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Cited by 435

The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.

Predicting EGFR mutation status in lung adenocarcinoma on computed tomography image using deep learning

Open access
Wang, Shuo, Shi, Jingyun, Ye, Zhaoxiang, Dong, Di, Yu, Dongdong, Zhou, Mu, Liu, Ying, Gevaert, Olivier, Wang, Kun, Zhu, Yongbei, Zhou, Hongyu, Liu, Zhenyu, Tian, Jie·2019·European Respiratory Journal

Abstract

Epidermal growth factor receptor (EGFR) genotyping is critical for treatment guidelines such as the use of tyrosine kinase inhibitors in lung adenocarcinoma. Conventional identification of EGFR genotype requires biopsy and sequence testing which is invasive and may suffer from the difficulty of accessing tissue samples. Here, we propose a deep learning model to predict EGFR mutation status in lung adenocarcinoma using non-invasive computed tomography (CT). We retrospectively collected data from 844 lung adenocarcinoma patients with pre-operative CT images, EGFR mutation and clinical information from two hospitals. An end-to-end deep learning model was proposed to predict the EGFR mutation status by CT scanning. By training in 14 926 CT images, the deep learning model achieved encouraging predictive performance in both the primary cohort (n=603; AUC 0.85, 95% CI 0.83–0.88) and the independent validation cohort (n=241; AUC 0.81, 95% CI 0.79–0.83), which showed significant improvement over previous studies using hand-crafted CT features or clinical characteristics (p<0.001). The deep learning score demonstrated significant differences in EGFR-mutant and EGFR-wild type tumours (p<0.001). Since CT is routinely used in lung cancer diagnosis, the deep learning model provides a non-invasive and easy-to-use method for EGFR mutation status prediction.

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Metadata

Authors
Wang, S., Shi, J., Ye, Z., Dong, D., Yu, D., Zhou, M., Liu, Y., Gevaert, O., Wang, K., Zhu, Y., Zhou, H., Liu, Z., & Tian, J.
Venue
European Respiratory Journal
Published
2019-01-11
Volume
53
Issue
3
Pages
1800986
ISSN
  • 0903-1936 (ISSN-L)
  • 1399-3003
OpenAlex
W2910380368
Cited by
435
References
14
FWCI
34.05
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Predicting EGFR mutation status in lung adenocarcinoma on computed tomography image using deep learning. https://app.cochat.ai/papers/10.1183/13993003.00986-2018
The paper
Wang, S., Shi, J., Ye, Z., Dong, D., Yu, D., Zhou, M., Liu, Y., Gevaert, O., Wang, K., Zhu, Y., Zhou, H., Liu, Z., & Tian, J. (2019). Predicting EGFR mutation status in lung adenocarcinoma on computed tomography image using deep learning. European Respiratory Journal. https://doi.org/10.1183/13993003.00986-2018

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