Stroma and lymphocytes identified by deep learning are independent predictors for survival in pancreatic cancer

Stroma and lymphocytes identified by deep learning are independent predictors for survival in pancreatic cancer

Abstract Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers known to humans. However, not all patients fare equally poor survival, and a minority of patients even survives advanced disease for months or years. Thus, there is a clinical need to search corresponding prognostic b...

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Main Authors: Xiuxiang Tan, Mika Rosin, Simone Appinger, Julia Campello Deierl, Konrad Reichel, Mariëlle Coolsen, Liselot Valkenburg-van Iersel, Judith de Vos-Geelen, Evelien J. M. de Jong, Jan Bednarsch, Bas Grootkoerkamp, Michail Doukas, Casper van Eijck, Tom Luedde, Edgar Dahl, Jakob Nikolas Kather, Shivan Sivakumar, Wolfram Trudo Knoefel, Georg Wiltberger, Ulf Peter Neumann, Lara R. Heij
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Scientific Reports
Subjects:
Pancreatic cancer
Prognostic biomarker
Deep learning
Tumor proportion
Immune infiltration
Online Access:https://doi.org/10.1038/s41598-025-94362-x
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Summary:Abstract Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers known to humans. However, not all patients fare equally poor survival, and a minority of patients even survives advanced disease for months or years. Thus, there is a clinical need to search corresponding prognostic biomarkers which forecast survival on an individual basis. To dig more information and identify potential biomarkers from PDAC pathological slides, we trained a deep learning (DL) model based U-net-shaped backbone. This DL model can automatically detect tumor, stroma and lymphocytes on whole slide images (WSIs) of PDAC patients. We performed an analysis of 800 PDAC scans, categorizing stroma in percentage (SIP) and lymphocytes in percentage (LIP) into two and three categories, respectively. The presented model achieved remarkable accuracy results with a total accuracy of 94.72%, a mean intersection of union rate of 78.66%, and a mean dice coefficient of 87.74%. Survival analysis revealed that SIP-mediate and LIP-high groups correlated with enhanced median overall survival (OS) across all cohorts. These findings underscore the potential of SIP and LIP as prognostic biomarkers for PDAC and highlight the utility of DL as a tool for PDAC biomarkers detecting on WSIs.
ISSN:2045-2322

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