Journal
MEDICAL IMAGING 2021: IMAGE-GUIDED PROCEDURES, ROBOTIC INTERVENTIONS, AND MODELING
Volume 11598, Issue -, Pages -Publisher
SPIE-INT SOC OPTICAL ENGINEERING
DOI: 10.1117/12.2581046
Keywords
Hyperspectral imaging; U-Net; squamous cell carcinoma; tumor margin assessment; classification
Categories
Funding
- U.S. National Institutes of Health (NIH) [R01CA156775, R01CA204254, R01HL140325, R21CA231911]
- Cancer Prevention and Research Institute of Texas (CPRIT) [RP190588]
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In this study, a fully convolutional network (FCN) was utilized to classify tumors and assess margins on hyperspectral images of SCC, achieving high accuracy in pixel-level tissue classification. The evaluated tumor margins in most patients were within a small distance, and the classification time was quick.
Surgery is a major treatment method for squamous cell carcinoma (SCC). During surgery, insufficient tumor margin may lead to local recurrence of cancer. Hyperspectral imaging (HSI) is a promising optical imaging technique for in vivo cancer detection and tumor margin assessment. In this study, a fully convolutional network (FCN) was implemented for tumor classification and margin assessment on hyperspectral images of SCC. The FCN was trained and validated with hyperspectral images of 25 ex vivo SCC surgical specimens from 20 different patients. The network was evaluated per patient and achieved pixel-level tissue classification with an average area under the curve (AUC) of 0.88, as well as 0.83 accuracy, 0.84 sensitivity, and 0.70 specificity across all the 20 patients. The 95% Hausdorff distance of assessed tumor margin in 17 patients was less than 2 mm, and the classification time of each tissue specimen took less than 10 seconds. The proposed methods can potentially facilitate intraoperative tumor margin assessment and improve surgical outcomes.
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