Volume 13, Issue 2 e201900203
FULL ARTICLE

Epithelium segmentation and automated Gleason grading of prostate cancer via deep learning in label-free multiphoton microscopic images

Qinqin Yang

Qinqin Yang

Institute of Laser and Optoelectronics Technology, Fujian Provincial Key Laboratory for Photonics Technology, Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Normal University, Fuzhou, China

Department of Electronic Science, Xiamen University, Xiamen, China

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Zhexin Xu

Zhexin Xu

Institute of Laser and Optoelectronics Technology, Fujian Provincial Key Laboratory for Photonics Technology, Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Normal University, Fuzhou, China

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Chenxi Liao

Chenxi Liao

Institute of Laser and Optoelectronics Technology, Fujian Provincial Key Laboratory for Photonics Technology, Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Normal University, Fuzhou, China

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Jianyong Cai

Jianyong Cai

Institute of Laser and Optoelectronics Technology, Fujian Provincial Key Laboratory for Photonics Technology, Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Normal University, Fuzhou, China

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Ying Huang

Ying Huang

Institute of Laser and Optoelectronics Technology, Fujian Provincial Key Laboratory for Photonics Technology, Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Normal University, Fuzhou, China

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Hong Chen

Hong Chen

Department of Pathology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China

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Xuan Tao

Xuan Tao

Department of Pathology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China

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Zheng Huang

Zheng Huang

Institute of Laser and Optoelectronics Technology, Fujian Provincial Key Laboratory for Photonics Technology, Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Normal University, Fuzhou, China

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Jianxin Chen

Jianxin Chen

Institute of Laser and Optoelectronics Technology, Fujian Provincial Key Laboratory for Photonics Technology, Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Normal University, Fuzhou, China

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Jiyang Dong

Corresponding Author

Jiyang Dong

Department of Electronic Science, Xiamen University, Xiamen, China

Correspondence

Dr Xiaoqin Zhu, Institute of Laser and Optoelectronics Technology, Fujian Provincial Key Laboratory for Photonics Technology, Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Normal University, Fuzhou 350007, China.

Email: [email protected]

Dr Jiyang Dong, Department of Electronic Science, Xiamen University, Xiamen 361005, China.

Email: [email protected]

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Xiaoqin Zhu

Corresponding Author

Xiaoqin Zhu

Institute of Laser and Optoelectronics Technology, Fujian Provincial Key Laboratory for Photonics Technology, Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Normal University, Fuzhou, China

Correspondence

Dr Xiaoqin Zhu, Institute of Laser and Optoelectronics Technology, Fujian Provincial Key Laboratory for Photonics Technology, Key Laboratory of OptoElectronic Science and Technology for Medicine of Ministry of Education, Fujian Normal University, Fuzhou 350007, China.

Email: [email protected]

Dr Jiyang Dong, Department of Electronic Science, Xiamen University, Xiamen 361005, China.

Email: [email protected]

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First published: 11 November 2019
Citations: 15

Funding information: The National High Technology Research and Development Program of China, Grant/Award Number: 2015AA020508; The National Key Basic Research Program of China, Grant/Award Number: 2015CB352006; The National Natural Science Foundation of China, Grant/Award Number: 81871445; The Open Project of Fujian Normal University, Grant/Award Number: JYG1909; The Program for Changjiang Scholars and Innovative Research Team in University, Grant/Award Number: IRT_15R10; The Program for New Century Excellent Talents in University of Fujian Province, Grant/Award Number: YTR01254

Abstract

In the current clinical care practice, Gleason grading system is one of the most powerful prognostic predictors for prostate cancer (PCa). The grading system is based on the architectural pattern of cancerous epithelium in histological images. However, the standard procedure of histological examination often involves complicated tissue fixation and staining, which are time-consuming and may delay the diagnosis and surgery. In this study, label-free multiphoton microscopy (MPM) was used to acquire subcellular-resolution images of unstained prostate tissues. Then, a deep learning architecture (U-net) was introduced for epithelium segmentation of prostate tissues in MPM images. The obtained segmentation results were then merged with the original MPM images to train a classification network (AlexNet) for automated Gleason grading. The developed method achieved an overall pixel accuracy of 92.3% with a mean F1 score of 0.839 for epithelium segmentation. By merging the segmentation results with the MPM images, the accuracy of Gleason grading was improved from 72.42% to 81.13% in hold-out test set. Our results suggest that MPM in combination with deep learning holds the potential to be used as a fast and powerful clinical tool for PCa diagnosis.image

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