Precision Radiology: Predicting longevity using feature engineering and deep learning methods in a radiomics framework
By Luke Oakden-Rayner, Gustavo Carneiro, Taryn Bessen, Jacinto Carlos Nascimento, Andrew P. Bradley, Lyle J. Palmer. 2017
149 citations recorded by the source corpus.
Precision medicine approaches rely on obtaining precise knowledge of the true state of health of an individual patient, which results from a combination of their genetic risks and environmental exposures. This approach is currently limited by the lack of effective and efficient non-invasive medical tests to define the full range of phenotypic variation associated with individual health. Such knowledge is critical for improved early intervention, for better treatment decisions, and for ameliorating the steadily worsening epidemic of chronic disease. We present proof-of-concept experiments to demonstrate how routinely acquired cross-sectional CT imaging may be used to predict patient longevity as a proxy for overall individual health and disease status using computer image analysis techniques. Despite the limitations of a modest dataset and the use of off-the-shelf machine learning methods, our results are comparable to previous ‘manual’ clinical methods for longevity prediction. This work demonstrates that radiomics techniques can be used to extract biomarkers relevant to one of the most widely used outcomes in epidemiological and clinical research – mortality, and that deep learning with convolutional neural networks can be usefully applied to radiomics research. Computer image analysis applied to routinely collected medical images offers substantial potential to enhance precision medicine initiatives.
Subfields: Geriatrics and Gerontology, Oncology, Radiology, Nuclear Medicine and Imaging
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Citations in the corpus
- An overview of deep learning in medical imaging focusing on MRI (2018, neutral): “Deep learning is applied in radiotherapy [88], in PET-MRI attenuation correction [89,90], in radiomics [91,92] (see [93] for a review of radiomics related to radiooncology and medical physics), and for theranostics in neurosurgical imaging, combining confocal laser endomicroscopy with deep learning ”
- Applications of Machine Learning Predictive Models in the Chronic Disease Diagnosis (2020, background): “In contrast, regression problems look at continuous data, and most of the adopted studies followed these model examples of pathologies in [16,30,33,48] gene expression [19], and others.”
- Automatic lung segmentation in routine imaging is primarily a data diversity problem, not a methodology problem (2020, background): “As a consequence, image processing studies, especially when dealing with routine data, still rely on semiautomatic seg-mentations or human inspection of automated organ masks [6, 7].”
- AI in Medical Imaging Informatics: Current Challenges and Future Directions (2020, unknown): “…A and other molecular subtypes for breast cancer [241], predicting bladder cancer treatment response [242], IDH1 mutation status for LGG [243], [244], and MGMT methylation status for GBM [245], as well as predicting overall survival for GBM patients [246] and non-disease specific subjects [247].”
- An overview of clinical decision support systems: benefits, risks, and strategies for success (2020, background): “58,59 With images accounting for increasing amounts of medical data, but requiring extensive manual interpretation, providers need technologies to aid them in extracting, visualizing, and interpreting.”
- Current Applications and Future Impact of Machine Learning in Radiology. (2018, unknown): “Oakden-Rayner et al (93) used features within chest CTs to predict longevity of patients through detecting features indicative of overall individual health within those CTs. Extension to the Electronic Medical Record and Other Nonimaging Clinical Data In the future, imaging data will be linked more…”