Artificial Intelligence for Early Detection of Chest Nodules in X-ray Images

Early detection increases overall survival among patients with lung cancer. This study formulated a machine learning method that processes chest X-rays (CXRs) to detect lung cancer early. After we preprocessed our dataset using monochrome and brightness correction, we used different kinds of preproc...

Full description

Bibliographic Details
Main Authors: Hwa-Yen Chiu, Rita Huan-Ting Peng, Yi-Chian Lin, Ting-Wei Wang, Ya-Xuan Yang, Ying-Ying Chen, Mei-Han Wu, Tsu-Hui Shiao, Heng-Sheng Chao, Yuh-Min Chen, Yu-Te Wu
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/11/2839
_version_ 1797468976577511424
author Hwa-Yen Chiu
Rita Huan-Ting Peng
Yi-Chian Lin
Ting-Wei Wang
Ya-Xuan Yang
Ying-Ying Chen
Mei-Han Wu
Tsu-Hui Shiao
Heng-Sheng Chao
Yuh-Min Chen
Yu-Te Wu
author_facet Hwa-Yen Chiu
Rita Huan-Ting Peng
Yi-Chian Lin
Ting-Wei Wang
Ya-Xuan Yang
Ying-Ying Chen
Mei-Han Wu
Tsu-Hui Shiao
Heng-Sheng Chao
Yuh-Min Chen
Yu-Te Wu
author_sort Hwa-Yen Chiu
collection DOAJ
description Early detection increases overall survival among patients with lung cancer. This study formulated a machine learning method that processes chest X-rays (CXRs) to detect lung cancer early. After we preprocessed our dataset using monochrome and brightness correction, we used different kinds of preprocessing methods to enhance image contrast and then used U-net to perform lung segmentation. We used 559 CXRs with a single lung nodule labeled by experts to train a You Only Look Once version 4 (YOLOv4) deep-learning architecture to detect lung nodules. In a testing dataset of 100 CXRs from patients at Taipei Veterans General Hospital and 154 CXRs from the Japanese Society of Radiological Technology dataset, the sensitivity of the AI model using a combination of different preprocessing methods performed the best at 79%, with 3.04 false positives per image. We then tested the AI by using 383 sets of CXRs obtained in the past 5 years prior to lung cancer diagnoses. The median time from detection to diagnosis for radiologists assisted with AI was 46 (3–523) days, longer than that for radiologists (8 (0–263) days). The AI model can assist radiologists in the early detection of lung nodules.
first_indexed 2024-03-09T19:14:57Z
format Article
id doaj.art-2ff2ebf46fff41e0adaf65cd06799aa4
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-03-09T19:14:57Z
publishDate 2022-11-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-2ff2ebf46fff41e0adaf65cd06799aa42023-11-24T03:51:35ZengMDPI AGBiomedicines2227-90592022-11-011011283910.3390/biomedicines10112839Artificial Intelligence for Early Detection of Chest Nodules in X-ray ImagesHwa-Yen Chiu0Rita Huan-Ting Peng1Yi-Chian Lin2Ting-Wei Wang3Ya-Xuan Yang4Ying-Ying Chen5Mei-Han Wu6Tsu-Hui Shiao7Heng-Sheng Chao8Yuh-Min Chen9Yu-Te Wu10Department of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, TaiwanInstitute of Biophotonics, National Yang Ming Chiao Tung University, Taipei 112, TaiwanInstitute of Biophotonics, National Yang Ming Chiao Tung University, Taipei 112, TaiwanInstitute of Biophotonics, National Yang Ming Chiao Tung University, Taipei 112, TaiwanInstitute of Biophotonics, National Yang Ming Chiao Tung University, Taipei 112, TaiwanDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, TaiwanSchool of Medicine, National Yang Ming Chiao Tung University, Taipei 112, TaiwanDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, TaiwanDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, TaiwanDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, TaiwanInstitute of Biophotonics, National Yang Ming Chiao Tung University, Taipei 112, TaiwanEarly detection increases overall survival among patients with lung cancer. This study formulated a machine learning method that processes chest X-rays (CXRs) to detect lung cancer early. After we preprocessed our dataset using monochrome and brightness correction, we used different kinds of preprocessing methods to enhance image contrast and then used U-net to perform lung segmentation. We used 559 CXRs with a single lung nodule labeled by experts to train a You Only Look Once version 4 (YOLOv4) deep-learning architecture to detect lung nodules. In a testing dataset of 100 CXRs from patients at Taipei Veterans General Hospital and 154 CXRs from the Japanese Society of Radiological Technology dataset, the sensitivity of the AI model using a combination of different preprocessing methods performed the best at 79%, with 3.04 false positives per image. We then tested the AI by using 383 sets of CXRs obtained in the past 5 years prior to lung cancer diagnoses. The median time from detection to diagnosis for radiologists assisted with AI was 46 (3–523) days, longer than that for radiologists (8 (0–263) days). The AI model can assist radiologists in the early detection of lung nodules.https://www.mdpi.com/2227-9059/10/11/2839artificial intelligenceAIdetectionlung cancermachine learning
spellingShingle Hwa-Yen Chiu
Rita Huan-Ting Peng
Yi-Chian Lin
Ting-Wei Wang
Ya-Xuan Yang
Ying-Ying Chen
Mei-Han Wu
Tsu-Hui Shiao
Heng-Sheng Chao
Yuh-Min Chen
Yu-Te Wu
Artificial Intelligence for Early Detection of Chest Nodules in X-ray Images
Biomedicines
artificial intelligence
AI
detection
lung cancer
machine learning
title Artificial Intelligence for Early Detection of Chest Nodules in X-ray Images
title_full Artificial Intelligence for Early Detection of Chest Nodules in X-ray Images
title_fullStr Artificial Intelligence for Early Detection of Chest Nodules in X-ray Images
title_full_unstemmed Artificial Intelligence for Early Detection of Chest Nodules in X-ray Images
title_short Artificial Intelligence for Early Detection of Chest Nodules in X-ray Images
title_sort artificial intelligence for early detection of chest nodules in x ray images
topic artificial intelligence
AI
detection
lung cancer
machine learning
url https://www.mdpi.com/2227-9059/10/11/2839
work_keys_str_mv AT hwayenchiu artificialintelligenceforearlydetectionofchestnodulesinxrayimages
AT ritahuantingpeng artificialintelligenceforearlydetectionofchestnodulesinxrayimages
AT yichianlin artificialintelligenceforearlydetectionofchestnodulesinxrayimages
AT tingweiwang artificialintelligenceforearlydetectionofchestnodulesinxrayimages
AT yaxuanyang artificialintelligenceforearlydetectionofchestnodulesinxrayimages
AT yingyingchen artificialintelligenceforearlydetectionofchestnodulesinxrayimages
AT meihanwu artificialintelligenceforearlydetectionofchestnodulesinxrayimages
AT tsuhuishiao artificialintelligenceforearlydetectionofchestnodulesinxrayimages
AT hengshengchao artificialintelligenceforearlydetectionofchestnodulesinxrayimages
AT yuhminchen artificialintelligenceforearlydetectionofchestnodulesinxrayimages
AT yutewu artificialintelligenceforearlydetectionofchestnodulesinxrayimages