Joint categorical and ordinal learning for cancer grading in pathology images

Abstract

Cancer grading in pathology image analysis is one of the most critical tasks since it is related to patient outcomes and treatment planning. Traditionally, it has been considered a categorical problem, ignoring the natural ordering among the cancer grades, i.e., the higher the grade is, the more aggressive it is, and the worse the outcome is. Herein, we propose a joint categorical and ordinal learning framework for cancer grading in pathology images. The approach simultaneously performs both categorical classification and ordinal classification and aims to leverage the distinctive features from the two tasks. Moreover, we propose a new loss function for the ordinal classification task that offers an improved contrast between the correctly classified examples and misclassified examples. The proposed method is evaluated on multiple collections of colorectal and prostate pathology images that underwent different acquisition and processing procedures. Both quantitative and qualitative assessments of the experimental results confirm the effectiveness and robustness of the proposed method in comparison to other competing methods. The results suggest that the proposed approach could permit improved histopathologic analysis of cancer grades in pathology images. (c) 2021 Elsevier B.V. All rights reserved.