An imageomics and multi-network based deep learning model for risk assessment of liver transplantation for hepatocellular cancer.

Journal: Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society
Published Date:

Abstract

INTRODUCTION: Liver transplantation (LT) is an effective treatment for hepatocellular carcinoma (HCC), the most common type of primary liver cancer. Patients with small HCC (<5 cm) are given priority over others for transplantation due to clinical allocation policies based on tumor size. Attempting to shift from the prevalent paradigm that successful transplantation and longer disease-free survival can only be achieved in patients with small HCC to expanding the transplantation option to patients with HCC of the highest tumor burden (>5 cm), we developed a convergent artificial intelligence (AI) model that combines transient clinical data with quantitative histologic and radiomic features for more objective risk assessment of liver transplantation for HCC patients.

Authors

  • Tiancheng He
    Houston Methodist, Houston, TX.
  • Joy Nolte Fong
    Department of Surgery, Houston Methodist Hospital, Houston, TX, 77030, United States.
  • Linda W Moore
    Department of Surgery, Houston Methodist Hospital, Houston, TX, 77030, United States; Center for Outcomes Research, Houston Methodist Research Institute, Houston, TX, 77030, United States.
  • Chika F Ezeana
    Houston Methodist, Houston, TX.
  • David Victor
    JC Walter Jr Transplant Center, Houston Methodist Hospital, Houston, TX, 77030, United States; Department of Medicine, Houston Methodist Hospital, Houston, TX, 77030, United States.
  • Mukul Divatia
    Department of Clinical Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, TX, 77030, United States.
  • Matthew Vasquez
    Systems Medicine and Bioengineering Department, Houston Methodist Cancer Center and Departments of Radiology and Pathology, Houston Methodist Hospital, Weill Cornell Medicine, Houston, TX, 77030, United States.
  • R Mark Ghobrial
    Department of Surgery, Houston Methodist Hospital, Houston, TX, 77030, United States; JC Walter Jr Transplant Center, Houston Methodist Hospital, Houston, TX, 77030, United States. Electronic address: RMGhobrial@houstonmethodist.org.
  • Stephen T C Wong
    Translational Biophotonics Laboratory, Department of Systems Medicine and Bioengineering, Houston Me, United States.