Reducing uncertainty in cancer risk estimation for patients with indeterminate pulmonary nodules using an integrated deep learning model.

Journal: Computers in biology and medicine
Published Date:

Abstract

OBJECTIVE: Patients with indeterminate pulmonary nodules (IPN) with an intermediate to a high probability of lung cancer generally undergo invasive diagnostic procedures. Chest computed tomography image and clinical data have been in estimating the pretest probability of lung cancer. In this study, we apply a deep learning network to integrate multi-modal data from CT images and clinical data (including blood-based biomarkers) to improve lung cancer diagnosis. Our goal is to reduce uncertainty and to avoid morbidity, mortality, over- and undertreatment of patients with IPNs.

Authors

  • Riqiang Gao
    Vanderbilt University, , Nashville, USA.
  • Thomas Li
    Teva Branded Pharmaceutical Products R&D Inc, Parsippany, New Jersey, USA.
  • Yucheng Tang
    NVIDIA Corporation, Santa Clara and Bethesda, USA.
  • Kaiwen Xu
    Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN 37235, USA.
  • Mirza Khan
    Vanderbilt University Medical Center, Nashville, TN, 37235, USA.
  • Michael Kammer
    Vanderbilt University Medical Center, Nashville, TN, 37235, USA.
  • Sanja L Antic
    Medicine, Vanderbilt University School of Medicine, Nashville, TN 37235, USA.
  • Stephen Deppen
    Vanderbilt University Medical Center, Nashville, TN, 37235, USA.
  • Yuankai Huo
    Vanderbilt University, Nashville, TN 37212, USA.
  • Thomas A Lasko
    Vanderbilt University School of Medicine, Nashville, TN.
  • Kim L Sandler
    Radiology, Vanderbilt University Medical Center, Nashville, TN 37235, USA.
  • Fabien Maldonado
    Mechanical Engineering Department, Vanderbilt University, Nashville, TN, USA.
  • Bennett A Landman
    Vanderbilt University, Nashville TN 37235, USA.