한빛사논문
서울대학교
Kyungmo Kim a,1, Kyoungbun Lee b,1, Sungduk Cho c,1, Dong Un Kang d,1, Seongkeun Park e, Yunsook Kang e, Hyunjeong Kim e, Gheeyoung Choe f,g, Kyung Chul Moon g, Kyu Sang Lee f,g, Jeong Hwan Park h, Choyeon Hong b, Ramin Nateghi i, Fattaneh Pourakpour j, Xiyue Wang k, Sen Yang l,m, Seyed Alireza Fatemi Jahromi n, Aliasghar Khani n, Hwa-Rang Kim o, Doo-Hyun Choi o, Chang Hee Han p, Jin Tae Kwak q, Fan Zhang r, Bing Han r, David Joon Ho s, Gyeong Hoon Kang f,t, Se Young Chun u, Won-Ki Jeong c, Peom Park v, Jinwook Choi w
aInterdisciplinary program in Bioengineering, Seoul National University, Seoul 110-799, Republic of Korea
bDepartment of Pathology, Seoul National University Hospital, Seoul, Republic of Korea
cKorea University, College of Informatics, Department of Computer Science and Engineering, Seoul, Republic of Korea
dDepartment of Electrical and Computer Engineering, Seoul National University, Seoul, Republic of Korea
eDepartment of Biomedical Engineering, Seoul National University Hospital, Seoul, Republic of Korea
fDepartment of Pathology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
gDepartment of Pathology, Seoul National University College of Medicine, Seoul, Republic of Korea
hDepartment of Pathology, Seoul National University College of Medicine, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea
iElectrical and Electronics Engineering Department, Shiraz University of Technology, Shiraz, Iran
jIranian Brain Mapping Biobank, National Brain Mapping Laboratory, Tehran, Iran
kCollege of Computer Science, Sichuan University, China
lCollege of Biomedical Engineering, Sichuan University, China
mTencent AI Lab, Shenzhen, China
nDepartment of Computer Engineering, Sharif University of Technology, Tehran, Iran
oGraduate School of Electronic and Electrical Engineering, Kyungpook National University, Republic of Korea
pDepartment of Computer Science and Engineering, Sejong University, Seoul, Republic of Korea
qSchool of Electrical Engineering, Korea University, Seoul, Republic of Korea
rResearch and Development Center, Canon Medical Systems (China) Co., Ltd, Beijing, China
sDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
tLaboratory of Epigenetics, Cancer Research Institute, Seoul National University College of Medicine, Republic of Korea
uDepartment of Electrical and Computer Engineering, INMC, Seoul National University, Seoul, Republic of Korea
vHuminTec, Suwon, Republic of Korea
wDepartment of Biomedical Engineering, Seoul National University College of Medicine, Seoul, Republic of Korea
1Equal contribution.
Corresponding authors: Gyeong Hoon Kang, Se Young Chun, Won-Ki Jeong, Peom Park, Jinwook Choi
Abstract
Microsatellite instability (MSI) refers to alterations in the length of simple repetitive genomic sequences. MSI status serves as a prognostic and predictive factor in colorectal cancer. The MSI-high status is a good prognostic factor in stage II/III cancer, and predicts a lack of benefit to adjuvant fluorouracil chemotherapy in stage II cancer but a good response to immunotherapy in stage IV cancer. Therefore, determining MSI status in patients with colorectal cancer is important for identifying the appropriate treatment protocol. In the Pathology Artificial Intelligence Platform (PAIP) 2020 challenge, artificial intelligence researchers were invited to predict MSI status based on colorectal cancer slide images. Participants were required to perform two tasks. The primary task was to classify a given slide image as belonging to either the MSI-high or the microsatellite-stable group. The second task was tumor area segmentation to avoid ties with the main task. A total of 210 of the 495 participants enrolled in the challenge downloaded the images, and 23 teams submitted their final results. Seven teams from the top 10 participants agreed to disclose their algorithms, most of which were convolutional neural network-based deep learning models, such as EfficientNet and UNet. The top-ranked system achieved the highest F1 score (0.9231). This paper summarizes the various methods used in the PAIP 2020 challenge. This paper supports the effectiveness of digital pathology for identifying the relationship between colorectal cancer and the MSI characteristics.
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