Computational pathology in cancer diagnosis, prognosis, and prediction – present day and prospects

Author:

Verghese Gregory12ORCID,Lennerz Jochen K3ORCID,Ruta Danny4,Ng Wen5,Thavaraj Selvam67ORCID,Siziopikou Kalliopi P8ORCID,Naidoo Threnesan9ORCID,Rane Swapnil1011ORCID,Salgado Roberto1213ORCID,Pinder Sarah E15,Grigoriadis Anita12ORCID

Affiliation:

1. School of Cancer & Pharmaceutical Sciences, Faculty of Life Sciences and Medicine King's College London London UK

2. The Breast Cancer Now Research Unit, School of Cancer and Pharmaceutical Sciences, Faculty of Life Sciences and Medicine King's College London London UK

3. Center for Integrated Diagnostics, Department of Pathology Massachusetts General Hospital/Harvard Medical School Boston MA USA

4. Guy's Cancer Guy's and St Thomas’ NHS Foundation Trust London UK

5. Department of Cellular Pathology Guy's and St Thomas NHS Foundation Trust London UK

6. Head & Neck Pathology Guy's and St Thomas NHS Foundation Trust London UK

7. Centre for Clinical, Oral & Translational Science, Faculty of Dentistry, Oral & Craniofacial Sciences King's College London London UK

8. Department of Pathology, Section of Breast Pathology Northwestern University Feinberg School of Medicine Chicago IL USA

9. Department of Laboratory Medicine and Pathology, Walter Sisulu University, Mthatha, Eastern Cape South Africa and Africa Health Research Institute Durban South Africa

10. Department of Pathology Tata Memorial Centre – ACTREC HBNI Navi Mumbai India

11. Computational Pathology, AI & Imaging Laboratory Tata Memorial Centre – ACTREC, HBNI Navi Mumbai India

12. Department of Pathology GZA–ZNA Ziekenhuizen Antwerp Belgium

13. Division of Research Peter MacCallum Cancer Centre Melbourne Victoria Australia

Abstract

AbstractComputational pathology refers to applying deep learning techniques and algorithms to analyse and interpret histopathology images. Advances in artificial intelligence (AI) have led to an explosion in innovation in computational pathology, ranging from the prospect of automation of routine diagnostic tasks to the discovery of new prognostic and predictive biomarkers from tissue morphology. Despite the promising potential of computational pathology, its integration in clinical settings has been limited by a range of obstacles including operational, technical, regulatory, ethical, financial, and cultural challenges. Here, we focus on the pathologists’ perspective of computational pathology: we map its current translational research landscape, evaluate its clinical utility, and address the more common challenges slowing clinical adoption and implementation. We conclude by describing contemporary approaches to drive forward these techniques. © 2023 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.

Funder

Breast Cancer Now

Medical Research Council

Breast Cancer Research Foundation

National Institutes of Health

Publisher

Wiley

Subject

Pathology and Forensic Medicine

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