Linlin Qi, Xiangyu Li, Zhihong Liu, et al. A depth-wise separable residual neural network for PCDH8 status prediction in thyroid cancer pathological images[J]. Intelligent Oncology, 2025, (4): 290-298. DOI: 10.1016/j.intonc.2025.09.003.
DOI:
Linlin Qi, Xiangyu Li, Zhihong Liu, et al. A depth-wise separable residual neural network for PCDH8 status prediction in thyroid cancer pathological images[J]. Intelligent Oncology, 2025, (4): 290-298. DOI: 10.1016/j.intonc.2025.09.003.DOI:
A depth-wise separable residual neural network for PCDH8 status prediction in thyroid cancer pathological images
IntroductionAccurate prediction of protocadherin 8 (
PCDH8
) gene expression status from whole-slide images (WSIs) is critical for thyroid cancer diagnosis and prognosis
as
PCDH8
overexpression is associated with tumor aggressiveness and poor outcomes. Existing methods for
PCDH8
detection are often costly
time-consuming
or require specialized expertise. To address these limitations
we developed a novel depth-wise separable residual neural network (DSRNet) for noninvasive
PCDH8
status prediction directly from WSIs.Materials and methodsWe collected 403 thyroid cancer WSIs from The Cancer Genome Atlas (TCGA)
with
PCDH8
expression status classified as high or low based on median expression values. Each WSI was divided into 512 × 512 pixel tiles
with the top 100 non-white tiles selected per slide. DSRNet integrates depth-wise separable convolutions
residual connections
and a deformable convolutional pyramid pooling module to efficiently capture multiscale and long-range features in g
igapixel WSIs. The model was trained using tenfold cross-validation.ResultsDSRNet achieved state-of-the-art performance with 92.76% accuracy
91.92% precision
92.69% recall
and 0.93 area under the curve on the thyroid cancer dataset (TCGA-THCA)
significantly outperforming leading convolutional neural networks and Transformer models. Ablation studies confirmed the contributions of each component
and attention visualization showed that DSRNet focuses on biologically relevant regions. The model also generalized well to a breast cancer dataset (TCGA-BRCA)
achieving 89.13% accuracy.ConclusionsWe developed DSRNet
a deep learning-based model for predicting
PCDH8
status directly from routine hematoxylin and eosin-stained pathological images. DSRNet combines the efficiency of convolutional operations with enhanced long-range dependency modeling
providing a noninvasive
accurate
and interpretable tool for auxiliary thyroid cancer diagnosis and prognosis. The results demonstrate its strong potential for clinical translation
though further multicenter validation is warranted.
Abstract
IntroductionAccurate prediction of protocadherin 8 (
PCDH8
) gene expression status from whole-slide images (WSIs) is critical for thyroid cancer diagnosis and prognosis
as
PCDH8
overexpression is associated with tumor aggressiveness and poor outcomes. Existing methods for
PCDH8
detection are often costly
time-consuming
or require specialized expertise. To address these limitations
we developed a novel depth-wise separable residual neural network (DSRNet) for noninvasive
PCDH8
status prediction directly from WSIs.Materials and methodsWe collected 403 thyroid cancer WSIs from The Cancer Genome Atlas (TCGA)
with
PCDH8
expression status classified as high or low based on median expression values. Each WSI was divided into 512 × 512 pixel tiles
with the top 100 non-white tiles selected per slide. DSRNet integrate
s depth-wise separable convolutions
residual connections
and a deformable convolutional pyramid pooling module to efficiently capture multiscale and long-range features in gigapixel WSIs. The model was trained using tenfold cross-validation.ResultsDSRNet achieved state-of-the-art performance with 92.76% accuracy
91.92% precision
92.69% recall
and 0.93 area under the curve on the thyroid cancer dataset (TCGA-THCA)
significantly outperforming leading convolutional neural networks and Transformer models. Ablation studies confirmed the contributions of each component
and attention visualization showed that DSRNet focuses on biologically relevant regions. The model also generalized well to a breast cancer dataset (TCGA-BRCA)
achieving 89.13% accuracy.ConclusionsWe developed DSRNet
a deep learning-based model for predicting
PCDH8
status directly from routine hematoxylin and eosin-stained pathological images. DSRNet combines the efficiency of convolutional operations with enhanced long-range dependency modeling
providing a noninvasive
accurate
and interpretable tool for auxiliary thyroid cancer diagnosis and prognosis. The results demonstrate its strong potential for clinical translation
though further multicenter validation is warranted.
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Related Author
Qinqin Huang
Shen’ao Wu
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Yi Gao
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Xiaojing Guo
Jinlu Ma
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Related Institution
School of Biomedical Engineering, Shenzhen University Medical School, Shenzhen University
Guangdong Provincial Key Laboratory of Mathematical and Neural Dynamical Systems
Marshall Laboratory of Biomedical Engineering
Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences
Department of Biochemistry and Molecular Biology, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Clinical Research Center for Cancer, Ministry of Education, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute & Hospital