Pitfalls in machine learning‐based assessment of tumor‐infiltrating lymphocytes in breast cancer: A report of the International Immuno‐Oncology Biomarker Working Group on Breast Cancer
Abstrak
The clinical significance of the tumor‐immune interaction in breast cancer is now established, and tumor‐infiltrating lymphocytes (TILs) have emerged as predictive and prognostic biomarkers for patients with triple‐negative (estrogen receptor, progesterone receptor, and HER2‐negative) breast cancer and HER2‐positive breast cancer. How computational assessments of TILs might complement manual TIL assessment in trial and daily practices is currently debated. Recent efforts to use machine learning (ML) to automatically evaluate TILs have shown promising results. We review state‐of‐the‐art approaches and identify pitfalls and challenges of automated TIL evaluation by studying the root cause of ML discordances in comparison to manual TIL quantification. We categorize our findings into four main topics: (1) technical slide issues, (2) ML and image analysis aspects, (3) data challenges, and (4) validation issues. The main reason for discordant assessments is the inclusion of false‐positive areas or cells identified by performance on certain tissue patterns or design choices in the computational implementation. To aid the adoption of ML for TIL assessment, we provide an in‐depth discussion of ML and image analysis, including validation issues that need to be considered before reliable computational reporting of TILs can be incorporated into the trial and routine clinical management of patients with triple‐negative breast cancer. © 2023 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.
Topik & Kata Kunci
Penulis (142)
J. Thagaard
G. Broeckx
D. Page
C. Jahangir
Sara Verbandt
Z. Kos
Rajarsi R. Gupta
R. Khiroya
K. AbdulJabbar
G. Acosta Haab
B. Ács
Guray Akturk
Jonas S. Almeida
I. Alvarado-Cabrero
M. Amgad
Farid Azmoudeh-Ardalan
S. Badve
Nurkhairul Bariyah Baharun
E. Balslev
E. Bellolio
V. Bheemaraju
K. Blenman
Luciana Botinelly Mendonça Fujimoto
Najat Bouchmaa
O. Burgués
Alexandros Chardas
Maggie Chon U Cheang
F. Ciompi
L. Cooper
A. Coosemans
Germán Corredor
A. Dahl
Flavio Luis Dantas Portela
F. Deman
S. Demaria
Johan Doré Hansen
S. Dudgeon
T. Ebstrup
Mahmoud Elghazawy
Claudio Fernandez-Martín
S. Fox
W. Gallagher
J. Giltnane
S. Gnjatic
P. Gonzalez-Ericsson
A. Grigoriadis
N. Halama
M. Hanna
A. Harbhajanka
S. Hart
J. Hartman
Søren Hauberg
Stephen M. Hewitt
A. Hida
H. Horlings
Z. Husain
E. Hytopoulos
Sheeba Irshad
E. Janssen
M. Kahila
T. Kataoka
K. Kawaguchi
Durga Kharidehal
A. Khramtsov
Umay Kiraz
Pawan Kirtani
Liudmila L Kodach
Konstanty Korski
A. Kovács
A. Laenkholm
Corinna Lang-Schwarz
D. Larsimont
J. Lennerz
Marvin Lerousseau
Xiaoxian Li
A. Ly
A. Madabhushi
S. Maley
Vidya Manur Narasimhamurthy
D. Marks
E. McDonald
R. Mehrotra
S. Michiels
F. Minhas
Shachi Mittal
D. Moore
Shamim Mushtaq
Hussain Nighat
T. Papathomas
F. Penault-Llorca
Rashindrie Perera
C. Pinard
Juan Carlos Pinto-Cárdenas
G. Pruneri
L. Pusztai
Arman Rahman
N. Rajpoot
B. Rapoport
T. Rau
J. Reis-Filho
J. M. Ribeiro
D. Rimm
A. Roslind
A. Vincent‐Salomon
M. Salto‐Tellez
J. Saltz
S. Sayed
E. Scott
K. Siziopikou
C. Sotiriou
A. Stenzinger
M. Sughayer
Daniel G Sur
S. Fineberg
F. Symmans
Sunao Tanaka
T. Taxter
S. Tejpar
Jonas Teuwen
E. Thompson
T. Tramm
W. Tran
J. A. van der Laak
P. V. van Diest
G. Verghese
G. Viale
M. Vieth
N. Wahab
Thomas Walter
Y. Waumans
H. Wen
Wentao Yang
Yinyin Yuan
R. Zin
S. Adams
John M. S. Bartlett
S. Loibl
C. Denkert
P. Savas
S. Loi
R. Salgado
Elisabeth Specht Stovgaard
Format Sitasi
Akses Cepat
- Tahun Terbit
- 2023
- Bahasa
- en
- Total Sitasi
- 43×
- Sumber Database
- Semantic Scholar
- DOI
- 10.1002/path.6155
- Akses
- Open Access ✓