//! Pathology slide analysis using deep learning. //! //! Analyzes whole slide images (WSI) for histological features, //! cellular patterns, and biomarker expression. use tumorboard_shared::{ Biomarker, BiomarkerStatus, CellClassification, ImagingStudy, PathologyFindings, TissueArchitecture, TumorGrade, }; /// Error type for pathology analysis. #[derive(Debug, thiserror::Error)] pub enum PathologyAnalysisError { /// No slides provided. #[error("No pathology slides provided")] NoSlides, /// Invalid slide data. #[error("Invalid slide data: {0}")] InvalidData(String), } /// Pathology slide analyzer using simulated deep learning. #[derive(Debug)] pub struct PathologyAnalyzer { /// Cell detection threshold. cell_detection_threshold: f32, } impl Default for PathologyAnalyzer { fn default() -> Self { Self::new() } } impl PathologyAnalyzer { /// Create a new pathology analyzer. #[must_use] pub fn new() -> Self { Self { cell_detection_threshold: 0.5, } } /// Analyze pathology studies. /// /// # Errors /// /// Returns error if no studies are provided. pub fn analyze( &self, studies: &[&ImagingStudy], ) -> Result { if studies.is_empty() { return Err(PathologyAnalysisError::NoSlides); } // Analyze cell classifications let cell_classifications = self.classify_cells(studies); // Analyze tissue architecture let tissue_architecture = self.analyze_architecture(studies); // Analyze biomarkers let biomarkers = self.analyze_biomarkers(studies); // Determine grade let grading = self.determine_grade(&cell_classifications); // Generate assessment let assessment = self.generate_assessment(&cell_classifications, &grading); // Calculate confidence let confidence = self.calculate_confidence(studies); Ok(PathologyFindings { cell_classifications, tissue_architecture, biomarkers, grading, assessment, confidence, }) } /// Classify cells in the slides. fn classify_cells(&self, _studies: &[&ImagingStudy]) -> Vec { vec![ CellClassification { cell_type: "Tumor cells".to_string(), count: 15000, percentage: 70.0, abnormality: 0.85, }, CellClassification { cell_type: "Lymphocytes".to_string(), count: 3200, percentage: 15.0, abnormality: 0.1, }, CellClassification { cell_type: "Stromal cells".to_string(), count: 2100, percentage: 10.0, abnormality: 0.05, }, CellClassification { cell_type: "Macrophages".to_string(), count: 1070, percentage: 5.0, abnormality: 0.15, }, ] } /// Analyze tissue architecture. fn analyze_architecture(&self, _studies: &[&ImagingStudy]) -> TissueArchitecture { TissueArchitecture { pattern: "Acinar/glandular".to_string(), is_preserved: false, features: vec![ "Loss of normal architecture".to_string(), "Irregular gland formation".to_string(), "Desmoplastic stroma".to_string(), "Focal necrosis".to_string(), ], } } /// Analyze biomarkers. fn analyze_biomarkers(&self, _studies: &[&ImagingStudy]) -> Vec { vec![ Biomarker { name: "PD-L1".to_string(), status: BiomarkerStatus::Positive, expression: Some(45.0), }, Biomarker { name: "TTF-1".to_string(), status: BiomarkerStatus::Positive, expression: Some(90.0), }, Biomarker { name: "CK7".to_string(), status: BiomarkerStatus::Positive, expression: Some(95.0), }, Biomarker { name: "CK20".to_string(), status: BiomarkerStatus::Negative, expression: Some(0.0), }, Biomarker { name: "Ki-67".to_string(), status: BiomarkerStatus::Positive, expression: Some(35.0), }, ] } /// Determine tumor grade. fn determine_grade(&self, cells: &[CellClassification]) -> Option { // Calculate grade based on cellular features let tumor_abnormality = cells .iter() .find(|c| c.cell_type == "Tumor cells") .map_or(0.5, |c| c.abnormality); let grade = if tumor_abnormality > 0.8 { "Grade 3 (Poorly differentiated)".to_string() } else if tumor_abnormality > 0.5 { "Grade 2 (Moderately differentiated)".to_string() } else { "Grade 1 (Well differentiated)".to_string() }; Some(TumorGrade { system: "Nottingham/WHO".to_string(), grade: grade.clone(), description: grade, }) } /// Calculate confidence. fn calculate_confidence(&self, studies: &[&ImagingStudy]) -> f32 { let mut confidence = 0.7; // More studies = higher confidence confidence += 0.05 * studies.len().min(4) as f32; confidence.min(0.95) } /// Generate assessment. fn generate_assessment( &self, cells: &[CellClassification], grading: &Option, ) -> String { let mut assessment = String::new(); let tumor_percentage = cells .iter() .find(|c| c.cell_type == "Tumor cells") .map_or(0.0, |c| c.percentage); assessment.push_str(&format!( "Adenocarcinoma with {tumor_percentage:.0}% tumor cellularity. " )); if let Some(grade) = grading { assessment.push_str(&format!("{}. ", grade.grade)); } let til_percentage = cells .iter() .find(|c| c.cell_type == "Lymphocytes") .map_or(0.0, |c| c.percentage); if til_percentage > 20.0 { assessment.push_str("Brisk tumor-infiltrating lymphocytes. "); } else if til_percentage > 10.0 { assessment.push_str("Moderate tumor-infiltrating lymphocytes. "); } assessment.push_str("TTF-1 positive, consistent with lung primary."); assessment } } #[cfg(test)] mod tests { use super::*; use tumorboard_shared::{BodyRegion, ImageDimensions, ImageMetadata, ImagingModality}; fn create_test_pathology_study() -> ImagingStudy { ImagingStudy { study_id: "PATH001".to_string(), modality: ImagingModality::Pathology, images: vec![ImageMetadata { id: "PATH001-HE".to_string(), modality: ImagingModality::Pathology, acquisition_date: "2024-01-15".to_string(), dimensions: ImageDimensions { width: 80000, height: 60000, depth: 1, }, spacing: [0.25, 0.25, 1.0], body_region: BodyRegion::Chest, series_description: Some("H&E stain".to_string()), }], description: Some("Lung biopsy".to_string()), } } #[test] fn test_pathology_analyzer_creation() { let analyzer = PathologyAnalyzer::new(); assert!(analyzer.cell_detection_threshold > 0.0); } #[test] fn test_analyze_pathology_study() { let analyzer = PathologyAnalyzer::new(); let study = create_test_pathology_study(); let result = analyzer.analyze(&[&study]); assert!(result.is_ok()); let findings = result.unwrap(); assert!(!findings.cell_classifications.is_empty()); assert!(findings.confidence > 0.0); } #[test] fn test_no_studies_error() { let analyzer = PathologyAnalyzer::new(); let result = analyzer.analyze(&[]); assert!(result.is_err()); } #[test] fn test_cell_classification() { let analyzer = PathologyAnalyzer::new(); let study = create_test_pathology_study(); let findings = analyzer.analyze(&[&study]).unwrap(); assert!(!findings.cell_classifications.is_empty()); let tumor_cells = findings .cell_classifications .iter() .find(|c| c.cell_type == "Tumor cells"); assert!(tumor_cells.is_some()); } #[test] fn test_tissue_architecture() { let analyzer = PathologyAnalyzer::new(); let study = create_test_pathology_study(); let findings = analyzer.analyze(&[&study]).unwrap(); assert!(!findings.tissue_architecture.pattern.is_empty()); } #[test] fn test_biomarkers() { let analyzer = PathologyAnalyzer::new(); let study = create_test_pathology_study(); let findings = analyzer.analyze(&[&study]).unwrap(); assert!(!findings.biomarkers.is_empty()); let pdl1 = findings.biomarkers.iter().find(|b| b.name == "PD-L1"); assert!(pdl1.is_some()); assert_eq!(pdl1.unwrap().status, BiomarkerStatus::Positive); } #[test] fn test_grading() { let analyzer = PathologyAnalyzer::new(); let study = create_test_pathology_study(); let findings = analyzer.analyze(&[&study]).unwrap(); assert!(findings.grading.is_some()); } #[test] fn test_assessment() { let analyzer = PathologyAnalyzer::new(); let study = create_test_pathology_study(); let findings = analyzer.analyze(&[&study]).unwrap(); assert!(!findings.assessment.is_empty()); assert!(findings.assessment.contains("Adenocarcinoma")); } }