples from Helsinki.
  • Algorithm-based TC percentages were compared to visual scoring by a human investigator and correlated with disease outcomes and tumor relapse samples.

Main Results:

  • The deep learning algorithm achieved high sensitivity (93.7%) and specificity (94.5%) in detecting TCs.
  • Algorithm-derived TC scores significantly correlated with diminished relapse-free survival at various cutoff points (10%, 20%, 30%).
  • Visually assessed TC scores did not significantly predict survival, unlike the algorithm's findings.

Conclusions:

  • A novel deep learning algorithm effectively detects tall cells in PTC, offering an objective measure.
  • A high deep learning-based TC score is a statistically significant predictor of less favorable relapse-free survival in PTC.
  • This AI-driven approach has the potential to improve the accuracy and consistency of PTC subtyping and prognostic assessment.