Artificial Intelligence in Lung Cancer Imaging: From Data to Therapy.

Journal: Critical reviews in oncogenesis
Published Date:

Abstract

Lung cancer remains a global health challenge, leading to substantial morbidity and mortality. While prevention and early detection strategies have improved, the need for precise diagnosis, prognosis, and treatment remains crucial. In this comprehensive review article, we explore the role of artificial intelligence (AI) in reshaping the management of lung cancer. AI may have different potential applications in lung cancer characterization and outcome prediction. Manual segmentation is a time-consuming task, with high inter-observer variability, that can be replaced by AI-based approaches, including deep learning models such as U-Net, BCDU-Net, and others, to quantify lung nodules and cancers objectively and to extract radiomics features for the characterization of the tissue. AI models have also demonstrated their ability to predict treatment responses, such as immunotherapy and targeted therapy, by integrating radiomic features with clinical data. Additionally, AI-based prognostic models have been developed to identify patients at higher risk and personalize treatment strategies. In conclusion, this review article provides a comprehensive overview of the current state of AI applications in lung cancer management, spanning from segmentation and virtual biopsy to outcome prediction. The evolving role of AI in improving the precision and effectiveness of lung cancer diagnosis and treatment underscores its potential to significantly impact clinical practice and patient outcomes.

Authors

  • Michaela Cellina
    Radiology Department, Fatebenefratelli Hospital, Milano, Italy.
  • Giuseppe De Padova
    Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono 7, 20122 Milano, Italy.
  • Nazarena Caldarelli
    Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono 7, 20122 Milano, Italy.
  • Dario Libri
    Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono 7, 20122 Milano, Italy.
  • Maurizio Cè
    Postgraduate School in Radiodiagnostics, 9304Università degli Studi di Milano, Milan, Italy.
  • Carlo Martinenghi
    Radiology Department, San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.
  • Marco Ali
    Unit of Diagnostic Imaging and Stereotactic Radiotherapy, Centro Diagnostico Italiano S.p.A., Via Saint Bon 20, 20147, Milan, Italy.
  • Sergio Papa
    Unit of Diagnostic Imaging and Stereotactic Radiotherapy, Centro Diagnostico Italiano S.p.A., Via Saint Bon 20, 20147, Milan, Italy.
  • Gianpaolo Carrafiello
    Radiology Department, Foundation IRCCS Cà Granda-Ospedale Maggiore Policlinico, Milan, Italy.