An artificial neural networks approach for assessment treatment response in oncological patients using PET/CT images

BMC Med Imaging. 2017 Feb 13;17(1):13. doi: 10.1186/s12880-017-0181-0.

Abstract

Background: Positron Emission Tomography - Computed Tomography (PET/CT) imaging is the basis for the evaluation of response-to-treatment of several oncological diseases. In practice, such evaluation is manually performed by specialists, which is rather complex and time-consuming. Evaluation measures have been proposed, but with questionable reliability. The usage of before and after-treatment image descriptors of the lesions for treatment response evaluation is still a territory to be explored.

Methods: In this project, Artificial Neural Network approaches were implemented to automatically assess treatment response of patients suffering from neuroendocrine tumors and Hodgkyn lymphoma, based on image features extracted from PET/CT.

Results: The results show that the considered set of features allows for the achievement of very high classification performances, especially when data is properly balanced.

Conclusions: After synthetic data generation and PCA-based dimensionality reduction to only two components, LVQNN assured classification accuracies of 100%, 100%, 96.3% and 100% regarding the 4 response-to-treatment classes.

Keywords: Artificial neural networks; Images descriptors; PET/CT images; Treatment response assessment.

MeSH terms

  • Algorithms
  • Female
  • Hodgkin Disease / diagnostic imaging*
  • Hodgkin Disease / therapy
  • Humans
  • Male
  • Neural Networks, Computer
  • Neuroendocrine Tumors / diagnostic imaging*
  • Neuroendocrine Tumors / therapy
  • Pattern Recognition, Automated / methods
  • Positron Emission Tomography Computed Tomography / methods*
  • Reproducibility of Results
  • Treatment Outcome
  • Whole Body Imaging / methods