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Arunga S, Morley KE, Kwaga T, Morley MG, Nakayama LF, Mwavu R, Kaggwa F, Ssempiira J, Celi LA, Haberer JE, Obua C. Assessment of Clinical Metadata on the Accuracy of Retinal Fundus Image Labels in Diabetic Retinopathy in Uganda: Case-Crossover Study Using the Multimodal Database of Retinal Images in Africa. JMIR Form Res 2024; 8:e59914. [PMID: 39293049 DOI: 10.2196/59914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2024] [Revised: 06/22/2024] [Accepted: 07/16/2024] [Indexed: 09/20/2024] Open
Abstract
BACKGROUND Labeling color fundus photos (CFP) is an important step in the development of artificial intelligence screening algorithms for the detection of diabetic retinopathy (DR). Most studies use the International Classification of Diabetic Retinopathy (ICDR) to assign labels to CFP, plus the presence or absence of macular edema (ME). Images can be grouped as referrable or nonreferrable according to these classifications. There is little guidance in the literature about how to collect and use metadata as a part of the CFP labeling process. OBJECTIVE This study aimed to improve the quality of the Multimodal Database of Retinal Images in Africa (MoDRIA) by determining whether the availability of metadata during the image labeling process influences the accuracy, sensitivity, and specificity of image labels. MoDRIA was developed as one of the inaugural research projects of the Mbarara University Data Science Research Hub, part of the Data Science for Health Discovery and Innovation in Africa (DS-I Africa) initiative. METHODS This is a crossover assessment with 2 groups and 2 phases. Each group had 10 randomly assigned labelers who provided an ICDR score and the presence or absence of ME for each of the 50 CFP in a test image with and without metadata including blood pressure, visual acuity, glucose, and medical history. Specificity and sensitivity of referable retinopathy were based on ICDR scores, and ME was calculated using a 2-sided t test. Comparison of sensitivity and specificity for ICDR scores and ME with and without metadata for each participant was calculated using the Wilcoxon signed rank test. Statistical significance was set at P<.05. RESULTS The sensitivity for identifying referrable DR with metadata was 92.8% (95% CI 87.6-98.0) compared with 93.3% (95% CI 87.6-98.9) without metadata, and the specificity was 84.9% (95% CI 75.1-94.6) with metadata compared with 88.2% (95% CI 79.5-96.8) without metadata. The sensitivity for identifying the presence of ME was 64.3% (95% CI 57.6-71.0) with metadata, compared with 63.1% (95% CI 53.4-73.0) without metadata, and the specificity was 86.5% (95% CI 81.4-91.5) with metadata compared with 87.7% (95% CI 83.9-91.5) without metadata. The sensitivity and specificity of the ICDR score and the presence or absence of ME were calculated for each labeler with and without metadata. No findings were statistically significant. CONCLUSIONS The sensitivity and specificity scores for the detection of referrable DR were slightly better without metadata, but the difference was not statistically significant. We cannot make definitive conclusions about the impact of metadata on the sensitivity and specificity of image labels in our study. Given the importance of metadata in clinical situations, we believe that metadata may benefit labeling quality. A more rigorous study to determine the sensitivity and specificity of CFP labels with and without metadata is recommended.
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Affiliation(s)
- Simon Arunga
- Department of Ophthalmology, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Katharine Elise Morley
- Massachusetts General Hospital Center for Global Health, Department of Medicine, Harvard Medical School, Boston, MA, United States
| | - Teddy Kwaga
- Department of Ophthalmology, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Michael Gerard Morley
- Harvard Ophthalmology AI Lab, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, United States
| | - Luis Filipe Nakayama
- Ophthalmology Department, Sao Paulo Federal University, Sao Paulo, Brazil
- Laboratory for Computational Physiology, Massachusetts Institute of Technology, Cambridge, MA, United States
| | - Rogers Mwavu
- Faculty of Computing and Informatics, Department of Information Technology, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Fred Kaggwa
- Faculty of Computing and Informatics, Department of Computer Science, Mbarara University of Science and Technology, Mbarara, Uganda
| | | | - Leo Anthony Celi
- Laboratory for Computational Physiology, Massachusetts Institute of Technology, Cambridge, MA, United States
- Division of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States
- Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, United States
| | - Jessica E Haberer
- Massachusetts General Hospital Center for Global Health, Department of Medicine, Harvard Medical School, Boston, MA, United States
| | - Celestino Obua
- Department of Pharmacology, Mbarara University of Science and Technology, Mbarara, Uganda
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Kondylakis H, Catalan R, Alabart SM, Barelle C, Bizopoulos P, Bobowicz M, Bona J, Fotiadis DI, Garcia T, Gomez I, Jimenez-Pastor A, Karatzanis G, Lekadir K, Kogut-Czarkowska M, Lalas A, Marias K, Marti-Bonmati L, Munuera J, Nikiforaki K, Pelissier M, Prior F, Rutherford M, Saint-Aubert L, Sakellariou Z, Seymour K, Trouillard T, Votis K, Tsiknakis M. Documenting the de-identification process of clinical and imaging data for AI for health imaging projects. Insights Imaging 2024; 15:130. [PMID: 38816658 PMCID: PMC11139818 DOI: 10.1186/s13244-024-01711-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Accepted: 04/26/2024] [Indexed: 06/01/2024] Open
Abstract
Artificial intelligence (AI) is revolutionizing the field of medical imaging, holding the potential to shift medicine from a reactive "sick-care" approach to a proactive focus on healthcare and prevention. The successful development of AI in this domain relies on access to large, comprehensive, and standardized real-world datasets that accurately represent diverse populations and diseases. However, images and data are sensitive, and as such, before using them in any way the data needs to be modified to protect the privacy of the patients. This paper explores the approaches in the domain of five EU projects working on the creation of ethically compliant and GDPR-regulated European medical imaging platforms, focused on cancer-related data. It presents the individual approaches to the de-identification of imaging data, and describes the problems and the solutions adopted in each case. Further, lessons learned are provided, enabling future projects to optimally handle the problem of data de-identification. CRITICAL RELEVANCE STATEMENT: This paper presents key approaches from five flagship EU projects for the de-identification of imaging and clinical data offering valuable insights and guidelines in the domain. KEY POINTS: ΑΙ models for health imaging require access to large amounts of data. Access to large imaging datasets requires an appropriate de-identification process. This paper provides de-identification guidelines from the AI for health imaging (AI4HI) projects.
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Affiliation(s)
| | - Rocio Catalan
- La Fe University and Polytechnic Hospital, La Fe Health Research Institute, Valencia, Spain
| | | | | | - Paschalis Bizopoulos
- Centre for Research & Technology Hellas, Information Technologies Institute (CERTH-ITI), Central Directorate, Thermi, Thessaloniki, Greece
| | | | - Jonathan Bona
- University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Dimitrios I Fotiadis
- Unit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, Ioannina, Greece
| | - Teresa Garcia
- Centre for Genomic Regulation (CRG), The Barcelona Institute of Science and Technology, Barcelona, Spain
| | - Ignacio Gomez
- La Fe University and Polytechnic Hospital, La Fe Health Research Institute, Valencia, Spain
| | | | | | - Karim Lekadir
- Artificial Intelligence in Medicine Labm Universitat de Barcelona, Barcelona, Spain
| | | | - Antonios Lalas
- Centre for Research & Technology Hellas, Information Technologies Institute (CERTH-ITI), Central Directorate, Thermi, Thessaloniki, Greece
| | | | - Luis Marti-Bonmati
- Hospital Universitario y Politécnico La Fe, Grupo de Investigación Biomédica en Imagen IIS La Fe, Valencia, España
| | - Jose Munuera
- Quantitative Imaging Biomarkers in Medicine, Quibim, Valencia, Spain
| | | | | | - Fred Prior
- University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | | | | | - Zisis Sakellariou
- Centre for Research & Technology Hellas, Information Technologies Institute (CERTH-ITI), Central Directorate, Thermi, Thessaloniki, Greece
| | | | | | - Konstantinos Votis
- Centre for Research & Technology Hellas, Information Technologies Institute (CERTH-ITI), Central Directorate, Thermi, Thessaloniki, Greece
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Brancato V, Esposito G, Coppola L, Cavaliere C, Mirabelli P, Scapicchio C, Borgheresi R, Neri E, Salvatore M, Aiello M. Standardizing digital biobanks: integrating imaging, genomic, and clinical data for precision medicine. J Transl Med 2024; 22:136. [PMID: 38317237 PMCID: PMC10845786 DOI: 10.1186/s12967-024-04891-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Accepted: 01/14/2024] [Indexed: 02/07/2024] Open
Abstract
Advancements in data acquisition and computational methods are generating a large amount of heterogeneous biomedical data from diagnostic domains such as clinical imaging, pathology, and next-generation sequencing (NGS), which help characterize individual differences in patients. However, this information needs to be available and suitable to promote and support scientific research and technological development, supporting the effective adoption of the precision medicine approach in clinical practice. Digital biobanks can catalyze this process, facilitating the sharing of curated and standardized imaging data, clinical, pathological and molecular data, crucial to enable the development of a comprehensive and personalized data-driven diagnostic approach in disease management and fostering the development of computational predictive models. This work aims to frame this perspective, first by evaluating the state of standardization of individual diagnostic domains and then by identifying challenges and proposing a possible solution towards an integrative approach that can guarantee the suitability of information that can be shared through a digital biobank. Our analysis of the state of the art shows the presence and use of reference standards in biobanks and, generally, digital repositories for each specific domain. Despite this, standardization to guarantee the integration and reproducibility of the numerical descriptors generated by each domain, e.g. radiomic, pathomic and -omic features, is still an open challenge. Based on specific use cases and scenarios, an integration model, based on the JSON format, is proposed that can help address this problem. Ultimately, this work shows how, with specific standardization and promotion efforts, the digital biobank model can become an enabling technology for the comprehensive study of diseases and the effective development of data-driven technologies at the service of precision medicine.
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Affiliation(s)
| | - Giuseppina Esposito
- Bio Check Up S.R.L, 80121, Naples, Italy
- Department of Advanced Biomedical Sciences, University of Naples Federico II, 80131, Naples, Italy
| | | | | | - Peppino Mirabelli
- UOS Laboratori di Ricerca e Biobanca, AORN Santobono-Pausilipon, Via Teresa Ravaschieri, 8, 80122, Naples, Italy
| | - Camilla Scapicchio
- Academic Radiology, Department of Translational Research, University of Pisa, via Roma, 67, 56126, Pisa, Italy
| | - Rita Borgheresi
- Academic Radiology, Department of Translational Research, University of Pisa, via Roma, 67, 56126, Pisa, Italy
| | - Emanuele Neri
- Academic Radiology, Department of Translational Research, University of Pisa, via Roma, 67, 56126, Pisa, Italy
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Frid S, Bracons Cucó G, Gil Rojas J, López-Rueda A, Pastor Duran X, Martínez-Sáez O, Lozano-Rubí R. Evaluation of OMOP CDM, i2b2 and ICGC ARGO for supporting data harmonization in a breast cancer use case of a multicentric European AI project. J Biomed Inform 2023; 147:104505. [PMID: 37774908 DOI: 10.1016/j.jbi.2023.104505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 09/20/2023] [Accepted: 09/21/2023] [Indexed: 10/01/2023]
Abstract
OBJECTIVE Observational research in cancer poses great challenges regarding adequate data sharing and consolidation based on a homogeneous data semantic base. Common Data Models (CDMs) can help consolidate health data repositories from different institutions minimizing loss of meaning by organizing data into a standard structure. This study aims to evaluate the performance of the Observational Medical Outcomes Partnership (OMOP) CDM, Informatics for Integrating Biology & the Bedside (i2b2) and International Cancer Genome Consortium, Accelerating Research in Genomic Oncology (ICGC ARGO) for representing non-imaging data in a breast cancer use case of EuCanImage. METHODS We used ontologies to represent metamodels of OMOP, i2b2, and ICGC ARGO and variables used in a cancer use case of a European AI project. We selected four evaluation criteria for the CDMs adapted from previous research: content coverage, simplicity, integration, implementability. RESULTS i2b2 and OMOP exhibited higher element completeness (100% each) than ICGC ARGO (58.1%), while the three achieved 100% domain completeness. ICGC ARGO normalizes only one of our variables with a standard terminology, while i2b2 and OMOP use standardized vocabularies for all of them. In terms of simplicity, ICGC ARGO and i2b2 proved to be simpler both in terms of ontological model (276 and 175 elements, respectively) and in the queries (7 and 20 lines of code, respectively), while OMOP required a much more complex ontological model (615 elements) and queries similar to those of i2b2 (20 lines). Regarding implementability, OMOP had the highest number of mentions in articles in PubMed (130) and Google Scholar (1,810), ICGC ARGO had the highest number of updates to the CDM since 2020 (4), and i2b2 is the model with more tools specifically developed for the CDM (26). CONCLUSION ICGC ARGO proved to be rigid and very limited in the representation of oncologic concepts, while i2b2 and OMOP showed a very good performance. i2b2's lack of a common dictionary hinders its scalability, requiring sites that will share data to explicitly define a conceptual framework, and suggesting that OMOP and its Oncology extension could be the more suitable choice. Future research employing these CDMs with actual datasets is needed.
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Affiliation(s)
- Santiago Frid
- Clinical Informatics Service, Hospital Clínic de Barcelona, Villarroel 170, 08036 Barcelona, Spain. https://twitter.com/santifrik
| | - Guillem Bracons Cucó
- Fundació de Recerca Clínic Barcelona - Institut d'Investigacions Biomèdiques August Pi i Sunyer, Rosselló 149-153, 08036 Barcelona, Spain
| | - Jessyca Gil Rojas
- Clinical Informatics Service, Hospital Clínic de Barcelona, Villarroel 170, 08036 Barcelona, Spain
| | - Antonio López-Rueda
- Clinical Informatics Service, Hospital Clínic de Barcelona, Villarroel 170, 08036 Barcelona, Spain; Radiology Service, Hospital Clínic de Barcelona, Villarroel 170, 08036 Barcelona, Spain
| | - Xavier Pastor Duran
- Clinical Informatics Service, Hospital Clínic de Barcelona, Villarroel 170, 08036 Barcelona, Spain
| | - Olga Martínez-Sáez
- Oncology Service, Hospital Clínic de Barcelona, Villarroel 170, 08036 Barcelona, Spain
| | - Raimundo Lozano-Rubí
- Oncology Service, Hospital Clínic de Barcelona, Villarroel 170, 08036 Barcelona, Spain
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Stabile AM, Pistilli A, Mariangela R, Rende M, Bartolini D, Di Sante G. New Challenges for Anatomists in the Era of Omics. Diagnostics (Basel) 2023; 13:2963. [PMID: 37761332 PMCID: PMC10529314 DOI: 10.3390/diagnostics13182963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 09/08/2023] [Accepted: 09/10/2023] [Indexed: 09/29/2023] Open
Abstract
Anatomic studies have traditionally relied on macroscopic, microscopic, and histological techniques to investigate the structure of tissues and organs. Anatomic studies are essential in many fields, including medicine, biology, and veterinary science. Advances in technology, such as imaging techniques and molecular biology, continue to provide new insights into the anatomy of living organisms. Therefore, anatomy remains an active and important area in the scientific field. The consolidation in recent years of some omics technologies such as genomics, transcriptomics, proteomics, and metabolomics allows for a more complete and detailed understanding of the structure and function of cells, tissues, and organs. These have been joined more recently by "omics" such as radiomics, pathomics, and connectomics, supported by computer-assisted technologies such as neural networks, 3D bioprinting, and artificial intelligence. All these new tools, although some are still in the early stages of development, have the potential to strongly contribute to the macroscopic and microscopic characterization in medicine. For anatomists, it is time to hitch a ride and get on board omics technologies to sail to new frontiers and to explore novel scenarios in anatomy.
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Affiliation(s)
- Anna Maria Stabile
- Department of Medicine and Surgery, Section of Human, Clinical and Forensic Anatomy, University of Perugia, 60132 Perugia, Italy; (A.M.S.); (A.P.); (R.M.); (M.R.)
| | - Alessandra Pistilli
- Department of Medicine and Surgery, Section of Human, Clinical and Forensic Anatomy, University of Perugia, 60132 Perugia, Italy; (A.M.S.); (A.P.); (R.M.); (M.R.)
| | - Ruggirello Mariangela
- Department of Medicine and Surgery, Section of Human, Clinical and Forensic Anatomy, University of Perugia, 60132 Perugia, Italy; (A.M.S.); (A.P.); (R.M.); (M.R.)
| | - Mario Rende
- Department of Medicine and Surgery, Section of Human, Clinical and Forensic Anatomy, University of Perugia, 60132 Perugia, Italy; (A.M.S.); (A.P.); (R.M.); (M.R.)
| | - Desirée Bartolini
- Department of Medicine and Surgery, Section of Human, Clinical and Forensic Anatomy, University of Perugia, 60132 Perugia, Italy; (A.M.S.); (A.P.); (R.M.); (M.R.)
- Department of Pharmaceutical Sciences, University of Perugia, 06126 Perugia, Italy
| | - Gabriele Di Sante
- Department of Medicine and Surgery, Section of Human, Clinical and Forensic Anatomy, University of Perugia, 60132 Perugia, Italy; (A.M.S.); (A.P.); (R.M.); (M.R.)
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Bobowicz M, Rygusik M, Buler J, Buler R, Ferlin M, Kwasigroch A, Szurowska E, Grochowski M. Attention-Based Deep Learning System for Classification of Breast Lesions-Multimodal, Weakly Supervised Approach. Cancers (Basel) 2023; 15:2704. [PMID: 37345041 DOI: 10.3390/cancers15102704] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 05/02/2023] [Accepted: 05/05/2023] [Indexed: 06/23/2023] Open
Abstract
Breast cancer is the most frequent female cancer, with a considerable disease burden and high mortality. Early diagnosis with screening mammography might be facilitated by automated systems supported by deep learning artificial intelligence. We propose a model based on a weakly supervised Clustering-constrained Attention Multiple Instance Learning (CLAM) classifier able to train under data scarcity effectively. We used a private dataset with 1174 non-cancer and 794 cancer images labelled at the image level with pathological ground truth confirmation. We used feature extractors (ResNet-18, ResNet-34, ResNet-50 and EfficientNet-B0) pre-trained on ImageNet. The best results were achieved with multimodal-view classification using both CC and MLO images simultaneously, resized by half, with a patch size of 224 px and an overlap of 0.25. It resulted in AUC-ROC = 0.896 ± 0.017, F1-score 81.8 ± 3.2, accuracy 81.6 ± 3.2, precision 82.4 ± 3.3, and recall 81.6 ± 3.2. Evaluation with the Chinese Mammography Database, with 5-fold cross-validation, patient-wise breakdowns, and transfer learning, resulted in AUC-ROC 0.848 ± 0.015, F1-score 78.6 ± 2.0, accuracy 78.4 ± 1.9, precision 78.8 ± 2.0, and recall 78.4 ± 1.9. The CLAM algorithm's attentional maps indicate the features most relevant to the algorithm in the images. Our approach was more effective than in many other studies, allowing for some explainability and identifying erroneous predictions based on the wrong premises.
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Affiliation(s)
- Maciej Bobowicz
- 2nd Department of Radiology, Medical University of Gdansk, 80-214 Gdansk, Poland
| | - Marlena Rygusik
- 2nd Department of Radiology, Medical University of Gdansk, 80-214 Gdansk, Poland
| | - Jakub Buler
- Department of Intelligent Control Systems and Decision Support, Faculty of Electrical and Control Engineering, Gdansk University of Technology, 80-233 Gdansk, Poland
| | - Rafał Buler
- Department of Intelligent Control Systems and Decision Support, Faculty of Electrical and Control Engineering, Gdansk University of Technology, 80-233 Gdansk, Poland
| | - Maria Ferlin
- Department of Intelligent Control Systems and Decision Support, Faculty of Electrical and Control Engineering, Gdansk University of Technology, 80-233 Gdansk, Poland
| | - Arkadiusz Kwasigroch
- Department of Intelligent Control Systems and Decision Support, Faculty of Electrical and Control Engineering, Gdansk University of Technology, 80-233 Gdansk, Poland
| | - Edyta Szurowska
- 2nd Department of Radiology, Medical University of Gdansk, 80-214 Gdansk, Poland
| | - Michał Grochowski
- Department of Intelligent Control Systems and Decision Support, Faculty of Electrical and Control Engineering, Gdansk University of Technology, 80-233 Gdansk, Poland
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Kondylakis H, Kalokyri V, Sfakianakis S, Marias K, Tsiknakis M, Jimenez-Pastor A, Camacho-Ramos E, Blanquer I, Segrelles JD, López-Huguet S, Barelle C, Kogut-Czarkowska M, Tsakou G, Siopis N, Sakellariou Z, Bizopoulos P, Drossou V, Lalas A, Votis K, Mallol P, Marti-Bonmati L, Alberich LC, Seymour K, Boucher S, Ciarrocchi E, Fromont L, Rambla J, Harms A, Gutierrez A, Starmans MPA, Prior F, Gelpi JL, Lekadir K. Data infrastructures for AI in medical imaging: a report on the experiences of five EU projects. Eur Radiol Exp 2023; 7:20. [PMID: 37150779 PMCID: PMC10164664 DOI: 10.1186/s41747-023-00336-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Accepted: 03/02/2023] [Indexed: 05/09/2023] Open
Abstract
Artificial intelligence (AI) is transforming the field of medical imaging and has the potential to bring medicine from the era of 'sick-care' to the era of healthcare and prevention. The development of AI requires access to large, complete, and harmonized real-world datasets, representative of the population, and disease diversity. However, to date, efforts are fragmented, based on single-institution, size-limited, and annotation-limited datasets. Available public datasets (e.g., The Cancer Imaging Archive, TCIA, USA) are limited in scope, making model generalizability really difficult. In this direction, five European Union projects are currently working on the development of big data infrastructures that will enable European, ethically and General Data Protection Regulation-compliant, quality-controlled, cancer-related, medical imaging platforms, in which both large-scale data and AI algorithms will coexist. The vision is to create sustainable AI cloud-based platforms for the development, implementation, verification, and validation of trustable, usable, and reliable AI models for addressing specific unmet needs regarding cancer care provision. In this paper, we present an overview of the development efforts highlighting challenges and approaches selected providing valuable feedback to future attempts in the area.Key points• Artificial intelligence models for health imaging require access to large amounts of harmonized imaging data and metadata.• Main infrastructures adopted either collect centrally anonymized data or enable access to pseudonymized distributed data.• Developing a common data model for storing all relevant information is a challenge.• Trust of data providers in data sharing initiatives is essential.• An online European Union meta-tool-repository is a necessity minimizing effort duplication for the various projects in the area.
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Affiliation(s)
| | | | | | - Kostas Marias
- FORTH-ICS, FORTH-ICS, N. Plastira 100, Heraklion, Crete, Greece
| | | | | | | | | | | | | | | | | | - Gianna Tsakou
- MAGGIOLI S.P.A., Research and Development Lab, Marousi, Greece
| | - Nikolaos Siopis
- Centre of Research & Technology - Hellas, Information Technologies Institute, Thermi - Thessaloniki, Greece
| | - Zisis Sakellariou
- Centre of Research & Technology - Hellas, Information Technologies Institute, Thermi - Thessaloniki, Greece
| | - Paschalis Bizopoulos
- Centre of Research & Technology - Hellas, Information Technologies Institute, Thermi - Thessaloniki, Greece
| | - Vicky Drossou
- Centre of Research & Technology - Hellas, Information Technologies Institute, Thermi - Thessaloniki, Greece
| | - Antonios Lalas
- Centre of Research & Technology - Hellas, Information Technologies Institute, Thermi - Thessaloniki, Greece
| | - Konstantinos Votis
- Centre of Research & Technology - Hellas, Information Technologies Institute, Thermi - Thessaloniki, Greece
| | - Pedro Mallol
- La Fe Health Research Institute, Valencia, Spain
| | | | | | | | | | | | - Lauren Fromont
- European Genome-Phenome Archive, Centre for Genomic Regulation, Barcelona, Spain
| | - Jordi Rambla
- European Genome-Phenome Archive, Centre for Genomic Regulation, Barcelona, Spain
| | | | | | | | - Fred Prior
- Department of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, USA
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Liao J, Li X, Gan Y, Han S, Rong P, Wang W, Li W, Zhou L. Artificial intelligence assists precision medicine in cancer treatment. Front Oncol 2023; 12:998222. [PMID: 36686757 PMCID: PMC9846804 DOI: 10.3389/fonc.2022.998222] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 11/22/2022] [Indexed: 01/06/2023] Open
Abstract
Cancer is a major medical problem worldwide. Due to its high heterogeneity, the use of the same drugs or surgical methods in patients with the same tumor may have different curative effects, leading to the need for more accurate treatment methods for tumors and personalized treatments for patients. The precise treatment of tumors is essential, which renders obtaining an in-depth understanding of the changes that tumors undergo urgent, including changes in their genes, proteins and cancer cell phenotypes, in order to develop targeted treatment strategies for patients. Artificial intelligence (AI) based on big data can extract the hidden patterns, important information, and corresponding knowledge behind the enormous amount of data. For example, the ML and deep learning of subsets of AI can be used to mine the deep-level information in genomics, transcriptomics, proteomics, radiomics, digital pathological images, and other data, which can make clinicians synthetically and comprehensively understand tumors. In addition, AI can find new biomarkers from data to assist tumor screening, detection, diagnosis, treatment and prognosis prediction, so as to providing the best treatment for individual patients and improving their clinical outcomes.
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Affiliation(s)
- Jinzhuang Liao
- Department of Radiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Xiaoying Li
- Department of Radiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Yu Gan
- Department of Radiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Shuangze Han
- Department of Radiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Pengfei Rong
- Department of Radiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China
- Cell Transplantation and Gene Therapy Institute, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Wei Wang
- Department of Radiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China
- Cell Transplantation and Gene Therapy Institute, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Wei Li
- Department of Radiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China
- Cell Transplantation and Gene Therapy Institute, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Li Zhou
- Department of Radiology, The Third Xiangya Hospital of Central South University, Changsha, Hunan, China
- Cell Transplantation and Gene Therapy Institute, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China
- Department of Pathology, The Xiangya Hospital of Central South University, Changsha, Hunan, China
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