Attention Guided Lymph Node Malignancy Prediction in Head and Neck Cancer.

Journal: International journal of radiation oncology, biology, physics
Published Date:

Abstract

PURPOSE: Accurate lymph node (LN) malignancy classification is essential for treatment target identification in head and neck cancer (HNC) radiation therapy. Given the constraints imposed by relatively small sample sizes in real-world medical applications, to classify LN malignancy status accurately, we proposed an attention-guided classification (AGC) scheme that (1) incorporates human knowledge (ie, LN contours) into model training to guide model's "learning" direction, alleviating the critical requirement of large training samples by deep learning approaches; and (2) does not require accurate delineation of LNs in the inference stage but can highlight the discriminative region nearby the LN, which is important for malignancy determination.

Authors

  • Liyuan Chen
  • Michael Dohopolski
    Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, United States of America.
  • Zhiguo Zhou
  • Kai Wang
    Department of Rheumatology, The Affiliated Huai'an No. 1 People's Hospital of Nanjing Medical University, Huai'an, Jiangsu, China.
  • Rongfang Wang
    School of Artificial Intelligence, Xidian University, Xi'an 710071, People's Republic of China. Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75235, United States of America. Medical Artificial Intelligence and Automation (MAIA) Lab, University of Texas Southwestern Medical Center, Dallas, TX 75390, United States of America.
  • David Sher
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Jing Wang
    Endoscopy Center, Peking University Cancer Hospital and Institute, Beijing, China.