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Dai F, Yao S, Wang M, Zhu Y, Qiu X, Sun P, Qiu C, Yin J, Shen G, Sun J, Wang M, Wang Y, Yang Z, Sang J, Wang X, Sun F, Cai W, Zhang X, Lu H. Improving AI models for rare thyroid cancer subtype by text guided diffusion models. Nat Commun 2025; 16:4449. [PMID: 40360460 PMCID: PMC12075465 DOI: 10.1038/s41467-025-59478-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2024] [Accepted: 04/24/2025] [Indexed: 05/15/2025] Open
Abstract
Artificial intelligence applications in oncology imaging often struggle with diagnosing rare tumors. We identify significant gaps in detecting uncommon thyroid cancer types with ultrasound, where scarce data leads to frequent misdiagnosis. Traditional augmentation strategies do not capture the unique disease variations, hindering model training and performance. To overcome this, we propose a text-driven generative method that fuses clinical insights with image generation, producing synthetic samples that realistically reflect rare subtypes. In rigorous evaluations, our approach achieves substantial gains in diagnostic metrics, surpasses existing methods in authenticity and diversity measures, and generalizes effectively to other private and public datasets with various rare cancers. In this work, we demonstrate that text-guided image augmentation substantially enhances model accuracy and robustness for rare tumor detection, offering a promising avenue for more reliable and widespread clinical adoption.
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Affiliation(s)
- Fang Dai
- Department of Bioinformatics and Biostatistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China
- SJTU-Yale Joint Center of Biostatistics and Data Science, Technical Center for Digital Medicine, National Center for Translational Medicine, Shanghai Jiao Tong University, Shanghai, China
- Department of Clinical Laboratory Medicine, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, PR China
| | - Siqiong Yao
- SJTU-Yale Joint Center of Biostatistics and Data Science, Technical Center for Digital Medicine, National Center for Translational Medicine, Shanghai Jiao Tong University, Shanghai, China.
| | - Min Wang
- Department of Critical Care Medicine, Jiuquan Hospital of Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Jiuquan, Gansu, PR China
| | - Yicheng Zhu
- Department of Ultrasound, Pudong New Area People's Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, PR China
| | - Xiangjun Qiu
- Department of Automation, Tsinghua University, Beijing, PR China
| | - Peng Sun
- Department of Bioinformatics and Biostatistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China
| | - Cheng Qiu
- Medical college, Nantong University, Nantong, Jiangsu, PR China
| | - Jisheng Yin
- Shcool of Artificial Intelligence, University of Chinese Academy of sciences, Beijing, PR China
| | - Guangtai Shen
- Xin'an League People's Hospital, Xing'an League, Inner Mongolia, PR China
| | - Jingjing Sun
- Department of Ultrasound, Shanghai Fourth People's Hospital Affiliated to Tongji University, Shanghai, PR China
| | - Maofeng Wang
- Department of Biomedical Sciences Laboratory, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, PR China
| | - Yun Wang
- Department of Hepatobiliary pancreatic center, Xuzhou City Central Hospital, Xuzhou, Jiangsu, China
| | - Zheyu Yang
- Department of General Surgery, Ruijin Hospital, Shanghai Jiaotong University School of medicine, Shanghai, PR China
| | - Jianfeng Sang
- Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, PR China
| | - Xiaolei Wang
- Department of Bioinformatics and Biostatistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China
| | - Fenyong Sun
- Department of Clinical Laboratory Medicine, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, PR China.
| | - Wei Cai
- Department of General Surgery, Ruijin Hospital, Shanghai Jiaotong University School of medicine, Shanghai, PR China.
| | | | - Hui Lu
- Department of Bioinformatics and Biostatistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China.
- SJTU-Yale Joint Center of Biostatistics and Data Science, Technical Center for Digital Medicine, National Center for Translational Medicine, Shanghai Jiao Tong University, Shanghai, China.
- Institute of Bioinformatics, Shanghai Academy of Experimental Medicine, Shanghai, China.
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Cernea CR, Leite AK, Muller BF, Matos LLD. Multidisciplinary approach in head and neck cancer. EINSTEIN-SAO PAULO 2024; 22:eEDS3. [PMID: 39607279 DOI: 10.31744/einstein_journal/2024eds3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2024] Open
Affiliation(s)
- Claudio R Cernea
- Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
- Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Ana Kober Leite
- Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
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