Automated Diagnosis of Breast Cancer Using Deep Learning-Based Whole Slide Image Analysis of Molecular Biomarkers

Breast cancer is a prevalent and diverse type of cancer that exhibits unique clinicopathologic characteristics, making the correct identification of its subtype critical to providing targeted treatment and increasing survival rates. This identification process involves testing for the presence of four key molecular biomarkers, namely estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor 2 (HER2), and antigen Ki67. For accurate diagnosis ,the expertise of a pathologist and immunohistochemistry is required. To overcome this diagnostic challenge, we present a novel approach based on a deep learning pipeline for automated classification. Our approach can detect tumor and non-tumoral regions of the HER2 biomarker. Our deep learning framework comprises a Dense Convolutional Network (DenseNet), which process whole slide images (WSIs) of breast tissues, dividing them into patches for input into the network. Moreover, our approach provides both patchwise and pixelwise classification and analyzes ten WSIs of breast cancer histology. Our proposed approach generates an image map that classifies slide images on the pixel-level, detecting the status of hormone HER2 receptor as either positive or negative. The obtained results show that our deep learning-based approach has the potential to enhance the pathologist’s capabilities in diagnosing histopathological images with automated classification.