Integrative multiomics-histopathology analysis for breast cancer classification

Abstract Histopathologic evaluation of biopsy slides is a critical step in diagnosing and subtyping breast cancers. However, the connections between histology and multi-omics status have never been systematically explored or interpreted. We developed weakly supervised deep learning models over hemat...

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Autores principales: Yasha Ektefaie, William Yuan, Deborah A. Dillon, Nancy U. Lin, Jeffrey A. Golden, Isaac S. Kohane, Kun-Hsing Yu
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:0054a716bf894cfeb760d0ff078ec5072021-12-05T12:20:17ZIntegrative multiomics-histopathology analysis for breast cancer classification10.1038/s41523-021-00357-y2374-4677https://doaj.org/article/0054a716bf894cfeb760d0ff078ec5072021-11-01T00:00:00Zhttps://doi.org/10.1038/s41523-021-00357-yhttps://doaj.org/toc/2374-4677Abstract Histopathologic evaluation of biopsy slides is a critical step in diagnosing and subtyping breast cancers. However, the connections between histology and multi-omics status have never been systematically explored or interpreted. We developed weakly supervised deep learning models over hematoxylin-and-eosin-stained slides to examine the relations between visual morphological signal, clinical subtyping, gene expression, and mutation status in breast cancer. We first designed fully automated models for tumor detection and pathology subtype classification, with the results validated in independent cohorts (area under the receiver operating characteristic curve ≥ 0.950). Using only visual information, our models achieved strong predictive performance in estrogen/progesterone/HER2 receptor status, PAM50 status, and TP53 mutation status. We demonstrated that these models learned lymphocyte-specific morphological signals to identify estrogen receptor status. Examination of the PAM50 cohort revealed a subset of PAM50 genes whose expression reflects cancer morphology. This work demonstrates the utility of deep learning-based image models in both clinical and research regimes, through its ability to uncover connections between visual morphology and genetic statuses.Yasha EktefaieWilliam YuanDeborah A. DillonNancy U. LinJeffrey A. GoldenIsaac S. KohaneKun-Hsing YuNature PortfolioarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Breast Cancer, Vol 7, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Yasha Ektefaie
William Yuan
Deborah A. Dillon
Nancy U. Lin
Jeffrey A. Golden
Isaac S. Kohane
Kun-Hsing Yu
Integrative multiomics-histopathology analysis for breast cancer classification
description Abstract Histopathologic evaluation of biopsy slides is a critical step in diagnosing and subtyping breast cancers. However, the connections between histology and multi-omics status have never been systematically explored or interpreted. We developed weakly supervised deep learning models over hematoxylin-and-eosin-stained slides to examine the relations between visual morphological signal, clinical subtyping, gene expression, and mutation status in breast cancer. We first designed fully automated models for tumor detection and pathology subtype classification, with the results validated in independent cohorts (area under the receiver operating characteristic curve ≥ 0.950). Using only visual information, our models achieved strong predictive performance in estrogen/progesterone/HER2 receptor status, PAM50 status, and TP53 mutation status. We demonstrated that these models learned lymphocyte-specific morphological signals to identify estrogen receptor status. Examination of the PAM50 cohort revealed a subset of PAM50 genes whose expression reflects cancer morphology. This work demonstrates the utility of deep learning-based image models in both clinical and research regimes, through its ability to uncover connections between visual morphology and genetic statuses.
format article
author Yasha Ektefaie
William Yuan
Deborah A. Dillon
Nancy U. Lin
Jeffrey A. Golden
Isaac S. Kohane
Kun-Hsing Yu
author_facet Yasha Ektefaie
William Yuan
Deborah A. Dillon
Nancy U. Lin
Jeffrey A. Golden
Isaac S. Kohane
Kun-Hsing Yu
author_sort Yasha Ektefaie
title Integrative multiomics-histopathology analysis for breast cancer classification
title_short Integrative multiomics-histopathology analysis for breast cancer classification
title_full Integrative multiomics-histopathology analysis for breast cancer classification
title_fullStr Integrative multiomics-histopathology analysis for breast cancer classification
title_full_unstemmed Integrative multiomics-histopathology analysis for breast cancer classification
title_sort integrative multiomics-histopathology analysis for breast cancer classification
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/0054a716bf894cfeb760d0ff078ec507
work_keys_str_mv AT yashaektefaie integrativemultiomicshistopathologyanalysisforbreastcancerclassification
AT williamyuan integrativemultiomicshistopathologyanalysisforbreastcancerclassification
AT deborahadillon integrativemultiomicshistopathologyanalysisforbreastcancerclassification
AT nancyulin integrativemultiomicshistopathologyanalysisforbreastcancerclassification
AT jeffreyagolden integrativemultiomicshistopathologyanalysisforbreastcancerclassification
AT isaacskohane integrativemultiomicshistopathologyanalysisforbreastcancerclassification
AT kunhsingyu integrativemultiomicshistopathologyanalysisforbreastcancerclassification
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