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Multi-scale patches convolutional neural network predicting the histological grade of hepatocellular carcinoma

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单位: [1]CAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, University of Chinese Academy of Sciences. [2]CAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences,University of Chinese Academy of Sciences,Beijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Medicine, Beihang University [3]Engineering Research Center of Molecular and Neuro Imaging of Ministry of Education, School of Life Science and Technology, Xidian University. [4]Department of Radiology, Beijing Friendship Hospital, Capital Medical University. [5]First Central Clinical College of Tianjin Medical University.
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Preoperative predicting histological grade of hepatocellular carcinoma (HCC) is a crucial issue for the evaluation of patient prognosis and determining clinical treatment strategies. Previous studies have shown the potential of preoperative medical imaging in HCC grading diagnosis, however, there still remain challenges. In this work, we proposed a multi-scale 2D dense connected convolutional neural network (MS-DenseNet) for the classification of grade. This architecture consisted of three CNN branches to extract features of CT image patches in different scale. Then the outputs for each CNN branch were concatenated to the final fully connected layer. Our network was developed and evaluated on 455 HCC patients from two different centers. For data augmentation, more than 2000 patches for each scale were cropped from transverse section 2D region of interest on these patients. Besides, three-channel inputs including original CT image, tumor region and peritumoral component provided complementary knowledge. Experimental results demonstrated that the proposed method achieved encouraging prediction performance with AUC of 0.798 in testing dataset. Clinical Relevance-The proposed MS-DenseNet yielded an encouraging prediction performance for HCC histological grade and might assist the clinical diagnosis and decision making of HCC patients.

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第一作者单位: [1]CAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, University of Chinese Academy of Sciences.
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通讯机构: [2]CAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences,University of Chinese Academy of Sciences,Beijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Medicine, Beihang University [3]Engineering Research Center of Molecular and Neuro Imaging of Ministry of Education, School of Life Science and Technology, Xidian University.
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