Glomerulus classification and detection in kidney tissue segments are key processes in nephropathology used for the correct diagnosis of the diseases. In this paper, we deal with the challenge of automating Glomerulus classification and detection from digitized kidney slide segments using a deep learning framework. The proposed method applies Convolutional Neural Networks (CNNs) between two classes: Glomerulus and Non-Glomerulus, to detect the image segments belonging to Glomerulus regions. We configure the CNN with the public pre-trained AlexNet model and adapt it to our system by learning from Glomerulus and Non-Glomerulus regions extracted from training slides. Once the model is trained, labeling is performed by applying the CNN classification to the image blocks under analysis. The results of the method indicate that this technique is suitable for correct Glomerulus detection in Whole Slide Images (WSI), showing robustness while reducing false positive and false negative detections.
Ki67 hot-spot detection and its evaluation in invasive breast cancer regions play a significant role in routine medical practice. The quantification of cellular proliferation assessed by Ki67 immunohistochemistry is an established prognostic and predictive biomarker that determines the choice of therapeutic protocols. In this paper, we present three deep learning-based approaches to automatically detect and quantify Ki67 hot-spot areas by means of the Ki67 labeling index. To this end, a dataset composed of 100 whole slide images (WSIs) belonging to 50 breast cancer cases (Ki67 and H&E WSI pairs) was used. Three methods based on CNN classification were proposed and compared to create the tumor proliferation map. The best results were obtained by applying the CNN to the mutual information acquired from the color deconvolution of both the Ki67 marker and the H&E WSIs. The overall accuracy of this approach was 95%. The agreement between the automatic Ki67 scoring and the manual analysis is promising with a Spearman’s correlation of 0.92. The results illustrate the suitability of this CNN-based approach for detecting hot-spots areas of invasive breast cancer in WSI.