Highly accurate model for prediction of lung nodule malignancy with CT scans

Computed tomography (CT) examinations are commonly used to predict lung nodule malignancy in patients, which are shown to improve noninvasive early diagnosis of lung cancer. It remains challenging for computational approaches to achieve performance comparable to experienced radiologists. Here we present NoduleX, a systematic approach to predict lung nodule malignancy from CT data, based on deep learning convolutional neural networks (CNN). For training and validation, we analyze >1000 lung nodules in images from the LIDC/IDRI cohort. All nodules were identified and classified by four experienced thoracic radiologists who participated in the LIDC project. NoduleX achieves high accuracy for nodule malignancy classification, with an AUC of ~0.99. This is commensurate with the analysis of the dataset by experienced radiologists. Our approach, NoduleX, provides an effective framework for highly accurate nodule malignancy prediction with the model trained on a large patient population. Our results are replicable with software available at http://bioinformatics.astate.edu/NoduleX

Computerâ aided detection of lung nodules: False positive reduction using a 3D gradient field method and 3D ellipsoid fitting

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/134878/1/mp4667.pd

Computational methods for the analysis of functional 4D-CT chest images.

Medical imaging is an important emerging technology that has been intensively used in the last few decades for disease diagnosis and monitoring as well as for the assessment of treatment effectiveness. Medical images provide a very large amount of valuable information that is too huge to be exploited by radiologists and physicians. Therefore, the design of computer-aided diagnostic (CAD) system, which can be used as an assistive tool for the medical community, is of a great importance. This dissertation deals with the development of a complete CAD system for lung cancer patients, which remains the leading cause of cancer-related death in the USA. In 2014, there were approximately 224,210 new cases of lung cancer and 159,260 related deaths. The process begins with the detection of lung cancer which is detected through the diagnosis of lung nodules (a manifestation of lung cancer). These nodules are approximately spherical regions of primarily high density tissue that are visible in computed tomography (CT) images of the lung. The treatment of these lung cancer nodules is complex, nearly 70% of lung cancer patients require radiation therapy as part of their treatment. Radiation-induced lung injury is a limiting toxicity that may decrease cure rates and increase morbidity and mortality treatment. By finding ways to accurately detect, at early stage, and hence prevent lung injury, it will have significant positive consequences for lung cancer patients. The ultimate goal of this dissertation is to develop a clinically usable CAD system that can improve the sensitivity and specificity of early detection of radiation-induced lung injury based on the hypotheses that radiated lung tissues may get affected and suffer decrease of their functionality as a side effect of radiation therapy treatment. These hypotheses have been validated by demonstrating that automatic segmentation of the lung regions and registration of consecutive respiratory phases to estimate their elasticity, ventilation, and texture features to provide discriminatory descriptors that can be used for early detection of radiation-induced lung injury. The proposed methodologies will lead to novel indexes for distinguishing normal/healthy and injured lung tissues in clinical decision-making. To achieve this goal, a CAD system for accurate detection of radiation-induced lung injury that requires three basic components has been developed. These components are the lung fields segmentation, lung registration, and features extraction and tissue classification. This dissertation starts with an exploration of the available medical imaging modalities to present the importance of medical imaging in today’s clinical applications. Secondly, the methodologies, challenges, and limitations of recent CAD systems for lung cancer detection are covered. This is followed by introducing an accurate segmentation methodology of the lung parenchyma with the focus of pathological lungs to extract the volume of interest (VOI) to be analyzed for potential existence of lung injuries stemmed from the radiation therapy. After the segmentation of the VOI, a lung registration framework is introduced to perform a crucial and important step that ensures the co-alignment of the intra-patient scans. This step eliminates the effects of orientation differences, motion, breathing, heart beats, and differences in scanning parameters to be able to accurately extract the functionality features for the lung fields. The developed registration framework also helps in the evaluation and gated control of the radiotherapy through the motion estimation analysis before and after the therapy dose. Finally, the radiation-induced lung injury is introduced, which combines the previous two medical image processing and analysis steps with the features estimation and classification step. This framework estimates and combines both texture and functional features. The texture features are modeled using the novel 7th-order Markov Gibbs random field (MGRF) model that has the ability to accurately models the texture of healthy and injured lung tissues through simultaneously accounting for both vertical and horizontal relative dependencies between voxel-wise signals. While the functionality features calculations are based on the calculated deformation fields, obtained from the 4D-CT lung registration, that maps lung voxels between successive CT scans in the respiratory cycle. These functionality features describe the ventilation, the air flow rate, of the lung tissues using the Jacobian of the deformation field and the tissues’ elasticity using the strain components calculated from the gradient of the deformation field. Finally, these features are combined in the classification model to detect the injured parts of the lung at an early stage and enables an earlier intervention

Automatic 3D pulmonary nodule detection in CT images: a survey

This work presents a systematic review of techniques for the 3D automatic detection of pulmonary nodules in computerized-tomography (CT) images. Its main goals are to analyze the latest technology being used for the development of computational diagnostic tools to assist in the acquisition, storage and, mainly, processing and analysis of the biomedical data. Also, this work identifies the progress made, so far, evaluates the challenges to be overcome and provides an analysis of future prospects. As far as the authors know, this is the first time that a review is devoted exclusively to automated 3D techniques for the detection of pulmonary nodules from lung CT images, which makes this work of noteworthy value. The research covered the published works in the Web of Science, PubMed, Science Direct and IEEEXplore up to December 2014. Each work found that referred to automated 3D segmentation of the lungs was individually analyzed to identify its objective, methodology and results. Based on the analysis of the selected works, several studies were seen to be useful for the construction of medical diagnostic aid tools. However, there are certain aspects that still require attention such as increasing algorithm sensitivity, reducing the number of false positives, improving and optimizing the algorithm detection of different kinds of nodules with different sizes and shapes and, finally, the ability to integrate with the Electronic Medical Record Systems and Picture Archiving and Communication Systems. Based on this analysis, we can say that further research is needed to develop current techniques and that new algorithms are needed to overcome the identified drawbacks

Semantic Characteristics Prediction of Pulmonary Nodule Using Artificial Neural Networks

Since it is difficult to choose which computer calculated features are effective to predict the malignancy of pulmonary nodules, in this study, we add a semantic-level of Artificial Neural Networks (ANNs) structure to improve intuition of features selection. The works of this study include two: 1) seeking the relationships between computer-calculated features and medical semantic concepts which could be understood by human; 2) providing an objective assessment method to predict the malignancy from semantic characteristics. We used 60 thoracic CT scans collected from the Lung Image Database Consortium (LIDC) database, in which the suspicious lesions had been delineated and annotated by 4 radiologists independently. Corresponding to the two works of this study, correlation analysis experiment and agreement experiment were performed separately.The 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC\u2713), July 3-7, 2013, Osaka, Japa

Automated identification of lung nodules

©2008 IEEE. Personal use of this material is permitted. However, permission to reprint/republish this material for advertising or promotional purposes or for creating new collective works for resale or redistribution to servers or lists, or to reuse any copyrighted component of this work in other works must be obtained from the IEEE. This material is presented to ensure timely dissemination of scholarly and technical work. Copyright and all rights therein are retained by authors or by other copyright holders. All persons copying this information are expected to adhere to the terms and constraints invoked by each author's copyright. In most cases, these works may not be reposted without the explicit permission of the copyright holder.A system that can automatically detect nodules within lung images may assist expert radiologists in interpreting the abnormal patterns as nodules in 2D CT lung images. A system is presented that can automatically identify nodules of various sizes within lung images. The pattern classification method is employed to develop the proposed system. A random forest ensemble classifier is formed consisting of many weak learners that can grow decision trees. The forest selects the decision that has the most votes. The developed system consists of two random forest classifiers connected in a series fashion. A subset of CT lung images from the LIDC database is employed. It consists of 5721 images to train and test the system. There are 411 images that contained expert- radiologists identified nodules. Training sets consisting of nodule, non-nodule, and false-detection patterns are constructed. A collection of test images are also built. The first classifier is developed to detect all nodules. The second classifier is developed to eliminate the false detections produced by the first classifier. According to the experimental results, a true positive rate of 100%, and false positive rate of 1.4 per lung image are achieved.S. L. A. Lee, A. Z. Kouzani, and E. J. H

Lung nodules detection by ensemble classification

A method is presented that achieves lung nodule detection by classification of nodule and non-nodule patterns. It is based on random forests which are ensemble learners that grow classification trees. Each tree produces a classification decision, and an integrated output is calculated. The performance of the developed method is compared against that of the support vector machine and the decision tree methods. Three experiments are performed using lung scans of 32 patients including thousands of images within which nodule locations are marked by expert radiologists. The classification errors and execution times are presented and discussed. The lowest classification error (2.4%) has been produced by the developed method.<br /

Semantic Characteristics Prediction of Pulmonary Nodule Using Artificial Neural Networks

The 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC'13), July 3-7, 2013, Osaka, JapanSince it is difficult to choose which computer calculated features are effective to predict the malignancy of pulmonary nodules, in this study, we add a semantic-level of Artificial Neural Networks (ANNs) structure to improve intuition of features selection. The works of this study include two: 1) seeking the relationships between computer-calculated features and medical semantic concepts which could be understood by human; 2) providing an objective assessment method to predict the malignancy from semantic characteristics. We used 60 thoracic CT scans collected from the Lung Image Database Consortium (LIDC) database, in which the suspicious lesions had been delineated and annotated by 4 radiologists independently. Corresponding to the two works of this study, correlation analysis experiment and agreement experiment were performed separately