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  4. Deep learning-based solid component measuring enabled interpretable prediction of tumor invasiveness for lung adenocarcinoma
 
research article

Deep learning-based solid component measuring enabled interpretable prediction of tumor invasiveness for lung adenocarcinoma

Sun, Jiajing
•
Zhang, Li
•
Hu, Bingyu
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October 9, 2023
Lung Cancer

Background: The nature of the solid component of subsolid nodules (SSNs) can indicate tumor pathological invasiveness. However, preoperative solid component assessment still lacks a reference standard.Methods: In this retrospective study, an AI algorithm was proposed for measuring the solid components ratio in SSNs, which was used to assess the diameter ratio (1D), area ratio (2D), and volume ratio (3D). The radiologist measured each SSN's consolidation to tumor ratio (CTR) twice, four weeks apart. The area under the receiver -operating characteristic (ROC) curve (AUC) was calculated for each method used to discriminate an Invasive Adenocarcinoma (IA) from a non-IA. The AUC and the time cost of each measurement were compared. Furthermore, we examined the consistency of measurements made by the radiologist on two separate occasions.Results: A total of 379 patients (the primary dataset n = 278, the validation dataset n = 101) were included. In the primary dataset, compared to the manual approach (AUC: 0.697), the AI algorithm (AUC: 0.811) had better predictive performance (P =.0027) in measuring solid components ratio in 3D. Algorithm measurement in 3D had an AUC no inferior to 1D (AUC: 0.806) and 2D (AUC: 0.796). In the validation dataset, the AI 3D method also achieved superior diagnostic performance compared to the radiologist (AUC: 0.803 vs 0.682, P =.046). The two measurements of the CTR in the primary dataset, taken 4 weeks apart, have 7.9 % cases in poor consistency. The measurement time cost by the radiologist is about 60 times that of the AI algorithm (P <.001).Conclusion: The 3D measurement of solid components using AI, is an effective and objective approach to predict the pathological invasiveness of SSNs. It can be a preoperative interpretable indicator of pathological invasiveness in patients with lung adenocarcinoma.

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Type
research article
DOI
10.1016/j.lungcan.2023.107392
Web of Science ID

WOS:001102915200001

Author(s)
Sun, Jiajing
Zhang, Li
Hu, Bingyu
Du, Zhicheng
Cho, William C.
Witharana, Pasan
Sun, Hua
Ma, Dehua
Ye, Minhua
Chen, Jiajun
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Date Issued

2023-10-09

Publisher

Elsevier Ireland Ltd

Published in
Lung Cancer
Volume

186

Article Number

107392

Subjects

Life Sciences & Biomedicine

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Artificial Intelligence

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Deep Learning

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Subsolid Nodules

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Solid Component

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Computed Tomography

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Lung Adenocarcinoma

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
CVLAB  
FunderGrant Number

National Nature Science Foundation in China (NSFC)

82002420

Natural Science Foundation of Zhejiang Provincial

LY19H160018

Available on Infoscience
February 19, 2024
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/204219
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