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Using Cloud-Based Deep Learning AI Platform to Analyze Gigantic Pathology Images Kaisa Helminen, CEO Fimmic Oy October 11th, 2017 Cancer Every third person affected 14 Million new patients in 2012 +50% more by 2030 Increasing number of


  1. Using Cloud-Based Deep Learning AI Platform to Analyze Gigantic Pathology Images Kaisa Helminen, CEO Fimmic Oy October 11th, 2017

  2. Cancer Every third person affected 14 Million new patients in 2012 +50% more by 2030 Increasing number of samples

  3. Problem Increasing number of samples Gap! Lack of pathologists

  4. Microscopy in tissues diagnostics Subjective analysis Manual visual methods Risk for variability in diagnosis

  5. Digitalization -> Deep Learning AI

  6. Digitalization enables Easy sample archiving and retrieval Sharing, remote consultation Machine vision & Deep Learning AI -assisted analysis, e.g. % of tumor tissue, tumor grading, identification of infection, quantification of certain features, etc.

  7. How to create a virtual slide? Images captured at high magnification Up to 100 000 image tiles Stitched digitally and compressed to a large picture montage (Gb - Tb)

  8. Artificial WebMicroscope Intelligence Workflow Any microscope Pathologists Researchers Educators Samples Any device scanner

  9. Artificial Intelligence & Deep Learning Facial recognition Self-driving cars Tissue diagnostics id-labs.org The Guardian

  10. Different types of Deep Learning Image Analysis tasks 1. Laborious quantification tasks, combined with region of interest selection, e.g. quantification of certain cells in epithelium 2. Segmentation of tissue based on morphology, e.g. tumor grading, epithelium/stroma segmentation 3. Detecting and quantifying rare targets, e.g. infectious agents, forensic samples

  11. Training of deep learning classifiers Whole slide Training set from sample Application to Deep Learning 1 2 3 4 samples regions new samples Epithelium Original Labelled Epithelium segmentation from breast cancer samples.

  12. Application example 1 - Quantification task Breast cancer diagnostics, Quantification of Ki67+ cells from epithelium

  13. 1. Epithelium-stroma 2. Quantification of Ki67 + and - segmentation cells inside the epithelium

  14. Negative and weak signals Moderate and Strong

  15. Context-intelligent Image Analysis Enables full automation Removes extra staining step -> Saves time Accurate Reproducible -> Supports correct diagnosis

  16. Application example 2 - Automated segmentation of tumor area Prostate cancer, Segmentation of cancer tissue, area quantification H&E stained prostate tissue Result image - segmentation

  17. Application example 3 - Quantification task Testicular Cancer, Quantification of tumor infiltrating lymphocytes (TIL%) Heat map showing immune cell detec7on H&E of immune cell rich region FIMM – Oxford collabora0on 2017, unpublished results

  18. Application example 3 - Quantification task Testicular Cancer, Quantification of tumor infiltrating lymphocytes (TIL%) Digitized whole slide images of testicular cancer are huge gigabyte-sized files Areas of infiltrating immune cells detected by automated analysis includes millions of immune cells (red areas) FIMM – Oxford collabora0on 2017, unpublished results

  19. Example patient: Immune cells in testicular cancer Automated counting result Total immune cell count = 768.349 Immune cells/square mm tumor = 4223 Details of the analysis shown in the 
 video FIMM – Oxford collabora0on 2017, unpublished results

  20. Application example 4 - Quantification Task Quantification of fat accumulation in liver cells Consistent Accuracy and Reproducibility over large sample sets

  21. Application example 5 - Quantification from segmented area Quantification of fibrosis in liver tissue Significant time savings Reproducibility

  22. Application example 6 - Quantification Task, complex background Quantification of nerve cell bodies from rat brain tissue (Parkinson’s, Alzheimer’s) Significant time savings: From 45 minutes to 0,5 minutes analysis Unforeseen Accuracy & Reproducibility

  23. Application example 7 - Quantification from selected tissue compartments Quantification of glucagon+ alpha cells from Islets of Langerhans in pancreas Significant time savings Reproducibility

  24. Application example 8 - Identification of rare targets Detection of Malaria infection in red blood cells

  25. Examples of performed Deep Learning Image Analysis Applications Breast cancer biomarkers: ER, PR, Ki67 + Epithelium/stroma segmentation Breast cancer, mitosis quantification Prostate cancer: Gland and epithelium segmentation Lung cancer, mouse tissue: Tumor burden, tumor classification Colon cancer, Ulcerative Cholitis Seminoma (testicular cancer): TIL% Liver biopsies: Hepatosteatosis, fibrosis Rat brain: Nerve cell bodies (Parkinsons, ALS research) Forensic pathology: sperm detection from smears Blood: RBC, WBC, Platelets, Malaria parasites etc. All algorithms are intended for Research Use Only.

  26. Immunofluorescence Images

  27. WebMicroscope - Intelligent Image Analysis in Cloud Advanced Image Storage and Deep Learning Algorithms & Disruptive business model Collaboration tools in Cloud Cloud computing Affordable SaaS model for all Compatibility sizes of projects No local hardware Efficient compression Indefinite possibilities for algorithms

  28. The Future of Pathology is Digital Supportive data for decision making -> Prognosis -> Suggesting treatment -> Faster, more accurate diagnosis and cure

  29. Experienced Core Team Combination of life science entrepreneurs, software development and machine vision experts & recognized scientists. Kaisa Helminen Johan Lundin MD, Mikael Lundin MD, Kari Pitkänen Antti Merivirta Tuomas Ropponen Mikael Jääskeläinen CEO CSO Director of Concept Business Development Marketing Manager CTO Sales Manager Co-Founder Design Co-Founder Board Member Co-Founder Board Member Previously: Board Member FIMM Sartorius FIMM Outotec Sartorius FIMM 360Visualizer Fisher Scientific Thermo Scientific Karolinska Institute Biohit Fisher Scientific University of Helsinki Testure Finland Finnzymes, co- Finnzymes HUS Delta-Enterprise Finnzymes founder, sold to Thermo Fisher Scientific in 2010

  30. Contact Kaisa Helminen, CEO +358 40 679 0669 kaisa.helminen@fimmic.com www.webmicroscope.com @kaisa_helminen

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