School of Mechanical Engineering, Dongguan University of Technology, Dongguan, China.
School of Electromechanical Engineering, Guangdong University of Technology, Guangzhou, China.
Front Public Health. 2021 May 19;9:671070. doi: 10.3389/fpubh.2021.671070. eCollection 2021.
Malignant pulmonary nodules are one of the main manifestations of lung cancer in early CT image screening. Since lung cancer may have no early obvious symptoms, it is important to develop a computer-aided detection (CAD) system to assist doctors to detect the malignant pulmonary nodules in the early stage of lung cancer CT diagnosis. Due to the recent successful applications of deep learning in image processing, more and more researchers have been trying to apply it to the diagnosis of pulmonary nodules. However, due to the ratio of nodules and non-nodules samples used in the training and testing datasets usually being different from the practical ratio of lung cancer, the CAD classification systems may easily produce higher false-positives while using this imbalanced dataset. This work introduces a filtering step to remove the irrelevant images from the dataset, and the results show that the false-positives can be reduced and the accuracy can be above 98%. There are two steps in nodule detection. Firstly, the images with pulmonary nodules are screened from the whole lung CT images of the patients. Secondly, the exact locations of pulmonary nodules will be detected using Faster R-CNN. Final results show that this method can effectively detect the pulmonary nodules in the CT images and hence potentially assist doctors in the early diagnosis of lung cancer.
恶性肺结节是肺癌在 CT 图像早期筛查中的主要表现之一。由于肺癌可能在早期没有明显症状,因此开发一种计算机辅助检测(CAD)系统来协助医生在肺癌 CT 诊断的早期阶段检测恶性肺结节非常重要。由于深度学习在图像处理中的最近成功应用,越来越多的研究人员试图将其应用于肺结节的诊断。然而,由于训练和测试数据集中小结节和非结节样本的比例通常与肺癌的实际比例不同,因此 CAD 分类系统在使用这种不平衡数据集时可能容易产生更高的假阳性率。这项工作引入了一个过滤步骤,从数据集中删除不相关的图像,结果表明可以降低假阳性率,准确率可以达到 98%以上。结节检测有两个步骤。首先,从患者的全肺 CT 图像中筛选出含有肺结节的图像。其次,使用 Faster R-CNN 检测肺结节的准确位置。最终结果表明,该方法可以有效地检测 CT 图像中的肺结节,从而有可能协助医生进行肺癌的早期诊断。