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Artificial intelligence in lung cancer screening: Detection, classification, prediction, and prognosis

Quanyang, Wu, Yao, Huang, Sicong, Wang, Linlin, Qi, Zewei, Zhang, Donghui, Hou, Hongjia, Li, Shijun, Zhao·2024·Cancer Medicine

Abstract

Background: The exceptional capabilities of artificial intelligence (AI) in extracting image information and processing complex models have led to its recognition across various medical fields. With the continuous evolution of AI technologies based on deep learning, particularly the advent of convolutional neural networks (CNNs), AI presents an expanded horizon of applications in lung cancer screening, including lung segmentation, nodule detection, false‐positive reduction, nodule classification, and prognosis. Methodology: This review initially analyzes the current status of AI technologies. It then explores the applications of AI in lung cancer screening, including lung segmentation, nodule detection, and classification, and assesses the potential of AI in enhancing the sensitivity of nodule detection and reducing false‐positive rates. Finally, it addresses the challenges and future directions of AI in lung cancer screening. Results: AI holds substantial prospects in lung cancer screening. It demonstrates significant potential in improving nodule detection sensitivity, reducing false‐positive rates, and classifying nodules, while also showing value in predicting nodule growth and pathological/genetic typing. Conclusions: AI offers a promising supportive approach to lung cancer screening, presenting considerable potential in enhancing nodule detection sensitivity, reducing false‐positive rates, and classifying nodules. However, the universality and interpretability of AI results need further enhancement. Future research should focus on the large‐scale validation of new deep learning‐based algorithms and multi‐center studies to improve the efficacy of AI in lung cancer screening.

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  • AI can reduce inter-reader variability, improve consistency in nodule measurement, and assist in nodule characterization, potentially decreasing unnecessary work-up of benign nodules and expediting diagnosis of malignant ones.

    “AI can reduce inter-reader variability, improve consistency in nodule measurement, and assist in nodule characterization, potentially decreasing unnecessary work-up of benign nodules and expediting diagnosis of malignant ones [15].”

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Authors
Quanyang, W., Yao, H., Sicong, W., Linlin, Q., Zewei, Z., Donghui, H., Hongjia, L., & Shijun, Z.
Affiliations
  • Department of Diagnostic Radiology National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China
  • Magnetic Resonance Imaging Research General Electric Healthcare (China) Beijing China
  • PET‐CT Center National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China
Venue
Cancer Medicine
Publisher
Wiley
Published
2024-04
Volume
13
Issue
7
ISSN
2045-7634
Cited by
99
References
5
Language
en
Funders
National Key Research and Development Program of China (2020AAA0109504)

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