Epidemiological description and trajectories of patients with prostate cancer in Denmark: an observational study of 7448 patients.

OBJECTIVE: Identification of patients at high risk of aggressive prostate cancer is a major clinical challenge. With the view of developing artificial intelligence-based methods for identification of these patients, we are constructing a comprehensive clinical database including 7448 prostate cancer (PCa) Danish patients. In this paper we provide an epidemiological description and patients' trajectories of this retrospective observational population, to contribute to the understanding of the characteristics and pathways of PCa patients in Denmark. RESULTS: Individuals receiving a PCa diagnosis during 2008-2014 in Region Southern Denmark were identified, and all diagnoses, operations, investigations, and biochemistry analyses, from 4 years prior, to 5 years after PCa diagnosis were obtained. About 85.1% were not diagnosed with metastatic PCa during the study period (unaggressive PCa); 9.2% were simultaneously diagnosed with PCa and metastasis (aggressive-advanced PCa), while 5.7% were not diagnosed with metastatic PCa at first, but they were diagnosed with metastasis at some point during the 5 years follow-up (aggressive-not advanced PCa). Patients with unaggressive PCa had more clinical investigations directly related to PCa detection (prostate ultrasounds and biopsies) during the 4 years prior to PCa diagnosis, compared to patients with aggressive PCa, which may have contributed to the early detection of PCa.

AID-U-Net: An Innovative Deep Convolutional Architecture for Semantic Segmentation of Biomedical Images.

Semantic segmentation of biomedical images found its niche in screening and diagnostic applications. Recent methods based on deep learning convolutional neural networks have been very effective, since they are readily adaptive to biomedical applications and outperform other competitive segmentation methods. Inspired by the U-Net, we designed a deep learning network with an innovative architecture, hereafter referred to as AID-U-Net. Our network consists of direct contracting and expansive paths, as well as a distinguishing feature of containing sub-contracting and sub-expansive paths. The implementation results on seven totally different databases of medical images demonstrated that our proposed network outperforms the state-of-the-art solutions with no specific pre-trained backbones for both 2D and 3D biomedical image segmentation tasks. Furthermore, we showed that AID-U-Net dramatically reduces time inference and computational complexity in terms of the number of learnable parameters. The results further show that the proposed AID-U-Net can segment different medical objects, achieving an improved 2D F1-score and 3D mean BF-score of 3.82% and 2.99%, respectively.

A Novel CAD System for Mitosis detection Using Histopathology Slide Images.

Histopathology slides are one of the most applicable resources for pathology studies. As observation of these kinds of slides even by skillful pathologists is a tedious and time-consuming activity, computerizing this procedure aids the experts to have faster analysis with more case studies per day. In this paper, an automatic mitosis detection system (AMDS) for breast cancer histopathological slide images is proposed. In the proposed AMDS, the general phases of an automatic image based analyzer are considered and in each phase, some special innovations are employed. In the pre-processing step to segment the input digital histopathology images more precisely, 2D anisotropic diffusion filters are applied to them. In the training segmentation phase, the histopathological slide images are segmented based on RGB contents of their pixels using maximum likelihood estimation. Then, the mitosis and non-mitosis candidates are processed and hence that their completed local binary patterns are extracted object-wise. For the classification phase, two subsequently non-linear support vector machine classifiers are trained pixel-wise and object-wise, respectively. For the evaluation of the proposed AMDS, some object and region based measures are employed. Having computed the evaluation criteria, our proposed method performs more efficient according to f-measure metric (70.94% for Aperio XT scanner images and 70.11% for Hamamatsu images) than the methods proposed by other participants at Mitos-ICPR2012 contest in breast cancer histopathological images. The experimental results show the higher performance of the proposed AMDS compared with other competitive systems proposed in Mitos-ICPR2012 contest.