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Kanan M, Alharbi H, Alotaibi N, Almasuood L, Aljoaid S, Alharbi T, Albraik L, Alothman W, Aljohani H, Alzahrani A, Alqahtani S, Kalantan R, Althomali R, Alameen M, Mufti A. AI-Driven Models for Diagnosing and Predicting Outcomes in Lung Cancer: A Systematic Review and Meta-Analysis. Cancers (Basel) 2024; 16:674. [PMID: 38339425 PMCID: PMC10854661 DOI: 10.3390/cancers16030674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2023] [Revised: 01/20/2024] [Accepted: 01/25/2024] [Indexed: 02/12/2024] Open
Abstract
(1) Background: Lung cancer's high mortality due to late diagnosis highlights a need for early detection strategies. Artificial intelligence (AI) in healthcare, particularly for lung cancer, offers promise by analyzing medical data for early identification and personalized treatment. This systematic review evaluates AI's performance in early lung cancer detection, analyzing its techniques, strengths, limitations, and comparative edge over traditional methods. (2) Methods: This systematic review and meta-analysis followed the PRISMA guidelines rigorously, outlining a comprehensive protocol and employing tailored search strategies across diverse databases. Two reviewers independently screened studies based on predefined criteria, ensuring the selection of high-quality data relevant to AI's role in lung cancer detection. The extraction of key study details and performance metrics, followed by quality assessment, facilitated a robust analysis using R software (Version 4.3.0). The process, depicted via a PRISMA flow diagram, allowed for the meticulous evaluation and synthesis of the findings in this review. (3) Results: From 1024 records, 39 studies met the inclusion criteria, showcasing diverse AI model applications for lung cancer detection, emphasizing varying strengths among the studies. These findings underscore AI's potential for early lung cancer diagnosis but highlight the need for standardization amidst study variations. The results demonstrate promising pooled sensitivity and specificity of 0.87, signifying AI's accuracy in identifying true positives and negatives, despite the observed heterogeneity attributed to diverse study parameters. (4) Conclusions: AI demonstrates promise in early lung cancer detection, showing high accuracy levels in this systematic review. However, study variations underline the need for standardized protocols to fully leverage AI's potential in revolutionizing early diagnosis, ultimately benefiting patients and healthcare professionals. As the field progresses, validated AI models from large-scale perspective studies will greatly benefit clinical practice and patient care in the future.
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Affiliation(s)
- Mohammed Kanan
- Department of Clinical Pharmacy, King Fahad Medical City, Riyadh 12211, Saudi Arabia
| | - Hajar Alharbi
- Department of Medicine, Gdansk Medical University, 80210 Gdansk, Poland
| | - Nawaf Alotaibi
- Department of Clinical Pharmacy, Northern Border University, Rafha 73213, Saudi Arabia
| | - Lubna Almasuood
- Department of Pharmacy, Qassim University, Buraydah 52571, Saudi Arabia
| | - Shahad Aljoaid
- Department of Medicine, University of Tabuk, Tabuk 47911, Saudi Arabia
| | - Tuqa Alharbi
- Department of Medicine, Qassim University, Buraydah 52571, Saudi Arabia
| | - Leen Albraik
- Department of Medicine, Al-Faisal University, Riyadh 12385, Saudi Arabia;
| | - Wojod Alothman
- Department of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 31411, Saudi Arabia
| | - Hadeel Aljohani
- Department of Medicine and Surgery, King Abdulaziz University, Jeddah 22230, Saudi Arabia; (H.A.); (R.K.)
| | - Aghnar Alzahrani
- Department of Medicine, Al-Baha University, Al Bahah 65964, Saudi Arabia
| | - Sadeem Alqahtani
- Department of Pharmacy, King Khalid University, Abha 62217, Saudi Arabia
| | - Razan Kalantan
- Department of Medicine and Surgery, King Abdulaziz University, Jeddah 22230, Saudi Arabia; (H.A.); (R.K.)
| | - Raghad Althomali
- Department of Medicine, Taif University, Taif 26311, Saudi Arabia
| | - Maram Alameen
- Department of Medicine, Taif University, Taif 26311, Saudi Arabia
| | - Ahdab Mufti
- Department of Medicine, Ibn Sina National College, Jeddah 22230, Saudi Arabia
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Pantic IV, Cumic J, Valjarevic S, Shakeel A, Wang X, Vurivi H, Daoud S, Chan V, Petroianu GA, Shibru MG, Ali ZM, Nesic D, Salih AE, Butt H, Corridon PR. Computational approaches for evaluating morphological changes in the corneal stroma associated with decellularization. Front Bioeng Biotechnol 2023; 11:1105377. [PMID: 37304146 PMCID: PMC10250676 DOI: 10.3389/fbioe.2023.1105377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 04/11/2023] [Indexed: 06/13/2023] Open
Abstract
Decellularized corneas offer a promising and sustainable source of replacement grafts, mimicking native tissue and reducing the risk of immune rejection post-transplantation. Despite great success in achieving acellular scaffolds, little consensus exists regarding the quality of the decellularized extracellular matrix. Metrics used to evaluate extracellular matrix performance are study-specific, subjective, and semi-quantitative. Thus, this work focused on developing a computational method to examine the effectiveness of corneal decellularization. We combined conventional semi-quantitative histological assessments and automated scaffold evaluations based on textual image analyses to assess decellularization efficiency. Our study highlights that it is possible to develop contemporary machine learning (ML) models based on random forests and support vector machine algorithms, which can identify regions of interest in acellularized corneal stromal tissue with relatively high accuracy. These results provide a platform for developing machine learning biosensing systems for evaluating subtle morphological changes in decellularized scaffolds, which are crucial for assessing their functionality.
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Affiliation(s)
- Igor V. Pantic
- Department of Medical Physiology, Faculty of Medicine, Visegradska 26/II, University of Belgrade, Belgrade, Serbia
- University of Haifa, Haifa, Israel
- Department of Physiology and Cell Biology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be’er Sheva, Israel
- Department of Pharmacology, College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Jelena Cumic
- Faculty of Medicine, University of Belgrade, University Clinical Center of Serbia, Belgrade, Serbia
| | - Svetlana Valjarevic
- Faculty of Medicine, Clinical Hospital Center Zemun, University of Belgrade, Belgrade, Serbia
| | - Adeeba Shakeel
- Department of Immunology and Physiology, College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Xinyu Wang
- Department of Immunology and Physiology, College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
- Biomedical Engineering, Healthcare Engineering Innovation Center, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Hema Vurivi
- Center for Biotechnology, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Sayel Daoud
- Anatomical Pathology Laboratory, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Vincent Chan
- Biomedical Engineering, Healthcare Engineering Innovation Center, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Georg A. Petroianu
- Department of Pharmacology, College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Meklit G. Shibru
- Department of Immunology and Physiology, College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Zehara M. Ali
- Department of Immunology and Physiology, College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Dejan Nesic
- Department of Medical Physiology, Faculty of Medicine, Visegradska 26/II, University of Belgrade, Belgrade, Serbia
| | - Ahmed E. Salih
- Department of Mechanical Engineering, College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Haider Butt
- Department of Mechanical Engineering, College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Peter R. Corridon
- Department of Immunology and Physiology, College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
- Biomedical Engineering, Healthcare Engineering Innovation Center, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
- Center for Biotechnology, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
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Qiu L, Zhang X, Mao H, Fang X, Ding W, Zhao L, Chen H. Comparison of Comprehensive Morphological and Radiomics Features of Subsolid Pulmonary Nodules to Distinguish Minimally Invasive Adenocarcinomas and Invasive Adenocarcinomas in CT Scan. Front Oncol 2022; 11:691112. [PMID: 35059308 PMCID: PMC8765579 DOI: 10.3389/fonc.2021.691112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 12/02/2021] [Indexed: 11/13/2022] Open
Abstract
Objective To investigative the diagnostic performance of the morphological model, radiomics model, and combined model in differentiating invasive adenocarcinomas (IACs) from minimally invasive adenocarcinomas (MIAs). Methods This study retrospectively involved 307 patients who underwent chest computed tomography (CT) examination and presented as subsolid pulmonary nodules whose pathological findings were MIAs or IACs from January 2010 to May 2018. These patients were randomly assigned to training and validation groups in a ratio of 4:1 for 10 times. Eighteen categories of morphological features of pulmonary nodules including internal and surrounding structure were labeled. The following radiomics features are extracted: first-order features, shape-based features, gray-level co-occurrence matrix (GLCM) features, gray-level size zone matrix (GLSZM) features, gray-level run length matrix (GLRLM) features, and gray-level dependence matrix (GLDM) features. The chi-square test and F1 test selected morphology features, and LASSO selected radiomics features. Logistic regression was used to establish models. Receiver operating characteristic (ROC) curves evaluated the effectiveness, and Delong analysis compared ROC statistic difference among three models. Results In validation cohorts, areas under the curve (AUC) of the morphological model, radiomics model, and combined model of distinguishing MIAs from IACs were 0.88, 0.87, and 0.89; the sensitivity (SE) was 0.68, 0.81, and 0.83; and the specificity (SP) was 0.93, 0.79, and 0.87. There was no statistically significant difference in AUC between three models (p > 0.05). Conclusion The morphological model, radiomics model, and combined model all have a high efficiency in the differentiation between MIAs and IACs and have potential to provide non-invasive assistant information for clinical decision-making.
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Affiliation(s)
- Lu Qiu
- Department of Radiology, Wuxi People's Hospital, Nanjing Medical University, Wuxi, China.,Department of Radiology, Wuxi Children's Hospital, Nanjing Medical University, Wuxi, China
| | - Xiuping Zhang
- Department of Radiology, Wuxi People's Hospital, Nanjing Medical University, Wuxi, China
| | - Haixia Mao
- Department of Radiology, Wuxi People's Hospital, Nanjing Medical University, Wuxi, China
| | - Xiangming Fang
- Department of Radiology, Wuxi People's Hospital, Nanjing Medical University, Wuxi, China
| | - Wei Ding
- Department of Intervention, Wuxi People's Hospital, Nanjing Medical University, Wuxi, China
| | - Lun Zhao
- Department of Research and Development, Deepwise Medical Artificial Intelligence Research Institute, Beijing, China
| | - Hongwei Chen
- Department of Radiology, Wuxi People's Hospital, Nanjing Medical University, Wuxi, China
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Kaur B, Goyal B, Daniel E. A survey on Machine learning based Medical Assistive systems in Current Oncological Sciences. Curr Med Imaging 2021; 18:445-459. [PMID: 33596810 DOI: 10.2174/1573405617666210217154446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 12/04/2020] [Accepted: 01/15/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND Cancer is one of the life threatening disease which is affecting a large number of population worldwide. The cancer cells multiply inside the body without showing much symptoms on the surface of the skin thereby making it difficult to predict and detect at the onset of disease. Many organizations are working towards automating the process of cancer detection with minimal false detection rates. INTRODUCTION The machine learning algorithms serve to be a promising alternative to support health care practitioners to rule out the disease and predict the growth with various imaging and statistical analysis tools. The medical practitioners are utilizing the output of these algorithms to diagnose and design the course of treatment. These algorithms are capable of finding out the risk level of the patient and can reduce the mortality rate concerning to cancer disease. METHOD This article presents the existing state of art techniques for identifying cancer affecting human organs based on machine learning models. The supported set of imaging operations are also elaborated for each type of Cancer. CONCLUSION The CAD tools are the aid for the diagnostic radiologists for preliminary investigations and detecting the nature of tumor cells.
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Affiliation(s)
| | | | - Ebenezer Daniel
- City of Hope, National Medical Centre, California. United States
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Joy Mathew C, David AM, Joy Mathew CM. Artificial Intelligence and its future potential in lung cancer screening. EXCLI JOURNAL 2021; 19:1552-1562. [PMID: 33408594 PMCID: PMC7783473 DOI: 10.17179/excli2020-3095] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Accepted: 12/05/2020] [Indexed: 12/18/2022]
Abstract
Artificial intelligence (AI) simulates intelligent behavior as well as critical thinking comparable to a human being and can be used to analyze and interpret complex medical data. The application of AI in imaging diagnostics reduces the burden of radiologists and increases the sensitivity of lung cancer screening so that the morbidity and mortality associated with lung cancer can be decreased. In this article, we have tried to evaluate the role of artificial intelligence in lung cancer screening, as well as the future potential and efficiency of AI in the classification of nodules. The relevant studies between 2010-2020 were selected from the PubMed database after excluding animal studies and were analyzed for the contribution of AI. Techniques such as deep learning and machine learning allow automatic characterization and classification of nodules with high precision and promise an advanced lung cancer screening method in the future. Even though several combination models with high performance have been proposed, an effectively validated model for routine use still needs to be improvised. Combining the performance of artificial intelligence with a radiologist's expertise offers a successful outcome with higher accuracy. Thus, we can conclude that higher sensitivity, specificity, and accuracy of lung cancer screening and classification of nodules is possible through the integration of artificial intelligence and radiology. The validation of models and further research is to be carried out to determine the feasibility of this integration.
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Affiliation(s)
- Christopher Joy Mathew
- Acute Medicine Department, Conquest Hospital, East Sussex Healthcare NHS Trust, United Kingdom
| | - Ashwini Maria David
- Jubilee Mission Medical College and Research Institute, Kerala University of Health Sciences, Kerala, India
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Freeling JL, McFadden LM. The emergence of cardiac changes following the self-administration of methamphetamine. Drug Alcohol Depend 2020; 212:108029. [PMID: 32408136 PMCID: PMC7293916 DOI: 10.1016/j.drugalcdep.2020.108029] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Revised: 03/16/2020] [Accepted: 04/13/2020] [Indexed: 01/16/2023]
Abstract
BACKGROUND Clinical observations suggest an association between methamphetamine (METH) use and cardiovascular disease, but preclinical studies are lacking. The purpose of the current study was to explore changes in left ventricular function as a potential precursor to cardiovascular disease in a rodent model of METH use. METHODS Male rats were allowed to self-administer either METH or saline for 9 d. On the day following the 4th and 9th self-administration sessions, an echocardiogram was performed to assess left-ventricular parameters under basal conditions and following a low-dose of METH (1 mg/kg). RESULTS A low challenge dose of METH resulted in subtle but statistically significant changes in cardiac function during the echocardiogram in both the METH and saline self-administering groups. Further, differences in left-ventricular parameters such as stroke volume and heart rate were observed between METH and saline groups following the 9th self-administration session. Finally, supervised machine learning correctly predicted the self-administration group assignment (saline or METH) using cardiac parameters following the 9th self-administration session. CONCLUSIONS The findings of the current study suggest the heart, specifically the left ventricle, is sensitive to METH. Overall, these findings and emerging clinical observations highlight the need for research to investigate the effects of METH use on the heart.
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Affiliation(s)
- Jessica L. Freeling
- Physiology Core, Division of Basic Biomedical Sciences, University of South Dakota, Vermillion SD 57069
| | - Lisa M. McFadden
- Center for Brain and Behavioral Research, Division of Basic Biomedical Sciences, University of South Dakota, Vermillion SD 57069
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