Department of Pulmonary and Critical Care Medicine, Fujian Medical University Union Hospital, Fuzhou, 350001, Fujian, China.
Department of Pathology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, China.
Sci Rep. 2024 May 7;14(1):10471. doi: 10.1038/s41598-024-61101-7.
Lung diseases globally impose a significant pathological burden and mortality rate, particularly the differential diagnosis between adenocarcinoma, squamous cell carcinoma, and small cell lung carcinoma, which is paramount in determining optimal treatment strategies and improving clinical prognoses. Faced with the challenge of improving diagnostic precision and stability, this study has developed an innovative deep learning-based model. This model employs a Feature Pyramid Network (FPN) and Squeeze-and-Excitation (SE) modules combined with a Residual Network (ResNet18), to enhance the processing capabilities for complex images and conduct multi-scale analysis of each channel's importance in classifying lung cancer. Moreover, the performance of the model is further enhanced by employing knowledge distillation from larger teacher models to more compact student models. Subjected to rigorous five-fold cross-validation, our model outperforms existing models on all performance metrics, exhibiting exceptional diagnostic accuracy. Ablation studies on various model components have verified that each addition effectively improves model performance, achieving an average accuracy of 98.84% and a Matthews Correlation Coefficient (MCC) of 98.83%. Collectively, the results indicate that our model significantly improves the accuracy of disease diagnosis, providing physicians with more precise clinical decision-making support.
全球范围内的肺部疾病带来了重大的病理负担和死亡率,尤其是在腺癌、鳞状细胞癌和小细胞肺癌之间进行鉴别诊断,这对于确定最佳治疗策略和改善临床预后至关重要。面对提高诊断精度和稳定性的挑战,本研究开发了一种创新的基于深度学习的模型。该模型采用特征金字塔网络(FPN)和挤压激励(SE)模块与残差网络(ResNet18)相结合,增强了对复杂图像的处理能力,并对每个通道在肺癌分类中的重要性进行多尺度分析。此外,通过将知识从较大的教师模型蒸馏到更紧凑的学生模型,进一步提高了模型的性能。经过严格的五重交叉验证,我们的模型在所有性能指标上均优于现有模型,表现出出色的诊断准确性。对各种模型组件的消融研究验证了每个附加组件都有效地提高了模型性能,平均准确率达到 98.84%,马修斯相关系数(MCC)达到 98.83%。总的来说,结果表明我们的模型显著提高了疾病诊断的准确性,为医生提供了更精确的临床决策支持。