Case Western Reserve University

The Cleveland Clinic Foundation

Kaustav Bera

Anant Madabhushi

Pranjal Vaidya

Vamsidhar Velcheti

Andrew Janowczyk

Prateek Prasanna

Patrick Leo

Embodiments discussed herein facilitate building and/or employing model(s) for determining tumor prognoses based on a combination of radiomic features and pathomic features. One example embodiment can perform actions comprising: providing, to a first machine learning model, at least one of: one or more intra-tumoral radiomic features associated with a tumor or one or more peri-tumoral radiomic features associated with a peri-tumoral region around the tumor; receiving a first predicted prognosis associated with the tumor from the first machine learning model; providing, to a second machine learning model, one or more pathomic features associated with the tumor; receiving a second predicted prognosis associated with the tumor from the second machine learning model; and generating a combined prognosis associated with the tumor based on the first predicted prognosis and the second predicted prognosis.

Combination of radiomic and pathomic features in the prediction of prognoses for tumors

Embodiments discussed herein facilitate building and/or employing a clinical-radiomics score for determining tumor prognoses based on a combination of a radiomics risk score generated by a machine learning model and clinico-pathological factors. One example embodiment can perform actions comprising: accessing a medical imaging scan of a tumor; segmenting a peri-tumoral region around the tumor; extracting one or more intra-tumoral radiomic features from the tumor and one or more peri-tumoral radiomic features from the peri-tumoral region; providing the one or more intra-tumoral radiomic features and the one or more peri-tumoral radiomic features to a trained machine learning model; receiving a radiomic risk score (RRS) associated with the tumor from the machine learning model; determining a clinical-radiomics score based on the RRS and one or more clinico-pathological factors; and generating a prognosis for the tumor based on the clinical-radiomics score.

Predicting tumor prognoses based on a combination of radiomic and clinico-pathological features

Embodiments include controlling a processor to perform operations, the operations comprising accessing a digitized image of a region of tissue (ROT) demonstrating cancerous pathology; extracting a set of radiomic features from the digitized image, where the set of radiomic features are positively correlated with programmed death-ligand 1 (PD-L1) expression; providing the set of radiomic features to a machine learning classifier; receiving, from the machine learning classifier, a probability that the region of tissue will experience cancer recurrence, where the machine learning classifier computes the probability based, at least in part, on the set of radiomic features; generating a classification of the region of tissue as likely to experience recurrence or non-recurrence based, at least in part, on the probability; and displaying the classification and at least one of the probability, the set of radiomic features, or the digitized image.

Predicting recurrence and overall survival using radiomic features correlated with PD-L1 expression in early stage non-small cell lung cancer (ES-NSCLC)

Embodiments facilitate generating a biochemical recurrence (BCR) prognosis by accessing a digitized image of a region of tissue demonstrating prostate cancer (CaP) pathology associated with a patient; generating a set of segmented gland lumen by segmenting a plurality of gland lumen represented in the region of tissue using a deep learning segmentation model; generating a set of post-processed segmented gland lumen; extracting a set of quantitative histomorphometry (QH) features from the digitized image based, at least in part, on the set of post-processed segmented gland lumen; generating a feature vector based on the set of QH features; computing a histotyping risk score based on a weighted sum of the feature vector; generating a classification of the patient as BCR high-risk or BCR low-risk based on the histotyping risk score and a risk score threshold; generating a BCR prognosis based on the classification; and displaying the BCR prognosis.

Prognosis of prostate cancer with computerized histomorphometric features of tumor morphology from routine hematoxylin and eosin slides

Embodiments include controlling a processor to access a radiological image of a region of lung tissue, where the radiological image includes a ground glass (GGO) nodule; define a tumoral region by segmenting the GGO nodule, where defining the tumoral region includes defining a tumoral boundary; define a peri-tumoral region based on the tumoral boundary; extract a set of radiomic features from the peri-tumoral region and the tumoral region; provide the set of radiomic features to a machine learning classifier trained to distinguish minimally invasive adenocarcinoma (MIA) and adenocarcinoma in situ (AIS) from invasive adenocarcinoma; receive, from the machine learning classifier, a probability that the GGO nodule is invasive adenocarcinoma, where the machine learning classifier computes the probability based on the set of radiomic features; generate a classification of the GGO nodule as MIA or AIS, or invasive adenocarcinoma, based, at least in part, on the probability; and display the classification.

Distinguishing minimally invasive carcinoma and adenocarcinoma in situ from invasive adenocarcinoma with intratumoral and peri-tumoral textural features

Embodiments generate an early stage NSCLC recurrence prognosis, and predict added benefit of adjuvant chemotherapy. Embodiments include processors configured to access a radiological image of a region of tissue demonstrating early stage NSCLC; segment a tumor represented in the radiological image; define a peritumoral region based on a morphological dilation of a boundary of the tumor; extract a radiomic signature that includes a set of tumoral radiomic features extracted from the tumoral region, and a set of peritumoral radiomic features extracted from the peritumoral region, based on a continuous time to event data; compute a radiomic score based on the radiomic signature; compute a probability of added benefit of adjuvant chemotherapy based on the radiomic score; and generate an NSCLC recurrence prognosis based on the radiomic score. Embodiments may display the radiomic score, or generate a personalized treatment plan based on the radiomic score.

Recurrence prognosis and prediction of added benefit of adjuvant chemotherapy in early stage non-small cell lung cancer with radiomic features on baseline computed tomography

Embodiments access a pre-immunotherapy image of tissue demonstrating NSCLC including a tumor and a peritumoral region; extract a first set of radiomic features from the image; provide the first set of radiomic features to a first machine learning classifier; receive a first probability from the first classifier that the tissue is hyperprogressor (HP) or non-responder (R); if the first probability that the tissue is within a threshold: generate a first classification of the ROT as HP or non-R based on the first probability; if the first probability is not within the threshold: extract a second set of radiomic features from the peritumoral region and provide the second set to a second machine learning classifier; receive a second probability from the second classifier that the tissue is HP or R; generate a second classification of the tissue as HP or R based on the second probability; and display the classification.

Growing community of inventors

Cleveland, OH, United States of America

Kaustav Bera