Abstract
In contrast to paraffin sections, frozen sections can be quickly generated during surgical interventions. This procedure allows surgeons to wait for histological findings during the intervention to base intra-operative decisions on the outcome of the histology. However, compared to paraffin sections, the quality of frozen sections is typically lower, leading to a higher ratio of miss-classification. In this work, we investigated the effect of the section type on automated decision support approaches for classification of thyroid cancer. This was enabled by a data set consisting of pairs of sections for individual patients. Moreover, we investigated, whether a frozen-to-paraffin translation could help to optimize classification scores. Finally, we propose a specific data augmentation strategy to deal with a small amount of training data and to increase classification accuracy even further.
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Change history
21 September 2021
In an older version of this paper, there was an error in the affiliation of the author Sebastien Couillard-Despres. This has been corrected.
References
Almahairi, A., Rajeshwar, S., Sordoni, A., Bachman, P., Courville, A.C.: Augmented cycleGAN: learning many-to-many mappings from unpaired data. In: Proceedings of International Conference on Machine Learning (ICML 2018) (2018)
Bentaieb, A., Hamarneh, G.: Adversarial stain transfer for histopathology image analysis. IEEE Trans. Med. Imaging 37(3), 792–802 (2018)
Dimitriou, N., Arandjelović, O., Caie, P.D.: Deep learning for whole slide image analysis: an overview. Front. Med. 6 (2019). https://doi.org/10.3389/fmed.2019.00264
Gadermayr, M., Gupta, L., Appel, V., Boor, P., Klinkhammer, B.M., Merhof, D.: Generative adversarial networks for facilitating stain-independent supervised and unsupervised segmentation: a study on kidney histology. IEEE Trans. Med. Imaging 38(10), 2293–2302 (2019)
Gupta, L., Klinkhammer, B.M., Boor, P., Merhof, D., Gadermayr, M.: Stain independent segmentation of whole slide images: a case study in renal histology. In: Proceedings of the IEEE International Symposium on Biomedical Imaging (ISBI 2018) (2018)
Halicek, M., et al.: Head and neck cancer detection in digitized whole-slide histology using convolutional neural networks. Sci. Rep. 9(1) (2019)
Hou, L., Samaras, D., Kurc, T.M., Gao, Y., Davis, J.E., Saltz, J.H.: Patch-based convolutional neural network for whole slide tissue image classification. In: Proceedings of the International Conference on Computer Vision (CVPR 2016) (2016)
Huang, X., Liu, M.Y., Belongie, S., Kautz, J.: Multimodal unsupervised image-to-image translation. In: Proceedings of the European Conference on Computer Vision (ECCV 2018) (2018)
Huber, G.F., et al.: Intraoperative frozen-section analysis for thyroid nodules. Arch. Otolaryngol.-Head Neck Surg. 133(9), 874 (2007)
Isola, P., Zhu, J.Y., Zhou, T., Efros, A.A.: Image-to-image translation with conditional adversarial networks. In: Proceedings of the International Conference on Computer Vision and Pattern Recognition (CVPR 2017) (2017)
Leteurtre, E., et al.: Why do frozen sections have limited value in encapsulated or minimally invasive follicular carcinoma of the thyroid? Am. J. Clin. Pathol. 115(3), 370–374 (2001)
Liu, M.Y., Breuel, T., Kautz, J.: Unsupervised image-to-image translation networks. In: Guyon, I., et al. (eds.) Advances in Neural Information Processing Systems (NIPS), pp. 700–708 (2017)
Najah, H., Tresallet, C.: Role of frozen section in the surgical management of indeterminate thyroid nodules. Gland Surg. 8(S2), 112–117 (2019)
Osamura, R.Y., Hunt, J.L.: Current practices in performing frozen sections for thyroid and parathyroid pathology. Virchows Arch. 453(5), 433–440 (2008)
Park, T., Efros, A.A., Zhang, R., Zhu, J.Y.: Contrastive learning for conditional image synthesis. In: Proceedings of the European Conference on Computer Vision (ECCV 2020) (2020)
Udelsman, R., Westra, W.H., Donovan, P.I., Sohn, T.A., Cameron, J.L.: Randomized prospective evaluation of frozen-section analysis for follicular neoplasms of the thyroid. Ann. Surg. 233(5), 716–722 (2001)
Wang, S., Yang, D.M., Rong, R., Zhan, X., Xiao, G.: Pathology image analysis using segmentation deep learning algorithms. Am. J. Pathol. 189(9), 1686–1698 (2019)
Wolterink, J.M., Dinkla, A.M., Savenije, M.H.F., Seevinck, P.R., van den Berg, C.A.T., Išgum, I.: Deep MR to CT synthesis using unpaired data. In: Tsaftaris, S.A., Gooya, A., Frangi, A.F., Prince, J.L. (eds.) SASHIMI 2017. LNCS, vol. 10557, pp. 14–23. Springer, Cham (2017). https://doi.org/10.1007/978-3-319-68127-6_2
Yi, Z., Zhang, H., Tan, P., Gong, M.: DualGAN: unsupervised dual learning for image-to-image translation. In: Proceedings of the IEEE International Conference on Computer Vision (ICCV 2017) (2017)
Zhu, J.Y., Park, T., Isola, P., Efros, A.A.: Unpaired image-to-image translation using cycle-consistent adversarial networks. In: Proceedings of the International Conference on Computer Vision (ICCV 2017) (2017)
Acknowledgement
This work was partially funded by the County of Salzburg under grant number FHS-2019-10-KIAMed.
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Gadermayr, M. et al. (2021). Frozen-to-Paraffin: Categorization of Histological Frozen Sections by the Aid of Paraffin Sections and Generative Adversarial Networks. In: Svoboda, D., Burgos, N., Wolterink, J.M., Zhao, C. (eds) Simulation and Synthesis in Medical Imaging. SASHIMI 2021. Lecture Notes in Computer Science(), vol 12965. Springer, Cham. https://doi.org/10.1007/978-3-030-87592-3_10
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