Collagen fiber orientation disorder from H&E images is prognostic for early stage breast cancer: clinical trial validation
Abstract Collagen fiber organization has been found to be implicated in breast cancer prognosis. In this study, we evaluated whether computerized features of Collagen Fiber Orientation Disorder in Tumor-associated Stroma (CFOD-TS) on Hematoxylin & Eosin (H&E) slide images were prognostic of...
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Nature Portfolio
2021
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oai:doaj.org-article:3f1567d71b5f43f1be83cf5666df32a72021-12-02T18:49:27ZCollagen fiber orientation disorder from H&E images is prognostic for early stage breast cancer: clinical trial validation10.1038/s41523-021-00310-z2374-4677https://doaj.org/article/3f1567d71b5f43f1be83cf5666df32a72021-08-01T00:00:00Zhttps://doi.org/10.1038/s41523-021-00310-zhttps://doaj.org/toc/2374-4677Abstract Collagen fiber organization has been found to be implicated in breast cancer prognosis. In this study, we evaluated whether computerized features of Collagen Fiber Orientation Disorder in Tumor-associated Stroma (CFOD-TS) on Hematoxylin & Eosin (H&E) slide images were prognostic of Disease Free Survival (DFS) in early stage Estrogen Receptor Positive (ER+) Invasive Breast Cancers (IBC). A Cox regression model named MCFOD-TS, was constructed using cohort St (N = 78) to predict DFS based on CFOD-TS features. The prognostic performance of MCFOD-TS was validated on cohort Sv (N = 219), a prospective clinical trial dataset (ECOG 2197). MCFOD-TS was prognostic of DFS in both St and Sv, independent of clinicopathological variables. Additionally, the molecular pathways regarding cell cycle regulation were identified as being significantly associated with MCFOD-TS derived risk scores. Our results also found that collagen fiber organization was more ordered in patients with short DFS. Our study provided a H&E image-based pipeline to derive a potential prognostic biomarker for early stage ER+ IBC without the need of special collagen staining or advanced microscopy techniques.Haojia LiKaustav BeraPaula ToroPingFu FuZelin ZhangCheng LuMichael FeldmanShridar GanesanLori J. GoldsteinNancy E. DavidsonAkisha GlasgowAparna HarbhajankaHannah GilmoreAnant MadabhushiNature PortfolioarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Breast Cancer, Vol 7, Iss 1, Pp 1-10 (2021) |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Haojia Li Kaustav Bera Paula Toro PingFu Fu Zelin Zhang Cheng Lu Michael Feldman Shridar Ganesan Lori J. Goldstein Nancy E. Davidson Akisha Glasgow Aparna Harbhajanka Hannah Gilmore Anant Madabhushi Collagen fiber orientation disorder from H&E images is prognostic for early stage breast cancer: clinical trial validation |
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Abstract Collagen fiber organization has been found to be implicated in breast cancer prognosis. In this study, we evaluated whether computerized features of Collagen Fiber Orientation Disorder in Tumor-associated Stroma (CFOD-TS) on Hematoxylin & Eosin (H&E) slide images were prognostic of Disease Free Survival (DFS) in early stage Estrogen Receptor Positive (ER+) Invasive Breast Cancers (IBC). A Cox regression model named MCFOD-TS, was constructed using cohort St (N = 78) to predict DFS based on CFOD-TS features. The prognostic performance of MCFOD-TS was validated on cohort Sv (N = 219), a prospective clinical trial dataset (ECOG 2197). MCFOD-TS was prognostic of DFS in both St and Sv, independent of clinicopathological variables. Additionally, the molecular pathways regarding cell cycle regulation were identified as being significantly associated with MCFOD-TS derived risk scores. Our results also found that collagen fiber organization was more ordered in patients with short DFS. Our study provided a H&E image-based pipeline to derive a potential prognostic biomarker for early stage ER+ IBC without the need of special collagen staining or advanced microscopy techniques. |
format |
article |
author |
Haojia Li Kaustav Bera Paula Toro PingFu Fu Zelin Zhang Cheng Lu Michael Feldman Shridar Ganesan Lori J. Goldstein Nancy E. Davidson Akisha Glasgow Aparna Harbhajanka Hannah Gilmore Anant Madabhushi |
author_facet |
Haojia Li Kaustav Bera Paula Toro PingFu Fu Zelin Zhang Cheng Lu Michael Feldman Shridar Ganesan Lori J. Goldstein Nancy E. Davidson Akisha Glasgow Aparna Harbhajanka Hannah Gilmore Anant Madabhushi |
author_sort |
Haojia Li |
title |
Collagen fiber orientation disorder from H&E images is prognostic for early stage breast cancer: clinical trial validation |
title_short |
Collagen fiber orientation disorder from H&E images is prognostic for early stage breast cancer: clinical trial validation |
title_full |
Collagen fiber orientation disorder from H&E images is prognostic for early stage breast cancer: clinical trial validation |
title_fullStr |
Collagen fiber orientation disorder from H&E images is prognostic for early stage breast cancer: clinical trial validation |
title_full_unstemmed |
Collagen fiber orientation disorder from H&E images is prognostic for early stage breast cancer: clinical trial validation |
title_sort |
collagen fiber orientation disorder from h&e images is prognostic for early stage breast cancer: clinical trial validation |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/3f1567d71b5f43f1be83cf5666df32a7 |
work_keys_str_mv |
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