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Presented by:
Tsai, Mu-Hung, M.D.
Department of Radiation Oncology, National Cheng Kung University Hospital
2016/09/02
Lung Cancer
 Most prevalent cancer worldwide
 Histopathological classification
 Small cell carcinoma
 Non-small cell carcinoma
 Squamous cell carcinoma
 Adenocarcinoma
 Grade (Gr.1 – Gr.3)
 Low level of inter-observer agreement
Pathology
Squamous cell carcinoma Adenocarcinoma
Aim
 Fully automated microscopic pathology image features
 Predict lung cancer survival
Training
Validation
Methods & Materials
 The Cancer Genome
Atlas (TCGA)
 Stanford Tissue
Microarray (TMA)
Database
Cross-validate
Image: euthman @ Flickr
Predicting NSCLC prognosis by automated pathology
Predicting NSCLC prognosis by automated pathology
Results
Identifying Tumor
Adenocarcinoma vs. Normal Lung
SCC vs. Normal Lung
Adenocarcinoma vs. SCC (TCGA)
Adenocarcinoma vs. SCC (TMA)
Results
Predicting Survival
Predicting Adenocarcinoma Prognosis
Stage IB Grade 3 adenocarcinoma
Predicting SCC Prognosis
Discussion
 Automated workflow to analyze whole slide pathology
 Elastic net-Cox proportional hazards models
 Computationally efficient
 Handles right-censored survival data
 Performance not very sensitive to ML method
 Obtain large number of features!

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