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These studies suggest that various advanced imaging and machine learning techniques, including contrast stretching, deep learning models, and neural networks, significantly improve the accuracy, sensitivity, and specificity of lung cancer classification and prognosis prediction in CT images.
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Lung cancer remains one of the most fatal cancers globally, with early detection being crucial for improving patient survival rates. Computed Tomography (CT) scans and pathology images are pivotal in diagnosing and classifying lung cancer. Recent advancements in image processing and machine learning have significantly enhanced the accuracy and efficiency of lung cancer detection and classification.
One innovative approach to lung cancer classification from CT images involves enhancing the contrast of the original images using gamma correction and max intensity weights. This method extracts multiple texture, point, and geometric features, which are then fused using a serial canonical correlation-based approach. The most discriminative features are selected using an entropy-based method and fed into an ensemble classifier, achieving an impressive accuracy of 99.4% on the Lungs Data Science Bowl 2017 dataset.
Deep learning models, particularly Optimal Deep Neural Networks (ODNN), have shown great promise in classifying lung cancer from CT images. By extracting deep features and reducing their dimensionality using Linear Discriminate Analysis (LDA), these models can classify lung nodules as malignant or benign with high sensitivity (96.2%) and specificity (94.2%). Another study utilized artificial neural networks (ANN) for CT image classification, achieving a classification accuracy of 93.3% with a proposed training function.
Pathology images, especially whole slide imaging (WSI), are increasingly used for lung cancer diagnosis. Deep learning algorithms have been developed to analyze these images, identifying tumor regions, predicting prognosis, and characterizing the tumor microenvironment. These methods have shown potential in improving the accuracy and efficiency of lung cancer diagnosis and prognosis prediction.
A study involving 2,186 histopathology whole-slide images from The Cancer Genome Atlas (TCGA) demonstrated that machine learning methods could predict the prognosis of lung cancer patients. By extracting and selecting quantitative image features, the study distinguished between shorter-term and longer-term survivors with significant accuracy, suggesting that automated image analysis can contribute to precision oncology.
Deep convolutional neural networks (CNNs) have been trained to classify lung cancer subtypes, such as adenocarcinoma (LUAD) and squamous cell carcinoma (LUSC), with performance comparable to that of pathologists. These models can also predict mutations in key oncogenes, aiding in personalized treatment planning. The CNN model achieved an average area under the curve (AUC) of 0.97 for subtype classification and could predict mutations with AUCs ranging from 0.733 to 0.856.
The integration of advanced image processing techniques and machine learning models has significantly improved the classification and prognosis prediction of lung cancer from CT and pathology images. These advancements not only enhance diagnostic accuracy but also pave the way for personalized treatment approaches, ultimately improving patient outcomes. As technology continues to evolve, the collaboration between developers, clinicians, and researchers will be crucial in further advancing lung cancer imaging and diagnosis.
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