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Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Research Article

Detection of Lung Cancer on Computed Tomography Using Artificial Intelligence Applications Developed by Deep Learning Methods and the Contribution of Deep Learning to the Classification of Lung Carcinoma

Author(s): Nevin Aydın*, Özer Çelik, Ahmet Faruk Aslan, Alper Odabaş, Emine Dündar and Meryem Cansu Şahin*

Volume 17, Issue 9, 2021

Published on: 04 February, 2021

Page: [1137 - 1141] Pages: 5

DOI: 10.2174/1573405617666210204210500

Abstract

Background: Every year, lung cancer contributes to a high percentage deaths in the world. Early detection of lung cancer is important for its effective treatment, and non-invasive rapid methods are usually used for diagnosis.

Introduction: In this study, we aimed to detect lung cancer using deep learning methods and determine the contribution of deep learning to the classification of lung carcinoma using a convolutional neural network (CNN).

Methods: A total of 301 patients diagnosed with lung carcinoma pathologies in our hospital were included in the study. In the thorax, Computed Tomography (CT) was performed for diagnostic purposes prior to the treatment. After tagging the section images, tumor detection, small and non-small cell lung carcinoma differentiation, adenocarcinoma-squamous cell lung carcinoma differentiation, and adenocarcinoma-squamous cell-small cell lung carcinoma differentiation were sequentially performed using deep CNN methods.

Results: In total, 301 lung carcinoma images were used to detect tumors, and the model obtained with the deep CNN system exhibited 0.93 sensitivity, 0.82 precision, and 0.87 F1 score in detecting lung carcinoma. In the differentiation of small cell-non-small cell lung carcinoma, the sensitivity, precision and F1 score of the CNN model at the test stage were 0.92, 0.65, and 0.76, respectively. In the adenocarcinoma-squamous cancer differentiation, the sensitivity, precision, and F1 score were 0.95, 0.80, and 0.86, respectively. The patients were finally grouped as small cell lung carcinoma, adenocarcinoma, and squamous cell lung carcinoma, and the CNN model was used to determine whether it could differentiate these groups. The sensitivity, specificity, and F1 score of this model were 0.90, 0.44, and 0.59, respectively, in this differentiation.

Conclusion: In this study, we successfully detected tumors and differentiated between adenocarcinoma- squamous cell carcinoma groups with the deep learning method using the CNN model. Due to their non-invasive nature and the success of the deep learning methods, they should be integrated into radiology to diagnose lung carcinoma.

Keywords: Lung cancer, adenocarcinoma, deep learning, convolutional neural network, algorithm, computed tomography.

Graphical Abstract

[1]
Hoffman PC, Mauer AM, Vokes EE. Lung cancer. Lancet 2000; 355(9202): 479-85.
[http://dx.doi.org/10.1016/S0140-6736(00)82038-3] [PMID: 10841143]
[2]
Parkin DM, Bray F, Ferlay J, Pisani P. Estimating the world cancer burden: Globocan 2000. Int J Cancer 2001; 94(2): 153-6.
[http://dx.doi.org/10.1002/ijc.1440] [PMID: 11668491]
[3]
Karachaliou N, Pilotto S, Lazzari C, Bria E, de Marinis F, Rosell R. Cellular and molecular biology of small cell lung cancer: an overview. Transl Lung Cancer Res 2016; 5(1): 2-15.
[PMID: 26958489]
[4]
Dela Cruz CS, Tanoue LT, Matthay RA. Lung cancer: epidemiology, etiology, and prevention. Clin Chest Med 2011; 32(4): 605-44.
[http://dx.doi.org/10.1016/j.ccm.2011.09.001] [PMID: 22054876]
[5]
Aberle DR, Adams AM, Berg CD, et al. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med 2011; 365(5): 395-409.
[http://dx.doi.org/10.1056/NEJMoa1102873] [PMID: 21714641]
[6]
Chan BA, Hughes BG. Targeted therapy for non-small cell lung cancer: current standards and the promise of the future. Transl Lung Cancer Res 2015; 4(1): 36-54.
[PMID: 25806345]
[7]
Tian X, Zhang Y. Research progress of raman spectroscopy in the diagnosis of early lung cancer. Zhongguo Fei Ai Za Zhi 2018; 21(7): 560-4.
[PMID: 30037378]
[8]
Lalji UC, Wildberger JE, Zur Hausen A, et al. CT-guided percuta- neous transthoracic needle biopsies using 10G large-core needles: initial experience. Cardiovasc Intervent Radiol 2015; 38(6): 1603-10.
[http://dx.doi.org/10.1007/s00270-015-1098-z] [PMID: 25968475]
[9]
Cheng JZ, Ni D, Chou YH, et al. Computer-aided diagnosis with deep learning architecture: Applications to breast lesions in US images and pulmonary nodules in CT scans. Sci Rep 2016; 6: 24454.
[http://dx.doi.org/10.1038/srep24454] [PMID: 27079888]
[10]
Khosravi P, Kazemi E, Imielinski M, Elemento O, Hajirasouliha I. Deep convolutional neural networks enable discrimination of heterogeneous digital pathology images. EBioMedicine 2018; 27: 317-28.
[http://dx.doi.org/10.1016/j.ebiom.2017.12.026] [PMID: 29292031]
[11]
Mak KS, Gainor JF, Niemierko A, et al. Significance of targeted therapy and genetic alterations in EGFR, ALK, or KRAS on survival in patients with non-small cell lung cancer treated with radiotherapy for brain metastases. Neuro-oncol 2015; 17(2): 296-302.
[http://dx.doi.org/10.1093/neuonc/nou146] [PMID: 25053852]
[12]
Rudin CM, Ismaila N, Hann CL, et al. Treatment of small-cell lung cancer: american society of clinical oncology endorsement of the american college of chest physicians guideline. J Clin Oncol 2015; 33(34): 4106-11.
[http://dx.doi.org/10.1200/JCO.2015.63.7918] [PMID: 26351333]
[13]
Shen W, Zhou M. Multi-scale convolutional neural networks for lung nodule classification. Inf Process Med Imaging 2015; 24: 588-99.
[http://dx.doi.org/10.1007/978-3-319-19992-4_46]
[14]
Suk HI, Lee SW, Shen D. Latent feature representation with stacked auto-encoder for AD/MCI diagnosis. Brain Struct Funct 2015; 220(2): 841-59.
[http://dx.doi.org/10.1007/s00429-013-0687-3] [PMID: 24363140]
[15]
Zhang C, Sun X, Dang K, et al. Toward an expert level of lung cancer detection and classification using a deep convolutional neural network. Oncologist 2019; 24(9): 1159-65.
[http://dx.doi.org/10.1634/theoncologist.2018-0908] [PMID: 30996009]
[16]
Chen BT, Chen Z, Ye N, et al. Differentiating peripherally-located small cell lung cancer from non-small cell lung cancer using a CT radiomic approach. Front Oncol 2020; 10: 593.
[http://dx.doi.org/10.3389/fonc.2020.00593] [PMID: 32391274]
[17]
Moitra D, Mandal RK. Prediction of non-small cell lung cancer histology by a deep ensemble of convolutional and bidirectional recurrent neural network. J Digit Imaging 2020; 33(4): 895-902.
[http://dx.doi.org/10.1007/s10278-020-00337-x] [PMID: 32333132]
[18]
Wang S, Dong L, Wang X, Wang X. Classification of pathological types of lung cancer from CT images by deep residual neural networks with transfer learning strategy. Open Med (Wars) 2020; 15(15): 190-7.
[http://dx.doi.org/10.1515/med-2020-0028] [PMID: 32190744]

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