Applicability analysis of immunotherapy for lung cancer patients based on deep learning

Methods. 2022 Sep:205:149-156. doi: 10.1016/j.ymeth.2022.07.004. Epub 2022 Jul 6.

Abstract

According to global and Chinese cancer statistics, lung cancer is the second most common cancer globally with the highest mortality rate and a severe threat to human life and health. In recent years, immunotherapy has made significant breakthroughs in the treatment of cancer patients. However, only 30% of patients are applicable and may have immune-related adverse events. The traditional immunological inspection methods have limitations and often can not obtain the expected benefits. Deep learning is a typical representation learning method that can spontaneously mine the hidden feature of effective classification from seas of data. In order to alleviate medical resources and reduce costs, this paper proposes a deep learning-based method to predict patients best suited for immune checkpoint blocking therapy from patients CT images. The deep immunotherapy analysis method proposed in this paper is divided into three steps:(1) Using LUNA16 public dataset to develop a deep learning model for nodule detection. (2) Nodule detection was performed on the Anti-PD-1_Lung dataset, and the effectiveness of immunotherapy was determined by comparing the detection results of nodules before and after immunotherapy. (3) After the data set was processed, the deep learning method trained and analyzed the Lung images. According to the experimental results and comparative analysis, the proposed deep immunotherapy analysis method has a good performance in the detection of nodules. It works for the predictions for the applicability of immunotherapy for lung cancer.1.

Keywords: Deep learning; Immunotherapy; Medical image processing; Object detection.

MeSH terms

  • Deep Learning*
  • Humans
  • Immunotherapy
  • Lung
  • Lung Neoplasms* / diagnosis
  • Lung Neoplasms* / therapy
  • Neural Networks, Computer
  • Radiographic Image Interpretation, Computer-Assisted / methods
  • Solitary Pulmonary Nodule* / diagnostic imaging
  • Tomography, X-Ray Computed / methods