Pub Date : 2021-07-01DOI: 10.1158/1538-7445.AM2021-171
Christie L. Husted, F. Aguet, C. Shea, A. Gower, William J. Mischler, Y. Koga, R. Hong, S. Dubinett, A. Spira, S. Mazzilli, E. Cerami, I. Leshchiner, M. Lenburg, G. Getz, J. Beane, Joshua D. Campbell
{"title":"Abstract 171: Cloud-based bulk and single-cell RNAseq pipelines in the Terra platform for the Lung PCA","authors":"Christie L. Husted, F. Aguet, C. Shea, A. Gower, William J. Mischler, Y. Koga, R. Hong, S. Dubinett, A. Spira, S. Mazzilli, E. Cerami, I. Leshchiner, M. Lenburg, G. Getz, J. Beane, Joshua D. Campbell","doi":"10.1158/1538-7445.AM2021-171","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2021-171","url":null,"abstract":"","PeriodicalId":73617,"journal":{"name":"Journal of bioinformatics and systems biology : Open access","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86554885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.1158/1538-7445.AM2021-3
R. Verma, Wei Wu, Neeraj Kumar, Elizabeth A. Yu, Won-Tak Choi, S. Umetsu, T. Bivona
{"title":"Abstract 3: Deep learning-based integration of esophageal cancer morphology with genomics","authors":"R. Verma, Wei Wu, Neeraj Kumar, Elizabeth A. Yu, Won-Tak Choi, S. Umetsu, T. Bivona","doi":"10.1158/1538-7445.AM2021-3","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2021-3","url":null,"abstract":"","PeriodicalId":73617,"journal":{"name":"Journal of bioinformatics and systems biology : Open access","volume":"153 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86134801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.1158/1538-7445.AM2021-222
Chengyue Wu, D. Hormuth, F. Pineda, G. Karczmar, T. Yankeelov
{"title":"Abstract 222: Towards patient-specific optimization of neoadjuvant treatment protocols for breast cancer based on image-based fluid dynamics","authors":"Chengyue Wu, D. Hormuth, F. Pineda, G. Karczmar, T. Yankeelov","doi":"10.1158/1538-7445.AM2021-222","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2021-222","url":null,"abstract":"","PeriodicalId":73617,"journal":{"name":"Journal of bioinformatics and systems biology : Open access","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74885438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.1158/1538-7445.AM2021-168
Sairahul R Pentaparthi, Brandon Burgman, Song Yi
{"title":"Abstract 168: Computational model for prediction of actionable drug combinations in cancer","authors":"Sairahul R Pentaparthi, Brandon Burgman, Song Yi","doi":"10.1158/1538-7445.AM2021-168","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2021-168","url":null,"abstract":"","PeriodicalId":73617,"journal":{"name":"Journal of bioinformatics and systems biology : Open access","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78093613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.1158/1538-7445.AM2021-196
A. Akalin, B. Uyar, J. Ronen, V. Franke
Cancer is a heterogeneous collection of diseases traditionally classified by the tissue of origin. The diversity of the molecular profiles of cancers has a big impact on the way patients are diagnosed and treated, how they respond to their prescribed treatments, the duration of survival after diagnosis, and factors such as remission, recurrence, or spread (metastasis) of the disease. While such diagnostic and prognostic outcomes are potentially predictable by taking a closer look into the changes of the genome, epigenome, transcriptome, proteome, and various other omics platforms, the contemporary cancer treatments still predominantly don9t make the best use of such multi-omics profiling of patient samples. Therefore, multi-omics profiling of cancers holds great potential to define a molecularly coherent subtype definition of cancers in order to achieve the eventual goal of matching the best possible treatment to the subgroup of patients. However, the current subtypes from consortiums such as TCGA have been defined by heterogeneous methods and molecular markers by different teams. A subset of these studies have not attempted to characterize molecular subtypes, but rather taken histopathologically defined subtypes as the gold standard and tried to characterize molecular features of these subtypes. Here we evaluate TCGA cancer subtypes based on the molecular profile coherence score. This novel metric combines survival statistics, pathways information, tumor purity estimates, and mutational signatures. We expect that subtypes that are patient subgroups should display molecular signature homogeneity. We evaluate TCGA subtypes from 21 cancers using these criteria and compare the subtypes with our own definition using multi-omics data in a deep learning framework. We have refined the several subtypes from multiple cancers towards more molecularly coherent patient subgroups. Citation Format: Altuna Akalin, Bora Uyar, Jonathan Ronen, Vedran Franke. Redefining cancer subtypes using multi-omics and deep learning [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2021; 2021 Apr 10-15 and May 17-21. Philadelphia (PA): AACR; Cancer Res 2021;81(13_Suppl):Abstract nr 196.
癌症是一种异质性的疾病集合,传统上按起源组织分类。癌症分子谱的多样性对患者的诊断和治疗方式、他们对处方治疗的反应、诊断后的生存时间以及疾病的缓解、复发或扩散(转移)等因素有很大影响。虽然通过对基因组、表观基因组、转录组、蛋白质组和各种其他组学平台的变化进行更仔细的观察,可以预测这些诊断和预后结果,但当代癌症治疗仍然主要没有充分利用这些患者样本的多组学分析。因此,癌症的多组学分析具有巨大的潜力,可以定义癌症的分子一致亚型定义,从而实现将最佳治疗方法与患者亚组相匹配的最终目标。然而,目前来自TCGA等联盟的亚型是由不同的团队通过异质方法和分子标记来定义的。这些研究的一个子集没有试图表征分子亚型,而是将组织病理学定义的亚型作为金标准,并试图表征这些亚型的分子特征。在这里,我们基于分子谱一致性评分来评估TCGA癌症亚型。这种新的度量结合了生存统计、途径信息、肿瘤纯度估计和突变特征。我们期望作为患者亚组的亚型应该表现出分子特征的同质性。我们使用这些标准评估了21种癌症的TCGA亚型,并在深度学习框架中使用多组学数据将亚型与我们自己的定义进行了比较。我们已经从多种癌症中提炼了几种亚型,使其趋向于分子上更一致的患者亚群。引文格式:Altuna Akalin, Bora Uyar, Jonathan Ronen, Vedran Franke。利用多组学和深度学习重新定义癌症亚型[摘要]。见:美国癌症研究协会2021年年会论文集;2021年4月10日至15日和5月17日至21日。费城(PA): AACR;癌症杂志,2021;81(13 -增刊):摘要第196期。
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Pub Date : 2021-07-01DOI: 10.1158/1538-7445.AM2021-202
N. Reyes, R. Tiwari, J. Geliebter
Background: Prostate cancer is the most frequently diagnosed malignancy and the fourth leading cause of cancer-related death in the global male population. Although the disease has a relatively low mortality rate with some patients surviving for 10-20 years after treatment, others respond poorly to treatment and die of metastatic disease within 2-3 years. Therefore, there is an urgent need to develop strategies to identify patients with clinically significant prostate cancer requiring aggressive treatment to improve survival, while sparing others unnecessary side effects. The purpose of this study was to identify survival associated genes in prostate cancer patients from the TCGA database using bioinformatics tools. Methods: Data from prostate cancer patients in the TCGA database were divided into two study groups: a high and a low expression group, relative to the median expression. The Gene Expression Profiling Interactive Analysis (GEPIA2) tool was used for the identification of the most differential survival genes. Metascape bioinformatics tool was subsequently used for clustering of genes based on processes, pathway enrichment analysis, and construction of Protein-Protein Interaction (PPI) network. Metascape was also used for molecular Complex Detection (MCODE) to identify the genes with the highest degree of connection, known as hub genes, and to screen modules of the PPI network. Results: Bioinformatics analysis allowed the identification of 361 genes whose expression levels were significantly associated with overall survival in prostate cancer patients from the TCGA. Survival associated genes were primarily enriched in mRNA processing, DNA repair, ncRNA processing, DNA replication, macromolecule methylation, among others. The 12 most connected genes were selected as hub genes and Kaplan-Meier analysis was used to verify survival associated with this set of genes. Hub genes included several splicing factors and components of the processing machinery of cellular pre-mRNAs. Conclusions: These hub genes may reveal basic mechanisms underlying the development of clinically relevant prostate cancer and contribute to the identification of novel markers for prognosis of this cancer. Citation Format: Niradiz Reyes, Raj Tiwari, Jan Geliebter. Identification of survival associated hub genes in prostate cancer patients from the TCGA database [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2021; 2021 Apr 10-15 and May 17-21. Philadelphia (PA): AACR; Cancer Res 2021;81(13_Suppl):Abstract nr 202.
背景:前列腺癌是全球男性人群中最常见的恶性肿瘤,也是癌症相关死亡的第四大原因。虽然这种疾病的死亡率相对较低,一些患者在治疗后存活10-20年,但其他患者对治疗反应不佳,在2-3年内死于转移性疾病。因此,迫切需要制定策略来识别需要积极治疗的临床显著前列腺癌患者,以提高生存率,同时避免其他不必要的副作用。本研究的目的是利用生物信息学工具从TCGA数据库中识别前列腺癌患者的生存相关基因。方法:将TCGA数据库中前列腺癌患者的数据,相对于中位表达分为高表达组和低表达组两组。基因表达谱交互分析(GEPIA2)工具用于鉴定大多数差异生存基因。随后使用Metascape生物信息学工具进行基于过程的基因聚类、途径富集分析和蛋白质-蛋白质相互作用(PPI)网络的构建。metscape还用于分子复合物检测(MCODE),以鉴定连接程度最高的基因,称为枢纽基因,并筛选PPI网络的模块。结果:生物信息学分析鉴定出361个基因,这些基因的表达水平与TCGA中前列腺癌患者的总生存率显著相关。生存相关基因主要富集于mRNA加工、DNA修复、ncRNA加工、DNA复制、大分子甲基化等。选取关联性最大的12个基因作为枢纽基因,采用Kaplan-Meier分析验证该组基因的相关生存率。枢纽基因包括几个剪接因子和细胞前mrna加工机制的组成部分。结论:这些中心基因可能揭示了临床相关前列腺癌发生的基本机制,并有助于发现前列腺癌预后的新标志物。引文格式:Niradiz Reyes, Raj Tiwari, Jan Geliebter。TCGA数据库中前列腺癌患者生存相关枢纽基因的鉴定[摘要]。见:美国癌症研究协会2021年年会论文集;2021年4月10日至15日和5月17日至21日。费城(PA): AACR;癌症杂志,2021;81(13 -增刊):摘要第202期。
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Pub Date : 2021-07-01DOI: 10.1158/1538-7445.AM2021-LB017
Zinaida Perova, Csaba Halmagyi, Abayomi Mosaku, N. Conte, J. Mason, Alex Follette, Ross Thorne, Mauricio Martinez, S. Neuhauser, D. Begley, D. Krupke, H. Parkinson, T. Meehan, C. Bult
Patient-derived tumor xenograft (PDX) models are a critical oncology platform for cancer research, drug development and personalized medicine. Because of the heterogeneous nature of PDXs repositories, finding models of interest is a challenge. The Jackson Laboratory and EMBL-EBI are developing PDX Finder, the world9s largest open PDX database containing millions of phenomic information from over 4300 models (www.pdxfinder.org, PMID: 30535239). In support of this initiative, we developed the PDX Minimal Information standard (PDX-MI) which defines metadata necessary to describe models (PMID: 29092942). Within PDX Finder, critical attributes like diagnosis, drug names or genes are harmonized into a cohesive ontological data model based on PDX-MI. An intuitive search and faceted search interface allow users to select models based on clinical/PDX attributes, tumor markers, dataset availability and/or drug dosing results. We provide PDX, patient, drug and molecular data detail pages where all available information can be browsed and downloaded. To further facilitate user9s model selection, we are linking key external resources like publication platforms and cancer-specific annotation tools enabling exploration and prioritization of PDX variation data (COSMIC, CIViC, OncoMx, OpenCRAVAT). Links to originating resource protocols and contact information are provided, facilitating data understanding and further collaboration. Alongside database development activities, PDX Finder has undertaken activities to tackle areas of standards and tool development, data integration and outreach. PDX Finder provides key expertise and software components to support several worldwide consortia including PDXNet, PDMR and EurOPDX. We are driving the development of, and promoting the use of descriptive standards to facilitate data interoperability and promote global sharing of models. Our standard has become established in the community for data exchange, adopted by PDX providers, consortia, and informatics tools integrating PDX data. It has been re-used by different initiatives in the context of data collection and data modeling allowing adherence to the FAIR data principles - Findability, Accessibility, Interoperability and Reusability. PDX Finder is increasing awareness of PDX models, facilitating data integration, and enabling international collaboration, maximizing the investment in, and translational capabilities of these important models of human cancer. PDX Finder is freely available under an Apache 2 license (github.com/pdxfinder). Work supported by NCI U24 CA204781 01 (ended 31Aug2020), U24 CA253539, and R01 CA089713. Citation Format: Zinaida Perova, Csaba Halmagyi, Abayomi Mosaku, Nathalie Conte, Jeremy Mason, Alex Follette, Ross Thorne, Mauricio Martinez, Steven Neuhauser, Dale Begley, Debra Krupke, Helen Parkinson, Terrence Meehan, Carol Bult. PDX Finder: An open and global catalogue of patient-derived xenograft models [abstract]. In: Proceedings of the America
患者源性肿瘤异种移植(PDX)模型是癌症研究、药物开发和个性化医疗的重要肿瘤学平台。由于pdx存储库的异构特性,找到感兴趣的模型是一项挑战。Jackson实验室和EMBL-EBI正在开发PDX Finder,这是世界上最大的开放PDX数据库,包含来自4300多个模型的数百万个现象信息(www.pdxfinder.org, PMID: 30535239)。为了支持这个计划,我们开发了PDX最小信息标准(PDX- mi),它定义了描述模型所需的元数据(PMID: 29092942)。在PDX Finder中,诊断、药物名称或基因等关键属性被协调到基于PDX- mi的内聚本体数据模型中。直观的搜索和分面搜索界面允许用户根据临床/PDX属性、肿瘤标志物、数据集可用性和/或药物剂量结果选择模型。我们提供PDX,患者,药物和分子数据详细页面,所有可用的信息都可以浏览和下载。为了进一步方便用户的模型选择,我们正在链接关键的外部资源,如出版平台和癌症特定的注释工具,以便对PDX变异数据(COSMIC, CIViC, OncoMx, OpenCRAVAT)进行探索和优先排序。提供了原始资源协议和联系信息的链接,以促进数据理解和进一步合作。除了数据库开发活动,PDX Finder还承担了处理标准和工具开发、数据集成和扩展等领域的活动。PDX Finder提供关键的专业知识和软件组件,以支持几个全球联盟,包括PDXNet, PDMR和EurOPDX。我们正在推动描述性标准的开发和推广使用,以促进数据互操作性和促进模型的全球共享。我们的标准已经在数据交换社区中建立起来,被PDX提供者、联盟和集成PDX数据的信息学工具所采用。它在数据收集和数据建模的背景下被不同的计划重用,从而遵守FAIR数据原则——可查找性、可访问性、互操作性和可重用性。PDX Finder正在提高人们对PDX模型的认识,促进数据集成,实现国际合作,最大限度地提高对这些重要人类癌症模型的投资和转化能力。PDX Finder在Apache 2许可下免费提供(github.com/pdxfinder)。NCI U24 CA204781 01(截止2020年8月31日)、U24 CA253539、R01 CA089713支持。引文格式:Zinaida Perova, Csaba Halmagyi, Abayomi Mosaku, Nathalie Conte, Jeremy Mason, Alex Follette, Ross Thorne, Mauricio Martinez, Steven Neuhauser, Dale Begley, Debra Krupke, Helen Parkinson, Terrence Meehan, Carol Bult。PDX Finder:一个开放和全球的病人来源的异种移植模型目录[摘要]。见:美国癌症研究协会2021年年会论文集;2021年4月10日至15日和5月17日至21日。费城(PA): AACR;癌症杂志,2021;81(13 -增刊):摘要nr LB017。
{"title":"Abstract LB017: PDX Finder: An open and global catalogue of patient-derived xenograft models","authors":"Zinaida Perova, Csaba Halmagyi, Abayomi Mosaku, N. Conte, J. Mason, Alex Follette, Ross Thorne, Mauricio Martinez, S. Neuhauser, D. Begley, D. Krupke, H. Parkinson, T. Meehan, C. Bult","doi":"10.1158/1538-7445.AM2021-LB017","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2021-LB017","url":null,"abstract":"Patient-derived tumor xenograft (PDX) models are a critical oncology platform for cancer research, drug development and personalized medicine. Because of the heterogeneous nature of PDXs repositories, finding models of interest is a challenge. The Jackson Laboratory and EMBL-EBI are developing PDX Finder, the world9s largest open PDX database containing millions of phenomic information from over 4300 models (www.pdxfinder.org, PMID: 30535239). In support of this initiative, we developed the PDX Minimal Information standard (PDX-MI) which defines metadata necessary to describe models (PMID: 29092942). Within PDX Finder, critical attributes like diagnosis, drug names or genes are harmonized into a cohesive ontological data model based on PDX-MI. An intuitive search and faceted search interface allow users to select models based on clinical/PDX attributes, tumor markers, dataset availability and/or drug dosing results. We provide PDX, patient, drug and molecular data detail pages where all available information can be browsed and downloaded. To further facilitate user9s model selection, we are linking key external resources like publication platforms and cancer-specific annotation tools enabling exploration and prioritization of PDX variation data (COSMIC, CIViC, OncoMx, OpenCRAVAT). Links to originating resource protocols and contact information are provided, facilitating data understanding and further collaboration. Alongside database development activities, PDX Finder has undertaken activities to tackle areas of standards and tool development, data integration and outreach. PDX Finder provides key expertise and software components to support several worldwide consortia including PDXNet, PDMR and EurOPDX. We are driving the development of, and promoting the use of descriptive standards to facilitate data interoperability and promote global sharing of models. Our standard has become established in the community for data exchange, adopted by PDX providers, consortia, and informatics tools integrating PDX data. It has been re-used by different initiatives in the context of data collection and data modeling allowing adherence to the FAIR data principles - Findability, Accessibility, Interoperability and Reusability. PDX Finder is increasing awareness of PDX models, facilitating data integration, and enabling international collaboration, maximizing the investment in, and translational capabilities of these important models of human cancer. PDX Finder is freely available under an Apache 2 license (github.com/pdxfinder). Work supported by NCI U24 CA204781 01 (ended 31Aug2020), U24 CA253539, and R01 CA089713. Citation Format: Zinaida Perova, Csaba Halmagyi, Abayomi Mosaku, Nathalie Conte, Jeremy Mason, Alex Follette, Ross Thorne, Mauricio Martinez, Steven Neuhauser, Dale Begley, Debra Krupke, Helen Parkinson, Terrence Meehan, Carol Bult. PDX Finder: An open and global catalogue of patient-derived xenograft models [abstract]. In: Proceedings of the America","PeriodicalId":73617,"journal":{"name":"Journal of bioinformatics and systems biology : Open access","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73803204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.1158/1538-7445.AM2021-154
V. Reddy, Nicholas Stavrou, M. Nagy, Q. Au
{"title":"Abstract 154: Improving MultiOmyxTMAnalytics cell classification workflow efficiency by Invariant Information Clustering on historical data","authors":"V. Reddy, Nicholas Stavrou, M. Nagy, Q. Au","doi":"10.1158/1538-7445.AM2021-154","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2021-154","url":null,"abstract":"","PeriodicalId":73617,"journal":{"name":"Journal of bioinformatics and systems biology : Open access","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73476745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.1158/1538-7445.AM2021-219
Manuel García-Quismondo, O. Elemento, Neel S. Madhukar, Coryandar Gilvary
{"title":"Abstract 219: Identifying genetic interactions resulting form diverse biological mechanisms to inform cancer drug development","authors":"Manuel García-Quismondo, O. Elemento, Neel S. Madhukar, Coryandar Gilvary","doi":"10.1158/1538-7445.AM2021-219","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2021-219","url":null,"abstract":"","PeriodicalId":73617,"journal":{"name":"Journal of bioinformatics and systems biology : Open access","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86640461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.1158/1538-7445.AM2021-LB015
Wei-Lei Yang, Jen-Fan Hang, Chi-Bin Li, Ching-Ming Lee, Yi-Sheng Lin, T. Tsao, M. Chang, Y. Ou, Tien-Jen Liu
BACKGROUND: The Paris System (TPS) for Reporting Urinary Cytology provides standardized diagnostic criteria for urinary tract cytology specimens, focusing on the detection of high-grade urothelial carcinoma (HGUC). Since the publication in 2016, numerous studies have reported a decrease in atypical diagnosis and a significant improvement in the detection of HGUC after adopting TPS. However, the major challenges include labor-intensive screening and interobserver variations. Artificial intelligence (AI) in medical imaging analysis is an emerging tool for ancillary diagnosis. To this end, we have developed an AI algorithm and conducted a retrospective study to evaluate the AI-assisted urine cytology reporting workflow. METHODS: A total of 131 urine cytology slides from bladder cancer patients, either first diagnosis or post-treatment follow-up, were retrieved and digitized as whole slide images (WSIs). A deep learning-based computational model was used to analyze these WSIs. Candidate urothelial cells were automatically highlighted and classified into high-risk and low-risk atypia categories in each sample based on TPS criteria. Slide-wide statistical data, including a total number of high-risk and low-risk cells, nuclear-cytoplasmic ratio (N:C ratio) and nuclear area for each cell, and the distribution and mean values of these variables, were also provided. In a blind study, a cytotechnologist and a cytopathologist parallelly reviewed the AI-annotated images and quantitative data for each WSI sample. Suspicious for HUGC and HGUC were considered to be "positive" and the other diagnostic categories were considered to be "negative" according to whether trigger cystoscopy. The results were compared with the final diagnosis reviewed by a senior cytopathologist via microscopy to evaluate the performance of the AI-assisted model. RESULTS: There were 35 positive and 96 negative urine cytology samples based on the final diagnosis. The AI algorithm annotated a total of 26,502 cells and a mean of 757.2 cells at cancer risk from all positive samples and a total of 950 cells and a mean of 9.9 cells at cancer risk from all negative samples. The mean N:C ratio was 0.68 for high-risk atypical cells and 0.56 for low-risk atypical cells. The performance of the AI-assisted reports of the cytotechnologist was 88.6% sensitivity, 97.9% specificity, 93.9% positive prediction value (PPV), and 95.9% negative prediction value (NPV) and the cytopathologist was 91.4% sensitivity, 95.8% specificity, 88.9% PPV, and 96.8% NPV. CONCLUSIONS: We demonstrated an AI algorithm that can effectively assist the reporting of urine cytology by classifying urothelial cells at cancer risk and calculating quantitative data using WSI analysis. Integrating this AI model into clinical urine cytology workflow supported TPS for reporting urinary cytopathology, reduced the interobserver variations, and may potentially reduce the human labor for screening. Citation Format: Wei-Lei Yang, Jen-Fan Han
{"title":"Abstract LB015: Clinical evaluation of The Paris System-based artificial intelligence algorithm for reporting urinary cytopathology","authors":"Wei-Lei Yang, Jen-Fan Hang, Chi-Bin Li, Ching-Ming Lee, Yi-Sheng Lin, T. Tsao, M. Chang, Y. Ou, Tien-Jen Liu","doi":"10.1158/1538-7445.AM2021-LB015","DOIUrl":"https://doi.org/10.1158/1538-7445.AM2021-LB015","url":null,"abstract":"BACKGROUND: The Paris System (TPS) for Reporting Urinary Cytology provides standardized diagnostic criteria for urinary tract cytology specimens, focusing on the detection of high-grade urothelial carcinoma (HGUC). Since the publication in 2016, numerous studies have reported a decrease in atypical diagnosis and a significant improvement in the detection of HGUC after adopting TPS. However, the major challenges include labor-intensive screening and interobserver variations. Artificial intelligence (AI) in medical imaging analysis is an emerging tool for ancillary diagnosis. To this end, we have developed an AI algorithm and conducted a retrospective study to evaluate the AI-assisted urine cytology reporting workflow. METHODS: A total of 131 urine cytology slides from bladder cancer patients, either first diagnosis or post-treatment follow-up, were retrieved and digitized as whole slide images (WSIs). A deep learning-based computational model was used to analyze these WSIs. Candidate urothelial cells were automatically highlighted and classified into high-risk and low-risk atypia categories in each sample based on TPS criteria. Slide-wide statistical data, including a total number of high-risk and low-risk cells, nuclear-cytoplasmic ratio (N:C ratio) and nuclear area for each cell, and the distribution and mean values of these variables, were also provided. In a blind study, a cytotechnologist and a cytopathologist parallelly reviewed the AI-annotated images and quantitative data for each WSI sample. Suspicious for HUGC and HGUC were considered to be \"positive\" and the other diagnostic categories were considered to be \"negative\" according to whether trigger cystoscopy. The results were compared with the final diagnosis reviewed by a senior cytopathologist via microscopy to evaluate the performance of the AI-assisted model. RESULTS: There were 35 positive and 96 negative urine cytology samples based on the final diagnosis. The AI algorithm annotated a total of 26,502 cells and a mean of 757.2 cells at cancer risk from all positive samples and a total of 950 cells and a mean of 9.9 cells at cancer risk from all negative samples. The mean N:C ratio was 0.68 for high-risk atypical cells and 0.56 for low-risk atypical cells. The performance of the AI-assisted reports of the cytotechnologist was 88.6% sensitivity, 97.9% specificity, 93.9% positive prediction value (PPV), and 95.9% negative prediction value (NPV) and the cytopathologist was 91.4% sensitivity, 95.8% specificity, 88.9% PPV, and 96.8% NPV. CONCLUSIONS: We demonstrated an AI algorithm that can effectively assist the reporting of urine cytology by classifying urothelial cells at cancer risk and calculating quantitative data using WSI analysis. Integrating this AI model into clinical urine cytology workflow supported TPS for reporting urinary cytopathology, reduced the interobserver variations, and may potentially reduce the human labor for screening. Citation Format: Wei-Lei Yang, Jen-Fan Han","PeriodicalId":73617,"journal":{"name":"Journal of bioinformatics and systems biology : Open access","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85076691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}