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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Autores principales: 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
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Publicado: Nature Portfolio 2021
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spelling 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)
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
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
description 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
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