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Deep learning identifies histopathologic changes in bladder cancers associated with smoke exposure status.

Okyaz Eminaga1, Hubert Lau2,3, Eugene Shkolyar4

  • 1AI Vobis, Palo Alto, California, United States of America.

Plos One
|July 31, 2024
PubMed
Summary

Deep learning models can predict smoking status from bladder cancer histology images. This technology may offer insights into a patient's smoke exposure history.

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Area of Science:

  • Oncology
  • Pathology
  • Artificial Intelligence

Background:

  • Smoking is a known risk factor for bladder cancer (BC).
  • The relationship between BC histology and smoking status is not well understood.

Purpose of the Study:

  • To investigate if bladder cancer histology images can predict smoking exposure status.
  • To develop and validate a deep learning model for this prediction.

Main Methods:

  • A deep learning model was trained on whole-slide histology images from 66 BC cases.
  • The model was externally validated on 94 BC cases, assessing prediction accuracy using AUC.
  • Multivariate analyses controlled for BC grade, gender, age, and time to diagnosis.

Main Results:

  • The model achieved an AUC of 0.67 (95% CI: 0.58-0.76) on external validation, indicating non-random classification.
  • The model independently predicted smoking exposure status with an odds ratio of 1.710 (95% CI: 1.148-2.54).
  • Histologic patterns predictive of smoking status were identified.

Conclusions:

  • Deep learning can identify histopathologic features in bladder cancer that correlate with smoking exposure.
  • Histology-based prediction of smoking status may provide valuable clinical information.