BIOMERO: A scalable and extensible image analysis framework.

In the rapidly evolving field of bioimaging, the integration and orchestration of findable, accessible, interoperable, and reusable (FAIR) image analysis workflows remains a challenge. We introduce BIOMERO (bioimage analysis in OMERO), a bridge connecting OMERO, a renowned bioimaging data management platform; FAIR workflows; and high-performance computing (HPC) environments. BIOMERO facilitates seamless execution of FAIR workflows, particularly for large datasets from high-content or high-throughput screening. BIOMERO empowers researchers by eliminating the need for specialized knowledge, enabling scalable image processing directly from OMERO. BIOMERO notably supports the sharing and utilization of FAIR workflows between OMERO, Cytomine/BIAFLOWS, and other bioimaging communities. BIOMERO will promote the widespread adoption of FAIR workflows, emphasizing reusability, across the realm of bioimaging research. Its user-friendly interface will empower users, including those without technical expertise, to seamlessly apply these workflows to their datasets, democratizing the utilization of AI by the broader research community.

Early detection of colorectal cancer by leveraging Dutch primary care consultation notes with free text embeddings.

We aimed to assess the added predictive performance that free-text Dutch consultation notes provide in detecting colorectal cancer in primary care, in comparison to currently used models. We developed, evaluated and compared three prediction models for colorectal cancer (CRC) in a large primary care database with 60,641 patients. The prediction model with both known predictive features and free-text data (with TabTxt AUROC: 0.823) performs statistically significantly better (p < 0.05) than the other two models with only tabular (as used nowadays) and text data, respectively (AUROC Tab: 0.767; Txt: 0.797). The specificity of the two models that use demographics and known CRC features (with specificity Tab: 0.321; TabTxt: 0.335) are higher than that of the model with only free-text (specificity Txt: 0.234). The Txt and, to a lesser degree, TabTxt model are well calibrated, while the Tab model shows slight underprediction at both tails. As expected with an outcome prevalence below 0.01, all models show much uncalibrated predictions in the extreme upper tail (top 1%). Free-text consultation notes show promising results to improve the predictive performance over established prediction models that only use structured features. Clinical future implications for our CRC use case include that such improvement may help lowering the number of referrals for suspected CRC to medical specialists.