Automated detection and segmentation of non-small cell lung cancer computed tomography images.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
14 06 2022
Historique:
received: 11 03 2021
accepted: 09 05 2022
entrez: 14 6 2022
pubmed: 15 6 2022
medline: 18 6 2022
Statut: epublish

Résumé

Detection and segmentation of abnormalities on medical images is highly important for patient management including diagnosis, radiotherapy, response evaluation, as well as for quantitative image research. We present a fully automated pipeline for the detection and volumetric segmentation of non-small cell lung cancer (NSCLC) developed and validated on 1328 thoracic CT scans from 8 institutions. Along with quantitative performance detailed by image slice thickness, tumor size, image interpretation difficulty, and tumor location, we report an in-silico prospective clinical trial, where we show that the proposed method is faster and more reproducible compared to the experts. Moreover, we demonstrate that on average, radiologists & radiation oncologists preferred automatic segmentations in 56% of the cases. Additionally, we evaluate the prognostic power of the automatic contours by applying RECIST criteria and measuring the tumor volumes. Segmentations by our method stratified patients into low and high survival groups with higher significance compared to those methods based on manual contours.

Identifiants

pubmed: 35701415
doi: 10.1038/s41467-022-30841-3
pii: 10.1038/s41467-022-30841-3
pmc: PMC9198097
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

3423

Informations de copyright

© 2022. The Author(s).

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Auteurs

Sergey P Primakov (SP)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.

Abdalla Ibrahim (A)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Department of Radiology and Nuclear Medicine, GROW - School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Division of Nuclear Medicine and Oncological Imaging, Department of Medical Physics, Hospital Center Universitaire De Liege, Liege, Belgium.
Department of Nuclear Medicine and Comprehensive diagnostic center Aachen (CDCA), University Hospital RWTH Aachen University, Aachen, Germany.
Department of Radiology, Columbia University Irving Medical Center, New York, USA.

Janita E van Timmeren (JE)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Department of Radiation Oncology, University Hospital Zürich and University of Zürich, Zürich, Switzerland.

Guangyao Wu (G)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Simon A Keek (SA)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.

Manon Beuque (M)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.

Renée W Y Granzier (RWY)

Department of Surgery, GROW - School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands.

Elizaveta Lavrova (E)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
GIGA Cyclotron Research Centre In Vivo Imaging, University of Liège, Liège, Belgium.

Madeleine Scrivener (M)

Department of Radiation Oncology, Cliniques universitaires St-Luc, Brussels, Belgium.

Sebastian Sanduleanu (S)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.

Esma Kayan (E)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.

Iva Halilaj (I)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.

Anouk Lenaers (A)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Department of Surgery, GROW - School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands.

Jianlin Wu (J)

Department of Radiology, Affiliated Zhongshan Hospital of Dalian University, Dalian, China.

René Monshouwer (R)

Department of Radiation Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.

Xavier Geets (X)

Department of Radiation Oncology, Cliniques universitaires St-Luc, Brussels, Belgium.

Hester A Gietema (HA)

Department of Radiology and Nuclear Medicine, GROW - School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands.

Lizza E L Hendriks (LEL)

Department of Pulmonary Diseases, GROW - School for Oncology and Reproduction, Maastricht University Medical Center, Maastricht, the Netherlands.

Olivier Morin (O)

Department of Radiation Oncology, University of California San Francisco, San Francisco, California, CA, USA.

Arthur Jochems (A)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.

Henry C Woodruff (HC)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Department of Radiology and Nuclear Medicine, GROW - School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands.

Philippe Lambin (P)

The D-Lab, Department of Precision Medicine, GROW- School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands. philippe.lambin@maastrichtuniversity.nl.
Department of Radiology and Nuclear Medicine, GROW - School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands. philippe.lambin@maastrichtuniversity.nl.

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