lung_cancer_on_chest_x-ray

AI may help predict patient response to non-small cell lung cancer therapies

pharmafile | March 23, 2020 | News story | Medical Communications, Sales and Marketing |ย ย Cancer, Lesions, cancer treatment, tumour treatmentย 

Researchers have used artificial intelligence to train algorithms to predict tumour sensitivity to systemic cancer therapies.

Radiologists previously determined if patients with non-small lung cancer therapies (NSCLC) were responding to treatment by looking at changes in tumour size and the appearance of new lesions from CT scans.

However, this type of evaluation is limited. Laurent Dercle, associate research scientist in the Department of Radiology at the Columbia University Irving Medical Center, commented on this method saying that the radiologist interpretation of the CT scans was โ€œinherently subjectiveโ€, adding that: โ€œThe purpose of this study was to train cutting-edge AI technologies to predict patientsโ€™ responses to treatment, allowing radiologists to deliver more accurate and reproducible predictions of treatment efficacy at an early stage of the disease.โ€

Advertisement

To develop their new AI, the research team analysed CT images from nearly 200 patients. Through these images, tumours were then classified as treatment-sensitive or treatment-insensitive based on the reference standard of each trial they were from. 

The researchers used machine learning to develop a multivariable model to predict treatment sensitivity. Each model could predict a score ranging from zero, highest treatment sensitivity, to one, highest treatment insensitivity, based on the change of the largest measurable lung lesion identified at baseline.

A total of eight radiologic features were used to build the prediction models. These features included changes in tumour volume, heterogeneity, shape, and margin. 

Dercle commented on the algorithm, and said: โ€œWe found that the same four features that identified EGFR treatment sensitivity for patients with metastatic colorectal cancer could be utilized to predict treatment sensitivity for patients with metastatic NSCLC.โ€ She added that a larger study is needed to test its accuracy further.

The research was published in the Clinical Cancer Research.

Conor Kavanagh

Related Content

nerve-cell-2213009_960_720

Central nervous system cancer metastases โ€“ the evolution of diagnostics and treatment

The current forms of immunotherapy, how T cell therapy works and what the future holds

BioMed X and Servier launch Europeโ€™s first XSeed Labs to advance AI-powered antibody design

BioMed X and Servier have announced the launch of Europeโ€™s first XSeed Labs research project, …

T-cell therapy โ€“ the evolution of cancer treatments

The current forms of immunotherapy, how T cell therapy works and what the future holds

The Gateway to Local Adoption Series

Latest content