Abstract

The aim of the study was to test applycability of neural networks to classification of pancreatic intraductal proliferative lesions basing on nuclear features, especially chromatin texture. Material for the study was obtained from patients operated on for pancreatic cancer, chronic pancreatitis and other tumours requiring pancreatic resection. Intraductal lesions were classified as low and high grade as previously described. The image analysis system consisted of a microscope, CCD camera combined with a PC and AnalySIS v. 2.11 software. The following texture characteristics were measured: variance of grey levels, features extracted from the grey levels correlation matrix and mean values, variance and standard deviation of the energy obtained from Laws matrices. Furthermore we used moments derived invariants and basic geometric data such as surface area, the minimum and maximum diameter and shape factor. The sets of data were randomly divided into training and testing groups. The training of the network using the back‐propagation algorithm, and the final classification of data was carried out with a neural network simulator SNNS v. 4.1. We studied the efficacy of networks containing from one to three hidden layers. Using the best network, containing three hidden layers, the rate of correct classification of nuclei was 73%, and the rate of misdiagnosis was 3%; in 24% the network response was ambiguous. The present findings may serve as a starting point in search for methods facilitating early diagnosis of ductal pancreatic carcinoma.

Highlights

  • The incidence of ductal pancreatic carcinoma is rising, and the prognosis remains poor

  • Ductal pancreatic carcinoma in the whole group I was an adenocarcinoma of intermediate differentiation

  • The neural network may be in this case useful, it may require highly complex network architecture

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Summary

Introduction

The incidence of ductal pancreatic carcinoma is rising, and the prognosis remains poor. For this reason early detection of this malignancy and identification of potential precancerous lesions is desirable. It is believed that ductal pancreatic carcinoma may develop from intraductal hyperplasia in a multistage process. Identification of cells originating from these hyperplastic lesions provides a chance of identifying patients at risk of dying of pancreatic carcinoma, yet potentially curable. For this purpose it is necessary to identify the cytological features of intraductal hyperplastic cells using special techniques such as image analysis

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