Device (2) and method for determining a value quantifying a risk of relapse of
breast cancer for a patient A device for determining a value quantifying a risk of relapse of
breast cancer for a patient comprises a data storage (114) adapted to store
patient data associating, for each given patient at a least one whole histological slide image and patient clinical data comprising at least a
tumor size, a number of positive
lymph nodes, a tumor grade, and
progesterone receptor (PR) positivity value, a feature extractor (1210, 1220) arranged to receive a whole histological slide image and associated patient clinical data, to derive tumor architecture features comprising a tumor area, an invasive tumor
nest density, a tumor density at the invasive front, and an in situ tumor
nest density,
tumor microenvironment features comprising a border composition of in situ tumor, a variance of healthy gland size, an inflammatory stroma area, and an average nuclei size of stromal cells, and
mitosis features comprising a mitotic hotspot count and a mitotic density, and to return a patient
feature vector comprising said tumor architecture features, said
tumor microenvironment features, said
mitosis features, and features derived from said associated patient clinical data, a risk classifier (1230) using a
machine learning module which is arranged to receive a patient
feature vector as an input and to return a value quantifying a risk of relapse of
breast cancer for a patient, said
machine learning module having been trained with a dataset of labelled patient feature vectors and being arranged to return a risk value. This device is arranged to receive a set of
patient data of a given patient, to provide at least some of said given patient's whole histological slide image and said given patient's clinical data as inputs to the feature extractor, to provide at least some of the resulting patient feature vectors to the risk classifier, and to return a value quantifying a risk of relapse of breast
cancer for a patient for said given patient based on the outputs of the risk classifier.