Abstract

The classification of colorectal cancer (CRC) lymph node metastasis (LNM) is a vital clinical issue related to recurrence and design of treatment plans. However, it remains unclear which method is effective in automatically classifying CRC LNM. Hence, this study compared the performance of existing classification methods, i.e., machine learning, deep learning, and deep transfer learning, to identify the most effective method. A total of 3,364 samples (1,646 positive and 1,718 negative) from Harbin Medical University Cancer Hospital were collected. All patches were manually segmented by experienced radiologists, and the image size was based on the lesion to be intercepted. Two classes of global features and one class of local features were extracted from the patches. These features were used in eight machine learning algorithms, while the other models used raw data. Experiment results showed that deep transfer learning was the most effective method with an accuracy of 0.7583 and an area under the curve of 0.7941. Furthermore, to improve the interpretability of the results from the deep learning and deep transfer learning models, the classification heat-map features were used, which displayed the region of feature extraction by superposing with raw data. The research findings are expected to promote the use of effective methods in CRC LNM detection and hence facilitate the design of proper treatment plans.

Highlights

  • Colorectal cancer (CRC) has a higher recurrence rate than all other cancers (Bray et al, 2018)

  • Based on the ACC and area under the curve (AUC) values, the optimal features set of each machine learning method for CRC lymph node metastasis (LNM) classification was defined

  • Transfer learning was identified as the best method for CRC LNM classification in this study

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Summary

Introduction

Colorectal cancer (CRC) has a higher recurrence rate than all other cancers (Bray et al, 2018). CRC patients with LNM have a 5-year survival rate ranging from 50 to 68%, but those without LNM have a higher rate up to 95% (Ishihara et al, 2017; Zhou et al, 2017). Treatment of CRC is influenced by the presence of LNM. The conventional treatment plan involves endoscopic resection, and surgical resection accompanied by LN dissection is necessary for patients with LNM (Nasu et al, 2013). It is important to determine the presence of CRC LNM, and to this end, an automatic classification method for CRC LNM should be explored to give a second objective opinion and assist the radiologist in providing a correct report

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