RESUMEN
Fibrosis is an inevitable stage in the development of chronic liver disease and has an irreplaceable role in characterizing the degree of progression of chronic liver disease. Histopathological diagnosis is the gold standard for the interpretation of fibrosis parameters. Conventional hematoxylin-eosin (H&E) staining can only reflect the gross structure of the tissue and the distribution of hepatocytes, while Masson trichrome can highlight specific types of collagen fiber structure, thus providing the necessary structural information for fibrosis scoring. However, the expensive costs of time, economy, and patient specimens as well as the non-uniform preparation and staining process make the conversion of existing H&E staining into virtual Masson trichrome staining a solution for fibrosis evaluation. Existing translation approaches fail to extract fiber features accurately enough, and the decoder of staining is unable to converge due to the inconsistent color of physical staining. In this work, we propose a prior-guided generative adversarial network, based on unpaired data for effective Masson trichrome stained image generation from the corresponding H&E stained image. Conducted on a small training set, our method takes full advantage of prior knowledge to set up better constraints on both the encoder and the decoder. Experiments indicate the superior performance of our method that surpasses the previous approaches. For various liver diseases, our results demonstrate a high correlation between the staging of real and virtual stains (ρ=0.82; 95% CI: 0.73-0.89). In addition, our finetuning strategy is able to standardize the staining color and release the memory and computational burden, which can be employed in clinical assessment.
Asunto(s)
Colorantes , Humanos , Coloración y Etiquetado , Eosina Amarillenta-(YS) , FibrosisRESUMEN
BACKGROUND: Determining the origin of bone metastatic cancer (OBMC) is of great significance to clinical therapeutics. It is challenging for pathologists to determine the OBMC with limited clinical information and bone biopsy. METHODS: We designed a regional multiple-instance learning algorithm to predict the OBMC based on hematoxylin-eosin (H&E) staining slides alone. We collected 1041 cases from eight different hospitals and labeled 26,431 regions of interest to train the model. The performance of the model was assessed by ten-fold cross validation and external validation. Under the guidance of top3 predictions, we conducted an IHC test on 175 cases of unknown origins to compare the consistency of the results predicted by the model and indicated by the IHC markers. We also applied the model to identify whether there was tumor or not in a region, as well as distinguishing squamous cell carcinoma, adenocarcinoma, and neuroendocrine tumor. FINDINGS: In the within-cohort, our model achieved a top1-accuracy of 91.35% and a top3-accuracy of 97.75%. In the external cohort, our model displayed a good generalizability with a top3-accuracy of 97.44%. The top1 consistency between the results of the model and the immunohistochemistry markers was 83.90% and the top3 consistency was 94.33%. The model obtained an accuracy of 98.98% to identify whether there was tumor or not and an accuracy of 93.85% to differentiate three types of cancers. INTERPRETATION: Our model demonstrated good performance to predict the OBMC from routine histology and had great potential for assisting pathologists with determining the OBMC accurately. FUNDING: National Science Foundation of China (61875102 and 61975089), Natural Science Foundation of Guangdong province (2021A15-15012379 and 2022A1515 012550), Science and Technology Research Program of Shenzhen City (JCYJ20200109110606054 and WDZC20200821141349001), and Tsinghua University Spring Breeze Fund (2020Z99CFZ023).
Asunto(s)
Adenocarcinoma , Neoplasias Óseas , Carcinoma de Células Escamosas , Aprendizaje Profundo , Humanos , Algoritmos , Neoplasias Óseas/diagnósticoRESUMEN
Biological nonassociative learning is one of the simplest forms of unsupervised learning in animals and can be categorized into habituation and sensitization according to mechanism. This paper proposes a memristive circuit that is based on nonassociative learning and can adapt to repeated inputs, reduce power consumption (habituation), and be sensitive to harmful inputs (sensitization). The circuit includes 1) synapse module, 2) neuron module, 3) feedback module. The first module mainly consists of memristors representing synapse weights that vary with corresponding inputs. Memristance is automatically reduced when a harmful stimulus is input, and climbs at the input interval according to the feedback input when repeated stimuli are input. The second module produces spiking voltage when the total input is above the given threshold. The third module can provide feedback voltage according to the frequency and quantity of input stimuli. Simulation results show that the proposed circuit can generate output signals with biological nonassociative learning characteristics, with varying amplitudes depending on the characteristics of input signals. When the frequency and quantity of the input stimuli are high, the degree of habituation and sensitization intensifies. The proposed circuit has good robustness; can reduce the influence of noise, circuit parasitics and circuit aging during nonassociative learning; and simulate the afterimages caused by visual fatigue for application in automatic exposure compensation.