Abstract

Prostate carcinoma is caused when cells and glands in the prostate change their shape and size from normal to abnormal. Typically, the pathologist’s goal is to classify the staining slides and differentiate normal from abnormal tissue. In the present study, we used a computational approach to classify images and features of benign and malignant tissues using artificial intelligence (AI) techniques. Here, we introduce two lightweight convolutional neural network (CNN) architectures and an ensemble machine learning (EML) method for image and feature classification, respectively. Moreover, the classification using pre-trained models and handcrafted features was carried out for comparative analysis. The binary classification was performed to classify between the two grade groups (benign vs. malignant) and quantile-quantile plots were used to show their predicted outcomes. Our proposed models for deep learning (DL) and machine learning (ML) classification achieved promising accuracies of 94.0% and 92.0%, respectively, based on non-handcrafted features extracted from CNN layers. Therefore, these models were able to predict nearly perfectly accurately using few trainable parameters or CNN layers, highlighting the importance of DL and ML techniques and suggesting that the computational analysis of microscopic anatomy will be essential to the future practice of pathology.

Highlights

  • Image classification and analysis has become popular in recent years, especially for medical images

  • We developed two lightweight convolutional neural network (CNN) (LWCNN) models for automatic detection of the Gleason patterns (GPs) in histological sections of prostate cancer (PCa) and extracted the non-handcrafted texture features from the CNN layers to classify these using an ensemble machine learning (ML) (EML) method

  • To classify images of PCa, this paper introduces two LWCNN models to perform the classification classification of the GP and distinguish between two classes

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Summary

Introduction

Image classification and analysis has become popular in recent years, especially for medical images. Cancer diagnosis and grading are often performed and evaluated using AI as these processes have become increasingly complex, because of growth in cancer incidence and the numbers of specific treatments. The analysis and classification of prostate cancer (PCa) are among the most challenging and difficult. PCa is the second most commonly diagnosed cancer among men in the USA and Europe, affecting approximately 25% of patients with cancer in the Western world [1]. PCa is a type of cancer that has always been an important challenge for pathologists and medical practitioners, with respect to detection, analysis, diagnosis, and treatment. Researchers have analyzed PCa in young Korean men (

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