Histopathologic image–based deep learning classifier for predicting platinum-based treatment responses in high-grade serous ovarian cancer

Byungsoo Ahn, Damin Moon, Hyun Soo Kim, Chung Lee, Nam Hoon Cho, Heung Kook Choi, Dongmin Kim, Jung Yun Lee, Eun Ji Nam, Dongju Won, Hee Jung An, Sun Young Kwon, Su Jin Shin, Hye Ra Jung, Dohee Kwon, Heejung Park, Milim Kim, Yoon Jin Cha, Hyunjin Park, Yangkyu LeeSongmi Noh, Yong Moon Lee, Sung Eun Choi, Ji Min Kim, Sun Hee Sung, Eunhyang Park

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4 Scopus citations

Abstract

Platinum-based chemotherapy is the cornerstone treatment for female high-grade serous ovarian carcinoma (HGSOC), but choosing an appropriate treatment for patients hinges on their responsiveness to it. Currently, no available biomarkers can promptly predict responses to platinum-based treatment. Therefore, we developed the Pathologic Risk Classifier for HGSOC (PathoRiCH), a histopathologic image–based classifier. PathoRiCH was trained on an in-house cohort (n = 394) and validated on two independent external cohorts (n = 284 and n = 136). The PathoRiCH-predicted favorable and poor response groups show significantly different platinum-free intervals in all three cohorts. Combining PathoRiCH with molecular biomarkers provides an even more powerful tool for the risk stratification of patients. The decisions of PathoRiCH are explained through visualization and a transcriptomic analysis, which bolster the reliability of our model’s decisions. PathoRiCH exhibits better predictive performance than current molecular biomarkers. PathoRiCH will provide a solid foundation for developing an innovative tool to transform the current diagnostic pipeline for HGSOC.

Original languageEnglish
Article number4253
JournalNature Communications
Volume15
Issue number1
DOIs
StatePublished - 18 May 2024

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© The Author(s) 2024.

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