» Articles » PMID: 38572457

Tissue Classification and Diagnosis of Colorectal Cancer Histopathology Images Using Deep Learning Algorithms. Is the Time Ripe for Clinical Practice Implementation?

Abstract

Colorectal cancer is one of the most prevalent types of cancer, with histopathologic examination of biopsied tissue samples remaining the gold standard for diagnosis. During the past years, artificial intelligence (AI) has steadily found its way into the field of medicine and pathology, especially with the introduction of whole slide imaging (WSI). The main outcome of interest was the composite balanced accuracy (ACC) as well as the F1 score. The average reported ACC from the collected studies was 95.8 ±3.8%. Reported F1 scores reached as high as 0.975, with an average of 89.7 ±9.8%, indicating that existing deep learning algorithms can achieve distinction between malignant and benign. Overall, the available state-of-the-art algorithms are non-inferior to pathologists for image analysis and classification tasks. However, due to their inherent uniqueness in their training and lack of widely accepted external validation datasets, their generalization potential is still limited.

Citing Articles

Bibliometric analysis of preoperative radiotherapy for locally advanced rectal cancer: evolution and future.

Weng Z, Hu H, Zhou Z, Huang L, Chen B, Lin J Front Med (Lausanne). 2025; 12:1518640.

PMID: 40034388 PMC: 11872925. DOI: 10.3389/fmed.2025.1518640.


Alterations in expression of miRNA 497 and long non-coding RNAS (XIST-TSIX) and its significant role in colorectal cancer prediction.

El-Magied M, Fawzy A, Mostafa M, Elnaggar G, Moselhy S, Elhady M Sci Rep. 2025; 15(1):7387.

PMID: 40032945 PMC: 11876683. DOI: 10.1038/s41598-025-90110-3.


DMMR status and synchronous lesions predicts metachronous lesions after curative resection for rectal cancer.

Chen X, Chen J, Xu L, Lin D, Hong X, Peng J Front Surg. 2025; 12:1510400.

PMID: 39906700 PMC: 11790672. DOI: 10.3389/fsurg.2025.1510400.


Global burden of five major types of gastrointestinal cancer.

Singh A Prz Gastroenterol. 2025; 19(3):236-254.

PMID: 39802976 PMC: 11718493. DOI: 10.5114/pg.2024.141834.


Total neoadjuvant therapy followed by total mesorectal excision for rectal cancer in older patients real world data and proof of concept.

Montroni I, Di Candido F, Taffurelli G, Tamberi S, Grassi E, Corbelli J Front Surg. 2024; 11:1448073.

PMID: 39628921 PMC: 11611805. DOI: 10.3389/fsurg.2024.1448073.


References
1.
Li X, Cen M, Xu J, Zhang H, Xu X . Improving feature extraction from histopathological images through a fine-tuning ImageNet model. J Pathol Inform. 2022; 13:100115. PMC: 9577036. DOI: 10.1016/j.jpi.2022.100115. View

2.
Catal Reis H, Turk V . Transfer Learning Approach and Nucleus Segmentation with MedCLNet Colon Cancer Database. J Digit Imaging. 2022; 36(1):306-325. PMC: 9984669. DOI: 10.1007/s10278-022-00701-z. View

3.
Kainz P, Pfeiffer M, Urschler M . Segmentation and classification of colon glands with deep convolutional neural networks and total variation regularization. PeerJ. 2017; 5:e3874. PMC: 5629961. DOI: 10.7717/peerj.3874. View

4.
Raczkowska A, Mozejko M, Zambonelli J, Szczurek E . ARA: accurate, reliable and active histopathological image classification framework with Bayesian deep learning. Sci Rep. 2019; 9(1):14347. PMC: 6778075. DOI: 10.1038/s41598-019-50587-1. View

5.
Masud M, Sikder N, Nahid A, Bairagi A, AlZain M . . Sensors (Basel). 2021; 21(3). PMC: 7865416. DOI: 10.3390/s21030748. View