Classification of Nasopharyngeal Cases using DenseNet Deep Learning Architecture

Nasopharyngeal carcinoma (NPC) is one of the understudied yet deadliest cancers in South East Asia. In Malaysia, the prevalence is identified mainly in Sarawak, among the ethnic of Bidayuh. NPC is often late-diagnosed because it is asymptomatic at the early stage. There are several tissue representations from the nasopharynx biopsy, such as nasopharyngeal inflammation (NPI), lymphoid hyperplasia (LHP), nasopharyngeal carcinoma (NPC) and normal tissue. This paper is our first initiative to identify the difference between NPC, NPI and normal cases. Seven whole slide images (WSIs) with gigapixel resolutions from seven different patients and two hospitals were experimented with using two test setups, consisting of a different set of images. The tissue regions are patched into smaller blocks and classified using DenseNet architecture with 21 dense layers. Two tests are carried out, each for proof of concept (Test 1) and real-test scenario (Test 2). The accuracy achieved for NPC class is 94.8% for Test 1 and 67.0% for Test 2.