Faculty Publications
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Item Automated Molecular Subtyping of Breast Cancer Through Immunohistochemistry Image Analysis(Springer Science and Business Media Deutschland GmbH, 2023) Niyas, S.; Priya, S.; Oswal, R.; Mathew, T.; Kini, J.R.; Rajan, J.Molecular subtyping has a significant role in cancer prognosis and targeted therapy. However, the prevalent manual procedure for this has disadvantages, such as deficit of medical experts, inter-observer variability, and high time consumption. This paper suggests a novel approach to automate molecular subtyping of breast cancer using an end-to-end deep learning model. Immunohistochemistry (IHC) images of the tumor tissues are analyzed using a three-stage system to determine the subtype. A modified Res-UNet CNN architecture is used in the first stage to segregate the biomarker responses. This is followed by using a CNN classifier to determine the status of the four biomarkers. Finally, the biomarker statuses are combined to determine the specific subtype of breast cancer. For each IHC biomarker, the performance of segmentation models is analyzed qualitatively and quantitatively. In addition, the patient-level biomarker prediction results are also assessed. The findings of the suggested technique demonstrate the potential of computer-aided techniques to diagnose the subtypes of breast cancer. The proposed automated molecular subtyping approach can accelerate pathology procedures, considerably reduce pathologists’ workload, and minimize the overall cost and time required for diagnosis and treatment planning. © 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.Item Segmentation of focal cortical dysplasia lesions from magnetic resonance images using 3D convolutional neural networks(Elsevier Ltd, 2021) Niyas, S.; Chethana Vaisali, S.; Show, I.; Chandrika, T.G.; Vinayagamani, S.; Kesavadas, C.; Rajan, J.Computer-aided diagnosis using advanced Artific ial Intelligence (AI) techniques has become much popular over the last few years. This work automates the segmentation of Focal Cortical Dysplasia (FCD) lesions from three-dimensional (3D) Magnetic Resonance (MR) images. FCD is a type of neuronal malformation in the brain cortex and is the leading cause of intractable epilepsy, irrespective of gender or age differences. Since the neuron related abnormalities are usually resistant to drug therapy, surgical resection has been the main treatment approach for patients with intractable epilepsy. Automating the identification and segmentation of FCD is useful for neuroradiologists in pre-surgical evaluations. Convolutional Neural Networks (CNNs) have the ability to learn appropriate features from the training data without any human intervention. But, most of the state-of-the-art FCD segmentation approaches use two-dimensional (2D) CNN models despite the availability of 3D Magnetic resonance imaging (MRI) volumes, and hence fail to leverage the inter-slice information present in the MRI volumes. The major hurdles in considering a 3D CNN model are the need for a large 3D dataset, big memory, and high computation cost. A deep 3D CNN segmentation model, which can extract inter-slice information and overcomes the drawbacks of conventional 3D CNN methods to an extent, is proposed in this paper. The model uses a 3D version of U-Net with residual blocks that works on shallow depth 3D sub-volumes generated from MRI volumes. The proposed method shows superior performance over the state-of-the-art FCD segmentation methods in both qualitative and quantitative analysis. © 2021 Elsevier LtdItem Stroke classification from computed tomography scans using 3D convolutional neural network(Elsevier Ltd, 2022) Neethi, A.S.; Niyas, S.; Kannath, S.K.; Mathew, J.; Anzar, A.M.; Rajan, J.Stroke is a cerebrovascular condition with a significant morbidity and mortality rate and causes physical disabilities for survivors. Once the symptoms are identified, it requires a time-critical diagnosis with the help of the most commonly available imaging techniques. Computed tomography (CT) scans are used worldwide for preliminary stroke diagnosis. It demands the expertise and experience of a radiologist to identify the stroke type, which is critical for initiating the treatment. This work attempts to gather those domain skills and build a model from CT scans to diagnose stroke. The non-contrast computed tomography (NCCT) scan of the brain comprises volumetric images or a 3D stack of image slices. So, a model that aims to solve the problem by targeting a 2D slice may fail to address the volumetric nature. We propose a 3D-based fully convolutional classification model to identify stroke cases from CT images that take into account the contextual longitudinal composition of volumetric data. We formulate a custom pre-processing module to enhance the scans and aid in improving the classification performance. Some of the significant challenges faced by 3D CNN are the less number of training samples, and the number of scans is mostly biased in favor of normal patients. In this work, the limitation of insufficient training volume and class imbalanced data have been rectified with the help of a strided slicing approach. A block-wise design was used to formulate the proposed network, with the initial part focusing on adjusting the dimensionality, at the same time retaining the features. Later on, the accumulated feature maps were effectively learned utilizing bundled convolutions and skip connections. The results of the proposed method were compared against 3D CNN stroke classification models on NCCT, various 3D CNN architectures on other brain imaging modalities, and 3D extensions of some of the classical CNN architectures. The proposed method achieved an improvement of 14.28% in the F1-score over the state-of-the-art 3D CNN stroke classification model. © 2022 Elsevier LtdItem A novel deep classifier framework for automated molecular subtyping of breast carcinoma using immunohistochemistry image analysis(Elsevier Ltd, 2022) Mathew, T.; Niyas, S.; Johnpaul, C.I.; Kini, J.; Rajan, J.Breast carcinoma has various subtypes based on the genetic factors involved in the pathogenesis of the malignancy. Identifying the exact subtype and providing targeted treatment to the patient can improve the survival chances. Molecular subtyping through immunohistochemistry analysis is a pathology procedure to determine the subtype of breast cancer. The existing manual procedure is tedious and involves assessing the status of the four vital molecular biomarkers present in the tumor tissues. In this paper, a deep learning-based framework for automated molecular subtyping of breast cancer is proposed. Digital slide images of the four biomarkers are separately processed by the proposed framework. In the preprocessing stage, the non-informative background regions from the images are separated. The patches extracted from the foreground regions are classified into target classes using convolutional neural network models trained for this purpose. Classification results are post-processed to predict the status of all the four biomarkers. The predictions for the individual biomarkers are finally consolidated as per clinical guidelines to determine the subtype of the cancer. The proposed system is evaluated for the performance of individual biomarker status prediction and patient-level subtype classification.For patient-level evaluation of biomarkers ER, PR, K67, and HER2, the proposed method gives F1 Scores 1.00, 1.00, 0.90, and 0.94 respectively, whereas for molecular subtyping an F1 score of 0.89 is obtained. In both these aspects, the proposed framework has given significant results that show the effectiveness of our approach. © 2022 Elsevier LtdItem Automated Molecular Subtyping of Breast Carcinoma Using Deep Learning Techniques(Institute of Electrical and Electronics Engineers Inc., 2023) Niyas, S.; Bygari, R.; Naik, R.; Viswanath, B.; Ugwekar, D.; Mathew, T.; Kavya, J.; Kini, J.R.; Rajan, J.Objective: Molecular subtyping is an important procedure for prognosis and targeted therapy of breast carcinoma, the most common type of malignancy affecting women. Immunohistochemistry (IHC) analysis is the widely accepted method for molecular subtyping. It involves the assessment of the four molecular biomarkers namely estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor 2 (HER2), and antigen Ki67 using appropriate antibody reagents. Conventionally, these biomarkers are assessed manually by a pathologist, who finally combines individual results to identify the molecular subtype. Molecular subtyping necessitates the status of all the four biomarkers together, and to the best of our knowledge, no such automated method exists. This paper proposes a novel deep learning framework for automatic molecular subtyping of breast cancer from IHC images. Methods and procedures: A modified LadderNet architecture is proposed to segment the immunopositive elements from ER, PR, HER2, and Ki67 biomarker slides. This architecture uses long skip connections to pass encoder feature space from different semantic levels to the decoder layers, allowing concurrent learning with multi-scale features. The entire architecture is an ensemble of multiple fully convolutional neural networks, and learning pathways are chosen adaptively based on input data. The segmentation stage is followed by a post-processing stage to quantify the extent of immunopositive elements to predict the final status for each biomarker. Results: The performance of segmentation models for each IHC biomarker is evaluated qualitatively and quantitatively. Furthermore, the biomarker prediction results are also evaluated. The results obtained by our method are highly in concordance with manual assessment by pathologists. Clinical impact: Accurate automated molecular subtyping can speed up this pathology procedure, reduce pathologists' workload and associated costs, and facilitate targeted treatment to obtain better outcomes. © 2013 IEEE.