Artificial Intelligence-Based Classification of Renal Oncocytic Neoplasms: Advancing From a 2-Class Model of Renal Oncocytoma and Low-Grade Oncocytic Tumor to a 3-Class Model Including Chromophobe Renal Cell Carcinoma.

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Tác giả: Andres M Acosta, Bhakti Baheti, Spyridon Bakas, Katrina Collins, Kingsley Ebare, Dibson D Gondim, Michelle S Hirsch, Muhammad T Idrees, Shubham Innani, Fiona Maclean, Andres Matoso, Mohammed Saad, Ankur Sangoi, Stephanie E Siegmund, Sean R Williamson

Ngôn ngữ: eng

Ký hiệu phân loại: 627.12 Rivers and streams

Thông tin xuất bản: United States : Archives of pathology & laboratory medicine , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 167850

CONTEXT.-: Distinguishing between renal oncocytic tumors, such as renal oncocytoma (RO), and a subset of tumors with overlapping characteristics, including the recently identified low-grade oncocytic tumor (LOT), can present a diagnostic challenge for pathologists owing to shared histopathologic features. OBJECTIVE.-: To develop an automatic computational classifier for stratifying whole slide images of biopsy and resection specimens into 2 distinct groups: RO and LOT. DESIGN.-: A total of 269 whole slide images from 125 cases across 6 institutions were collected. A weakly supervised attention-based multiple-instance-learning deep learning (DL) model was trained and initially evaluated through 5-fold cross validation with case-level stratification, followed by validation using an independent holdout data set. Quantitative performance evaluation was based on accuracy and the area under the receiver operating characteristic curve (AUC). RESULTS.-: The developed model data set yielded generalizable performance, with a 5-fold average testing accuracy of 84% (AUC = 0.78), and a closely aligning accuracy of 83% (AUC = 0.92) on the independent holdout data set. CONCLUSIONS.-: The proposed artificial intelligence approach contributes toward a comprehensive solution for addressing commonly encountered renal oncocytic neoplasms, encompassing well-established entities like RO along with the challenging "gray zone" LOT, thereby proving applicable in clinical practice.
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