机构:[1]Department of Radiology, Affiliated Hospital of Hebei University, Baoding, Hebei 071002, China河北大学附属医院[2]College of Qualityand Technical Supervision, Hebei University, Baoding 071002, Hebei, China[3]National & Local Joint EngineeringResearch Center of Metrology Instrument and System, Hebei University, Baoding 071002, Hebei, China[4]Hebei Technology Innovation Center for Lightweight of New Energy Vehicle Power System, Baoding 071002, Hebei, China
Objectives To differentiate the primary small-cell lung cancer (SCLC) and non-small-cell lung cancer (NSCLC) for patients with brain metastases (BMs) based on a deep learning (DL) model using contrast-enhanced magnetic resonance imaging (MRI) T1 weighted (T1CE) images. Methods Out of 711 patients with BMs of lung cancer origin (SCLC 232, NSCLC 479), the MRI datasets of 192 patients (lesions' widths and heights > 30 pixels) with BMs from lung cancer (73 SCLC and 119 NSCLC) confirmed pathologically were enrolled, retrospectively. A typical convolutional neural network ResNet18 was applied for the automatic classification of BMs lesions from lung cancer based on T1CE images, with training and testing groups randomized per patient to eliminate learning bias. A 5-fold cross-validation was performed to evaluate the classification of the model. The receiver operating characteristic (ROC) curve, accuracy, precision, recall and f1 score were calculated. Results For a 5-fold cross-validation test, the DL model achieved AUCs of 0.8019 and 0.8024 for SCLC and NSCLC patients with BMs, respectively, and a mean overall accuracy of 0.7515 & PLUSMN;0.04. The DL model performed well in differentiating the primary SCLC and NSCLC with BMs. Conclusion The proposed DL model is feasible and effective in differentiating the pathological subtypes of SCLC and NSCLC causing BMs, which may be used as a new tool for oncologists to diagnose noninvasively BMs and guide therapy based on the imaging structure of tumors.
基金:
Post-graduate’s Innovation Fund Project of Hebei Province (Grant number HBU2022ss024), Medical Science
Foundation of Hebei University(Grant number 2021B19),
and the Outstanding Young Scientific Research and Innovation Team of Hebei University (Grant number
605020521007).
第一作者机构:[1]Department of Radiology, Affiliated Hospital of Hebei University, Baoding, Hebei 071002, China
通讯作者:
通讯机构:[1]Department of Radiology, Affiliated Hospital of Hebei University, Baoding, Hebei 071002, China[2]College of Qualityand Technical Supervision, Hebei University, Baoding 071002, Hebei, China[3]National & Local Joint EngineeringResearch Center of Metrology Instrument and System, Hebei University, Baoding 071002, Hebei, China[4]Hebei Technology Innovation Center for Lightweight of New Energy Vehicle Power System, Baoding 071002, Hebei, China[*1]Department of Radiology, Affiliated Hospital of Hebei University, Baoding 071002, Hebei, China[*2]College of Quality and Technical Supervision, National & Local Joint Engineering Research Center of Metrology Instrument and System, Hebei University, and Hebei Technology Innovation Center for Lightweight of New Energy Vehicle Power System, Baoding 071002, Hebei, China
推荐引用方式(GB/T 7714):
Sui Lianyu,Chang Shilong,Xue LinYan,et al.Deep Learning Based on Enhanced MRI T1 Imaging to Differentiate Small-cell and Non-small-cell Primary Lung Cancers in Patients with Brain Metastases[J].CURRENT MEDICAL IMAGING.2023,19(13):1541-1548.doi:10.2174/1573405619666230130124408.
APA:
Sui, Lianyu,Chang, Shilong,Xue, LinYan,Wang, Jianing,Zhang, Yu...&Yin, Xiaoping.(2023).Deep Learning Based on Enhanced MRI T1 Imaging to Differentiate Small-cell and Non-small-cell Primary Lung Cancers in Patients with Brain Metastases.CURRENT MEDICAL IMAGING,19,(13)
MLA:
Sui, Lianyu,et al."Deep Learning Based on Enhanced MRI T1 Imaging to Differentiate Small-cell and Non-small-cell Primary Lung Cancers in Patients with Brain Metastases".CURRENT MEDICAL IMAGING 19..13(2023):1541-1548