Su Ziyu, Afzaal Usman, Niu Shuo, de Toro Margarita Munoz, Xing Fei, Ruiz Jimmy, Gurcan Metin N, Li Wencheng, Niazi M Khalid Khan
Center for Artificial Intelligence Research, Wake Forest University School of Medicine, Winston-Salem, NC 27101, USA.
Department of Pathology, Wake Forest University School of Medicine, Winston-Salem, NC 27101, USA.
Cancers (Basel). 2024 Sep 6;16(17):3097. doi: 10.3390/cancers16173097.
Lung cancer is the leading cause of cancer-related death in the United States. Lung adenocarcinoma (LUAD) is one of the most common subtypes of lung cancer that can be treated with resection. While resection can be curative, there is a significant risk of recurrence, which necessitates close monitoring and additional treatment planning. Traditionally, microscopic evaluation of tumor grading in resected specimens is a standard pathologic practice that informs subsequent therapy and patient management. However, this approach is labor-intensive and subject to inter-observer variability. To address the challenge of accurately predicting recurrence, we propose a deep learning-based model to predict the 5-year recurrence of LUAD in patients following surgical resection. In our model, we introduce an innovative dual-attention architecture that significantly enhances computational efficiency. Our model demonstrates excellent performance in recurrent risk stratification, achieving a hazard ratio of 2.29 (95% CI: 1.69-3.09, < 0.005), which outperforms several existing deep learning methods. This study contributes to ongoing efforts to use deep learning models for automatically learning histologic patterns from whole slide images (WSIs) and predicting LUAD recurrence risk, thereby improving the accuracy and efficiency of treatment decision making.
肺癌是美国癌症相关死亡的主要原因。肺腺癌(LUAD)是肺癌最常见的亚型之一,可通过手术切除进行治疗。虽然手术切除可以治愈,但复发风险很高,这就需要密切监测和额外的治疗规划。传统上,对切除标本进行肿瘤分级的显微镜评估是一种标准的病理做法,可为后续治疗和患者管理提供依据。然而,这种方法劳动强度大,且存在观察者间差异。为应对准确预测复发的挑战,我们提出一种基于深度学习的模型,用于预测手术切除后LUAD患者的5年复发情况。在我们的模型中,我们引入了一种创新的双注意力架构,显著提高了计算效率。我们的模型在复发风险分层方面表现出色,危险比达到2.29(95%置信区间:1.69 - 3.09,< 0.005),优于几种现有的深度学习方法。本研究有助于持续努力利用深度学习模型从全切片图像(WSIs)中自动学习组织学模式并预测LUAD复发风险,从而提高治疗决策的准确性和效率。
Cancers (Basel). 2024-9-6
2025-1
Cochrane Database Syst Rev. 2015-10-9
Psychopharmacol Bull. 2024-7-8
Clin Orthop Relat Res. 2024-9-1
CA Cancer J Clin. 2024
Semin Cancer Biol. 2023-12
CA Cancer J Clin. 2023-1
Cancer Cell. 2022-8-8