Cloud-Based Automated Clinical Decision Support System for Detection and Diagnosis of Lung Cancer in Chest CT

Lung cancer is a major cause for cancer-related deaths. The detection of pulmonary cancer in the early stages can highly increase survival rate. Manual delineation of lung nodules by radiologists is a tedious task. We developed a novel computer-aided decision support system for lung nodule detection...

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Autores principales: Anum Masood, Po Yang, Bin Sheng, Huating Li, Ping Li, Jing Qin, Vitaveska Lanfranchi, Jinman Kim, David Dagan Feng
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Publicado: IEEE 2020
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spelling oai:doaj.org-article:fd08d16d02214fa28f91eb4d39f8fe1f2021-11-19T00:00:25ZCloud-Based Automated Clinical Decision Support System for Detection and Diagnosis of Lung Cancer in Chest CT2168-237210.1109/JTEHM.2019.2955458https://doaj.org/article/fd08d16d02214fa28f91eb4d39f8fe1f2020-01-01T00:00:00Zhttps://ieeexplore.ieee.org/document/8922769/https://doaj.org/toc/2168-2372Lung cancer is a major cause for cancer-related deaths. The detection of pulmonary cancer in the early stages can highly increase survival rate. Manual delineation of lung nodules by radiologists is a tedious task. We developed a novel computer-aided decision support system for lung nodule detection based on a 3D Deep Convolutional Neural Network (3DDCNN) for assisting the radiologists. Our decision support system provides a second opinion to the radiologists in lung cancer diagnostic decision making. In order to leverage 3-dimensional information from Computed Tomography (CT) scans, we applied median intensity projection and multi-Region Proposal Network (mRPN) for automatic selection of potential region-of-interests. Our Computer Aided Diagnosis (CAD) system has been trained and validated using LUNA16, ANODE09, and LIDC-IDR datasets; the experiments demonstrate the superior performance of our system, attaining sensitivity, specificity, AUROC, accuracy, of 98.4%, 92%, 96% and 98.51% with 2.1 FPs per scan. We integrated cloud computing, trained and validated our Cloud-Based 3DDCNN on the datasets provided by Shanghai Sixth People’s Hospital, as well as LUNA16, ANODE09, and LIDC-IDR. Our system outperformed the state-of-the-art systems and obtained an impressive 98.7% sensitivity at 1.97 FPs per scan. This shows the potentials of deep learning, in combination with cloud computing, for accurate and efficient lung nodule detection via CT imaging, which could help doctors and radiologists in treating lung cancer patients.Anum MasoodPo YangBin ShengHuating LiPing LiJing QinVitaveska LanfranchiJinman KimDavid Dagan FengIEEEarticleComputer-aided diagnosisnodule detectioncloud computingcomputed tomographylung cancerComputer applications to medicine. Medical informaticsR858-859.7Medical technologyR855-855.5ENIEEE Journal of Translational Engineering in Health and Medicine, Vol 8, Pp 1-13 (2020)
institution DOAJ
collection DOAJ
language EN
topic Computer-aided diagnosis
nodule detection
cloud computing
computed tomography
lung cancer
Computer applications to medicine. Medical informatics
R858-859.7
Medical technology
R855-855.5
spellingShingle Computer-aided diagnosis
nodule detection
cloud computing
computed tomography
lung cancer
Computer applications to medicine. Medical informatics
R858-859.7
Medical technology
R855-855.5
Anum Masood
Po Yang
Bin Sheng
Huating Li
Ping Li
Jing Qin
Vitaveska Lanfranchi
Jinman Kim
David Dagan Feng
Cloud-Based Automated Clinical Decision Support System for Detection and Diagnosis of Lung Cancer in Chest CT
description Lung cancer is a major cause for cancer-related deaths. The detection of pulmonary cancer in the early stages can highly increase survival rate. Manual delineation of lung nodules by radiologists is a tedious task. We developed a novel computer-aided decision support system for lung nodule detection based on a 3D Deep Convolutional Neural Network (3DDCNN) for assisting the radiologists. Our decision support system provides a second opinion to the radiologists in lung cancer diagnostic decision making. In order to leverage 3-dimensional information from Computed Tomography (CT) scans, we applied median intensity projection and multi-Region Proposal Network (mRPN) for automatic selection of potential region-of-interests. Our Computer Aided Diagnosis (CAD) system has been trained and validated using LUNA16, ANODE09, and LIDC-IDR datasets; the experiments demonstrate the superior performance of our system, attaining sensitivity, specificity, AUROC, accuracy, of 98.4%, 92%, 96% and 98.51% with 2.1 FPs per scan. We integrated cloud computing, trained and validated our Cloud-Based 3DDCNN on the datasets provided by Shanghai Sixth People’s Hospital, as well as LUNA16, ANODE09, and LIDC-IDR. Our system outperformed the state-of-the-art systems and obtained an impressive 98.7% sensitivity at 1.97 FPs per scan. This shows the potentials of deep learning, in combination with cloud computing, for accurate and efficient lung nodule detection via CT imaging, which could help doctors and radiologists in treating lung cancer patients.
format article
author Anum Masood
Po Yang
Bin Sheng
Huating Li
Ping Li
Jing Qin
Vitaveska Lanfranchi
Jinman Kim
David Dagan Feng
author_facet Anum Masood
Po Yang
Bin Sheng
Huating Li
Ping Li
Jing Qin
Vitaveska Lanfranchi
Jinman Kim
David Dagan Feng
author_sort Anum Masood
title Cloud-Based Automated Clinical Decision Support System for Detection and Diagnosis of Lung Cancer in Chest CT
title_short Cloud-Based Automated Clinical Decision Support System for Detection and Diagnosis of Lung Cancer in Chest CT
title_full Cloud-Based Automated Clinical Decision Support System for Detection and Diagnosis of Lung Cancer in Chest CT
title_fullStr Cloud-Based Automated Clinical Decision Support System for Detection and Diagnosis of Lung Cancer in Chest CT
title_full_unstemmed Cloud-Based Automated Clinical Decision Support System for Detection and Diagnosis of Lung Cancer in Chest CT
title_sort cloud-based automated clinical decision support system for detection and diagnosis of lung cancer in chest ct
publisher IEEE
publishDate 2020
url https://doaj.org/article/fd08d16d02214fa28f91eb4d39f8fe1f
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