News | Artificial Intelligence | August 09, 2021

Scientists in Anant Madabhushi computational imaging lab confirm role of collagen structure in tissue for predicting aggressiveness of tumors, recurrence of cancer

Scientists at Case Western Reserve University have used artificial intelligence (AI) to identify new biomarkers for breast cancer that can predict whether the cancer will return after treatment — and which can be identified from routinely acquired tissue biopsy samples of early-stage breast cancer.

August 9, 2021 — Scientists at Case Western Reserve University have used artificial intelligence (AI) to identify new biomarkers for breast cancer that can predict whether the cancer will return after treatment — and which can be identified from routinely acquired tissue biopsy samples of early-stage breast cancer.

 The key to that initial determination is collagen, a common protein found throughout the body, including in breast tissue. Previous research had suggested that the collagen network, or arrangement of the fibers, relates strongly to breast cancer aggressiveness. But this work by Case Western Reserve researchers definitively demonstrated collagen’s critical role — using only standard tissue biopsy slides and AI.

The researchers, using machine-learning technology to analyze a dataset of digitized tissue samples from breast cancer patients, were able to prove that a well-ordered arrangement of collagen is a key prognostic biomarker for an aggressive tumor and a likely recurrence.

 Conversely, they showed that a disordered or broken-down collagen infrastructure not only indicates a better outcome, but actually promotes one. They also found that the disordered collagen network prevents an otherwise aggressive tumor from migrating out of the breast tissue and helps prevent its return after various cancer treatments like chemotherapy.

“It sounds counter-intuitive, but the collagen fibers play a role in tumor migration,” said Anant Madabhushi, the Donnell Institute Professor of Biomedical Engineering at Case Western Reserve and head of the Center for Computational Imaging and Personalized Diagnostics (CCIPD). “One way to understand it is to say that if the collagen ‘highway’ is in terrible shape, it’s more difficult for the tumor to migrate, but if it’s smooth and organized, it makes it easier for the tumor to hitch a ride.”

 Doctoral student Haojia Li led the research, which was published in the journal npj Breast Cancer. Other authors included Pingfu Fu, professor of  Population and Quantitative Health Sciences at the Case Western Reserve School of Medicine, and others from several institutions.

Simple tissue slides, complex computing

 Li said the project was important because:

  • It validates findings from other published research that suggested highly organized collagen indicates a worse prognosis.
  • It was accomplished with digitized images of those simple tissue slides, suggesting this method could become part of a pathologist’s routine. Current methods for examining and investigating the collagen architecture require an expensive and less common electron

“Our method would make predicting outcomes much more available to more doctors and in hospitals which don’t have the resources to have an advanced imaging microscope,” Li said. “That’s why this is so exciting—because it can give the physician the information he or she needs to guide how aggressively to treat the cancer.”

 The computational work was done in 2020, based on a dataset of routine tissue samples, known as H&E (hematoxylin and eosin) stain slides, taken from patients diagnosed with early stage Estrogen Receptor Positive (ER+) breast cancer. 

 Breast cancer is the second leading cause of cancer death among women in the United States, with approximately 80% of these cancers being ER+ and 64% being early stage, Li said.

 Madabhushi said that because the models built by his team were validated on a completed clinical trial data set, it would “provide a higher level of evidence with regard to the validity of the Collagen signature” and that it would also function as a “natural segue into prospective clinical trial validation."

Madabhushi established the CCIPD at Case Western Reserve in 2012. The lab now includes over 70 researchers and is a global leader in the detection, diagnosis and characterization of various cancers and other diseases, including breast cancer, by meshing medical imaging, machine learning and AI.

Some of the lab’s most recent work, in collaboration with New York University and Yale University, has used AI to predict which lung cancer patients would benefit from adjuvant chemotherapy based on tissue-slide images. That advancement was named by Prevention Magazine as one of the top 10 medical breakthroughs of 2018.

For more information: www.case.edu

Related breast cancer content:

How AI is Helping the Fight Against Breast Cancer

Breast Cancer AI Company Whiterabbit Receives FDA Clearance for WRDensity


Related Content

News | Artificial Intelligence

February 29, 2024 — AIxSCAN, Inc., a Sunnyvale, CA-based developer of a next generation artificial intelligence (AI) ...

Time February 29, 2024
arrow
News | Artificial Intelligence

February 28, 2024 — iCAD, Inc., a global leader in clinically proven AI-powered solutions that enable medical providers ...

Time February 28, 2024
arrow
News | Women's Health

February 27, 2024 — Hologic, Inc. continues to deliver on its commitment to advancing women’s health by unveiling new ...

Time February 27, 2024
arrow
Feature | HIMSS | Christine Book

February 26, 2024 — This year’s Healthcare Information and Management Systems Society HIMSS Global Conference and ...

Time February 23, 2024
arrow
News | Breast Imaging

February 23, 2024 — ScreenPoint Medical is showcasing its industry leading Transpara Breast AI at the 2024 European ...

Time February 23, 2024
arrow
News | Breast Imaging

February 22, 2024 — The FAST-Forward randomized trial from the UK found that ultrahypofractionated whole breast ...

Time February 22, 2024
arrow
Feature | HIMSS | By Christine Book

February 22, 2024 — With just weeks to go before HIMSS 2024, the Global Conference and Exhibition of the Healthcare ...

Time February 22, 2024
arrow
News | Artificial Intelligence

February 22, 2024 — Hartford HealthCare has announced the unveiling of its Center for AI Innovation in Healthcare ...

Time February 21, 2024
arrow
Videos | Information Technology

Industry trade shows and conferences seem to be making their comeback in 2024. And the Healthcare Information and ...

Time February 21, 2024
arrow
News | Breast Imaging

February 20, 2024 — Annual breast cancer screening beginning at age 40 and continuing to at least age 79 results in the ...

Time February 20, 2024
arrow
Subscribe Now