Breast cancer has the highest mortality among cancers in women. Computer-aided pathology to analyze microscopic histopathology images for diagnosis with an increasing number of breast cancer patients can bring the cost and delays of diagnosis down. Deep learning in histopathology has attracted attention over the last decade of achieving state-of-the-art performance in classification and localization tasks. The convolutional neural network, a deep learning framework, provides remarkable results in tissue images analysis, but lacks in providing interpretation and reasoning behind the decisions. We aim to provide a better interpretation of classification results by providing localization on microscopic histopathology images. We frame the image classification problem as weakly supervised multiple instance learning problem where an image is collection of patches i.e. instances. Attention-based multiple instance learning (A-MIL) learns attention on the patches from the image to localize the malignant and normal regions in an image and use them to classify the image. We present classification and localization results on two publicly available BreakHIS and BACH dataset. The classification and visualization results are compared with other recent techniques. The proposed method achieves better localization results without compromising classification accuracy.

The suggestion that the systemic immune response in lymph nodes (LNs) conveys prognostic value for triple-negative breast cancer (TNBC) patients has not previously been investigated in large cohorts. We used a deep learning (DL) framework to quantify morphological features in haematoxylin and eosin-stained LNs on digitised whole slide images. From 345 breast cancer patients, 5,228 axillary LNs, cancer-free and involved, were assessed. Generalisable multiscale DL frameworks were developed to capture and quantify germinal centres (GCs) and sinuses. Cox regression proportional hazard models tested the association between smuLymphNet-captured GC and sinus quantifications and distant metastasis-free survival (DMFS). smuLymphNet achieved a Dice coefficient of 0.86 and 0.74 for capturing GCs and sinuses, respectively, and was comparable to an interpathologist Dice coefficient of 0.66 (GC) and 0.60 (sinus). smuLymphNet-captured sinuses were increased in LNs harbouring GCs (p < 0.001). smuLymphNet-captured GCs retained clinical relevance in LN-positive TNBC patients whose cancer-free LNs had on average ≥2 GCs, had longer DMFS (hazard ratio [HR] = 0.28, p = 0.02) and extended GCs' prognostic value to LN-negative TNBC patients (HR = 0.14, p = 0.002). Enlarged smuLymphNet-captured sinuses in involved LNs were associated with superior DMFS in LN-positive TNBC patients in a cohort from Guy's Hospital (multivariate HR = 0.39, p = 0.039) and with distant recurrence-free survival in 95 LN-positive TNBC patients of the Dutch-N4plus trial (HR = 0.44, p = 0.024). Heuristic scoring of subcapsular sinuses in LNs of LN-positive Tianjin TNBC patients (n = 85) cross-validated the association of enlarged sinuses with shorter DMFS (involved LNs: HR = 0.33, p = 0.029 and cancer-free LNs: HR = 0.21 p = 0.01). Morphological LN features reflective of cancer-associated responses are robustly quantifiable by smuLymphNet. Our findings further strengthen the value of assessment of LN properties beyond the detection of metastatic deposits for prognostication of TNBC patients.

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The automatic classification of animal images is an onerous task due to the challenging image conditions, especially when it comes to animal breeds. In this paper, we built a semi-supervised learning based Multi-part Convolutional Neural Network (MP-CNN) that classifies 35,992 animal images from ImageNet into 27 different classes of animals. The proposed model classifies the animals on both generic and fine-grained level. The animal breeds are accurately classified using Multi-part Convolutional Neural Network with a hybrid feature extraction framework of Fisher Vector based Stacked Autoencoder. Furthermore, with Semi-supervised learning based pseudo-labels, the model classifies new classes of unlabeled images too. Modified Hellinger Kernel classifier has been used to re-train the misclassified classes of animals and thereby improve the performance obtained from MP-CNN. The model has experimented with varied tasks to analyze its performance in each of the cases. The experimental results have proved that the coalesced approach of MP-CNN with pseudo-labels can accurately classify animal breeds and we have achieved an accuracy of 99.95% from the proposed model. INDEX TERMSFisher vector, inception-V3, modified hellinger Kernel classifier, multi-part based convolutional neural network, pseudo-labels, semi-supervised learning, stacked autoencoder.