Abstract

Ovarian cancer is the most lethal cancer of the female reproductive organs. There are 55 major histological subtypes of epithelial ovarian cancer, each with distinct morphological, genetic, and clinical features. Currently, these histotypes are determined by a pathologist's microscopic examination of tumor whole-slide images (WSI). This process has been hampered by poor inter-observer agreement (Cohen's kappa 0.540.54-0.670.67). We utilized a \textit{two}-stage deep transfer learning algorithm based on convolutional neural networks (CNN) and progressive resizing for automatic classification of epithelial ovarian carcinoma WSIs. The proposed algorithm achieved a mean accuracy of 87.54%87.54\% and Cohen's kappa of 0.81060.8106 in the slide-level classification of 305305 WSIs; performing better than a standard CNN and pathologists without gynecology-specific training.

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