Deep learning for real-time auxiliary diagnosis of pancreatic cancer in endoscopic ultrasonography

In recent year, many deep learning have been playing an important role in the detection of cancers. This study aimed to real-timely differentiate a pancreatic cancer (PC) or a non-pancreatic cancer (NPC) lesion via endoscopic ultrasonography (EUS) image. A total of 1213 EUS images from 157 patients...

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Main Authors: Guo Tian, Danxia Xu, Yinghua He, Weilu Chai, Zhuang Deng, Chao Cheng, Xinyan Jin, Guyue Wei, Qiyu Zhao, Tianan Jiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.973652/full
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author Guo Tian
Guo Tian
Guo Tian
Danxia Xu
Danxia Xu
Yinghua He
Yinghua He
Weilu Chai
Weilu Chai
Zhuang Deng
Chao Cheng
Xinyan Jin
Guyue Wei
Qiyu Zhao
Qiyu Zhao
Tianan Jiang
Tianan Jiang
Tianan Jiang
author_facet Guo Tian
Guo Tian
Guo Tian
Danxia Xu
Danxia Xu
Yinghua He
Yinghua He
Weilu Chai
Weilu Chai
Zhuang Deng
Chao Cheng
Xinyan Jin
Guyue Wei
Qiyu Zhao
Qiyu Zhao
Tianan Jiang
Tianan Jiang
Tianan Jiang
author_sort Guo Tian
collection DOAJ
description In recent year, many deep learning have been playing an important role in the detection of cancers. This study aimed to real-timely differentiate a pancreatic cancer (PC) or a non-pancreatic cancer (NPC) lesion via endoscopic ultrasonography (EUS) image. A total of 1213 EUS images from 157 patients (99 male, 58 female) with pancreatic disease were used for training, validation and test groups. Before model training, regions of interest (ROIs) were manually drawn to mark the PC and NPC lesions using Labelimage software. Yolov5m was used as the algorithm model to automatically distinguish the presence of pancreatic lesion. After training the model based on EUS images using YOLOv5, the parameters achieved convergence within 300 rounds (GIoU Loss: 0.01532, Objectness Loss: 0.01247, precision: 0.713 and recall: 0.825). For the validation group, the mAP0.5 was 0.831, and mAP@.5:.95 was 0.512. In addition, the receiver operating characteristic (ROC) curve analysis showed this model seemed to have a trend of more AUC of 0.85 (0.665 to 0.956) than the area under the curve (AUC) of 0.838 (0.65 to 0.949) generated by physicians using EUS detection without puncture, although pairwise comparison of ROC curves showed that the AUC between the two groups was not significant (z= 0.15, p = 0.8804). This study suggested that the YOLOv5m would generate attractive results and allow for the real-time decision support for distinction of a PC or a NPC lesion.
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spelling doaj.art-11fa04873c1740f58148b76af1a4c4f02022-12-22T02:32:23ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-10-011210.3389/fonc.2022.973652973652Deep learning for real-time auxiliary diagnosis of pancreatic cancer in endoscopic ultrasonographyGuo Tian0Guo Tian1Guo Tian2Danxia Xu3Danxia Xu4Yinghua He5Yinghua He6Weilu Chai7Weilu Chai8Zhuang Deng9Chao Cheng10Xinyan Jin11Guyue Wei12Qiyu Zhao13Qiyu Zhao14Tianan Jiang15Tianan Jiang16Tianan Jiang17Department of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaKey Laboratory of Pulsed Power Translational Medicine of Zhejiang Province, Hangzhou, ChinaState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaKey Laboratory of Pulsed Power Translational Medicine of Zhejiang Province, Hangzhou, ChinaDepartment of Clinical Pharmacy, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaZhejiang Provincial Key Laboratory for Drug Evaluation and Clinical Research, Hangzhou, ChinaDepartment of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaKey Laboratory of Pulsed Power Translational Medicine of Zhejiang Province, Hangzhou, ChinaDepartment of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaKey Laboratory of Pulsed Power Translational Medicine of Zhejiang Province, Hangzhou, ChinaDepartment of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaKey Laboratory of Pulsed Power Translational Medicine of Zhejiang Province, Hangzhou, ChinaZhejiang University Cancer Center, Hangzhou, ChinaIn recent year, many deep learning have been playing an important role in the detection of cancers. This study aimed to real-timely differentiate a pancreatic cancer (PC) or a non-pancreatic cancer (NPC) lesion via endoscopic ultrasonography (EUS) image. A total of 1213 EUS images from 157 patients (99 male, 58 female) with pancreatic disease were used for training, validation and test groups. Before model training, regions of interest (ROIs) were manually drawn to mark the PC and NPC lesions using Labelimage software. Yolov5m was used as the algorithm model to automatically distinguish the presence of pancreatic lesion. After training the model based on EUS images using YOLOv5, the parameters achieved convergence within 300 rounds (GIoU Loss: 0.01532, Objectness Loss: 0.01247, precision: 0.713 and recall: 0.825). For the validation group, the mAP0.5 was 0.831, and mAP@.5:.95 was 0.512. In addition, the receiver operating characteristic (ROC) curve analysis showed this model seemed to have a trend of more AUC of 0.85 (0.665 to 0.956) than the area under the curve (AUC) of 0.838 (0.65 to 0.949) generated by physicians using EUS detection without puncture, although pairwise comparison of ROC curves showed that the AUC between the two groups was not significant (z= 0.15, p = 0.8804). This study suggested that the YOLOv5m would generate attractive results and allow for the real-time decision support for distinction of a PC or a NPC lesion.https://www.frontiersin.org/articles/10.3389/fonc.2022.973652/fulldeep learningendoscopic ultrasonographydiagnosisultrasonographypancreatic lesion
spellingShingle Guo Tian
Guo Tian
Guo Tian
Danxia Xu
Danxia Xu
Yinghua He
Yinghua He
Weilu Chai
Weilu Chai
Zhuang Deng
Chao Cheng
Xinyan Jin
Guyue Wei
Qiyu Zhao
Qiyu Zhao
Tianan Jiang
Tianan Jiang
Tianan Jiang
Deep learning for real-time auxiliary diagnosis of pancreatic cancer in endoscopic ultrasonography
Frontiers in Oncology
deep learning
endoscopic ultrasonography
diagnosis
ultrasonography
pancreatic lesion
title Deep learning for real-time auxiliary diagnosis of pancreatic cancer in endoscopic ultrasonography
title_full Deep learning for real-time auxiliary diagnosis of pancreatic cancer in endoscopic ultrasonography
title_fullStr Deep learning for real-time auxiliary diagnosis of pancreatic cancer in endoscopic ultrasonography
title_full_unstemmed Deep learning for real-time auxiliary diagnosis of pancreatic cancer in endoscopic ultrasonography
title_short Deep learning for real-time auxiliary diagnosis of pancreatic cancer in endoscopic ultrasonography
title_sort deep learning for real time auxiliary diagnosis of pancreatic cancer in endoscopic ultrasonography
topic deep learning
endoscopic ultrasonography
diagnosis
ultrasonography
pancreatic lesion
url https://www.frontiersin.org/articles/10.3389/fonc.2022.973652/full
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