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PET/CT based cross-modal deep learning signature to predict occult nodal metastasis in lung cancer.


ABSTRACT: Occult nodal metastasis (ONM) plays a significant role in comprehensive treatments of non-small cell lung cancer (NSCLC). This study aims to develop a deep learning signature based on positron emission tomography/computed tomography to predict ONM of clinical stage N0 NSCLC. An internal cohort (n = 1911) is included to construct the deep learning nodal metastasis signature (DLNMS). Subsequently, an external cohort (n = 355) and a prospective cohort (n = 999) are utilized to fully validate the predictive performances of the DLNMS. Here, we show areas under the receiver operating characteristic curve of the DLNMS for occult N1 prediction are 0.958, 0.879 and 0.914 in the validation set, external cohort and prospective cohort, respectively, and for occult N2 prediction are 0.942, 0.875 and 0.919, respectively, which are significantly better than the single-modal deep learning models, clinical model and physicians. This study demonstrates that the DLNMS harbors the potential to predict ONM of clinical stage N0 NSCLC.

SUBMITTER: Zhong Y 

PROVIDER: S-EPMC10657428 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature

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PET/CT based cross-modal deep learning signature to predict occult nodal metastasis in lung cancer.

Zhong Yifan Y   Cai Chuang C   Chen Tao T   Gui Hao H   Deng Jiajun J   Yang Minglei M   Yu Bentong B   Song Yongxiang Y   Wang Tingting T   Sun Xiwen X   Shi Jingyun J   Chen Yangchun Y   Xie Dong D   Chen Chang C   She Yunlang Y  

Nature communications 20231118 1


Occult nodal metastasis (ONM) plays a significant role in comprehensive treatments of non-small cell lung cancer (NSCLC). This study aims to develop a deep learning signature based on positron emission tomography/computed tomography to predict ONM of clinical stage N0 NSCLC. An internal cohort (n = 1911) is included to construct the deep learning nodal metastasis signature (DLNMS). Subsequently, an external cohort (n = 355) and a prospective cohort (n = 999) are utilized to fully validate the pr  ...[more]

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