Evidence map›Paper›PMID 33411267›Full record

ArticleMedical & biological engineering & computing2021

Lung cancer histology classification from CT images based on radiomics and deep learning models.

Panagiotis Marentakis, Pantelis Karaiskos, Vassilis Kouloulias, Nikolaos Kelekis, Stylianos Argentos, Nikolaos Oikonomopoulos, Constantinos Loukas

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Article in Medical & biological engineering & computing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Panagiotis MarentakisLaboratory of Medical Physics, Medical School, National and Kapodistrian University of Athens, Mikras Asias 75 str., 11527, Athens, Greece.
Pantelis KaraiskosLaboratory of Medical Physics, Medical School, National and Kapodistrian University of Athens, Mikras Asias 75 str., 11527, Athens, Greece.
Vassilis Kouloulias2nd Department of Radiology, Attikon Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Nikolaos Kelekis2nd Department of Radiology, Attikon Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Stylianos Argentos2nd Department of Radiology, Attikon Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Nikolaos Oikonomopoulos2nd Department of Radiology, Attikon Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Constantinos LoukasLaboratory of Medical Physics, Medical School, National and Kapodistrian University of Athens, Mikras Asias 75 str., 11527, Athens, Greece. cloukas@med.uoa.gr.ORCID http://orcid.org/0000-0001-7879-7329

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adenocarcinoma (AC) and squamous cell carcinoma (SCC) are frequent reported cases of non-small cell lung cancer (NSCLC), responsible for a large fraction of cancer deaths worldwide. In this study, we aim to investigate the potential of NSCLC histology classification into AC and SCC by applying different feature extraction and classification techniques on pre-treatment CT images. The employed image dataset (102 patients) was taken from the publicly available cancer imaging archive collection (TCIA). We investigated four different families of techniques: (a) radiomics with two classifiers (kNN and SVM), (b) four state-of-the-art convolutional neural networks (CNNs) with transfer learning and fine tuning (Alexnet, ResNet101, Inceptionv3 and InceptionResnetv2), (c) a CNN combined with a long short-term memory (LSTM) network to fuse information about the spatial coherency of tumor's CT slices, and (d) combinatorial models (LSTM + CNN + radiomics). In addition, the CT images were independently evaluated by two expert radiologists. Our results showed that the best CNN was Inception (accuracy = 0.67, auc = 0.74). LSTM + Inception yielded superior performance than all other methods (accuracy = 0.74, auc = 0.78). Moreover, LSTM + Inception outperformed experts by 7-25% (p < 0.05). The proposed methodology does not require detailed segmentation of the tumor region and it may be used in conjunction with radiological findings to improve clinical decision-making. Lung cancer histology classification from CT images based on CNN + LSTM.

Indexed as

Carcinoma, Non-Small-Cell LungDeep LearningLung NeoplasmsHumansNeural Networks, ComputerTomography, X-Ray ComputedCNNLSTMLung histology classificationNSCLCRadiomics

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.