Table 2.
Examples of applications of AI and radiomics in lung cancer.
| Clinical application | Author and year | Tumor type | Image modality | Algorithm | Outcome |
|---|---|---|---|---|---|
| Early detection | |||||
| Classify cancerous nodules | Hawkins 201668 | Benign and malignant nodules | CT | Random forest classifier | AUC: 0.83 |
| Ardila D 201982 | Benign and malignant nodules | CT | Three-dimensional CNN model | AUC: 0.944 | |
| Baldwin 202025 | Benign and malignant nodules in 5 to 15 mm | CT | CNN model | AUC: 0.896 | |
| Characterization of lung cancer | |||||
| Classify histology subtype | Linning 201892 | AD, SCLC, SCC | CT | SVM | AUC: 0.741 and 0.822 for SCLC and NSCLC, AD and SCLC etc. |
| Wu 201693 | AD, SCC | CT | Naive Bayes' classifier | AUC: 0.72 | |
| Wang 202094 | AD | CT | CNN model combined with radiomic features | AUC: 0.861 | |
| Classify somatic mutations | Velazquez 201796 | NSCLC | CT | Random forest classifier | AUC: 0.80 and 0.69 for EGFR+ and KRAS+, and EGFR+ and EGFR− etc. |
| Wang 201997 | AD | CT | CNN model derived from DenseNet | AUC: 0.81 for EGFR− and EGFR+ | |
| Prognosis prediction | |||||
| Predict outcomes after surgery or radiation therapy | Wu 2016107 | NSCLC | PET/CT | LASSO with Cox survival model | Prognostic CI: 0.71 |
| Hosny 201822 | NSCLC | CT | 3D CNN model | AUC: 0.70 and 0.71 for surgery and radiotherapy | |
| Predict response to chemotherapy | Wei 2019108 | SCLC | CT | Regression | AUC: 0.797 |
| Predict response to targeted therapy | Song 2018112 | NSCLC | CT | Cox regression | AUC: 0.71 |
| Predict response to immunotherapy | Sun 2018120 | Advanced solid malignant tumor | CT | Regression | AUC: 0.67 (95% CI: 0.57–0.77) |
| He 2020121 | Advanced NSCLC | CT | 3D DenseNet for feature extraction and fully connected network as classifier | OS: HR: 0.54, 95% CI: 0.31–0.95 | |
Abbreviations: CT, computed tomography; AUC, area under curve; CNN, convolutional neural network; AD, adenocarcinoma; SCC, squamous cell carcinoma; SCLC, small cell lung cancer; NSCLC, nonsmall cell lung cancer; EGFR−/EGFR+, epidermal growth factor receptor negative/positive; PET/CT, positron emission tomography/computed tomography; LASSO, least absolute shrinkage and selection operator.