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LUNGx Challenge for computerized lung nodule classification

Journal Article · · Journal of Medical Imaging
 [1];  [1];  [1];  [2];  [3];  [1];  [1];  [4];  [4];  [5];  [4]
  1. Univ. of Chicago, IL (United States). Department of Radiology
  2. Univ. of Michigan, Ann Arbor, MI (United States). Department of Radiology
  3. Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States). Health Data Sciences Institute, Biomedical Science and Engineering Center
  4. National Cancer Institute, Cancer Imaging Program, Division of Cancer Treatment and Diagnosis, Bethesda, MD (United States)
  5. Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Cancer Imaging Program, Frederick, MD (United States)
The purpose of this work is to describe the LUNGx Challenge for the computerized classification of lung nodules on diagnostic computed tomography (CT) scans as benign or malignant and report the performance of participants’ computerized methods along with that of six radiologists who participated in an observer study performing the same Challenge task on the same dataset. The Challenge provided sets of calibration and testing scans, established a performance assessment process, and created an infrastructure for case dissemination and result submission. We present ten groups that applied their own methods to 73 lung nodules (37 benign and 36 malignant) that were selected to achieve approximate size matching between the two cohorts. Area under the receiver operating characteristic curve (AUC) values for these methods ranged from 0.50 to 0.68; only three methods performed statistically better than random guessing. The radiologists’ AUC values ranged from 0.70 to 0.85; three radiologists performed statistically better than the best-performing computer method. The LUNGx Challenge compared the performance of computerized methods in the task of differentiating benign from malignant lung nodules on CT scans, placed in the context of the performance of radiologists on the same task. Lastly, the continued public availability of the Challenge cases will provide a valuable resource for the medical imaging research community.
Research Organization:
Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (United States)
Sponsoring Organization:
USDOE
Grant/Contract Number:
AC05-00OR22725
OSTI ID:
1338539
Journal Information:
Journal of Medical Imaging, Journal Name: Journal of Medical Imaging Journal Issue: 4 Vol. 3; ISSN 2329-4302
Publisher:
SPIECopyright Statement
Country of Publication:
United States
Language:
English

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Cited By (9)

Radiomics analysis of pulmonary nodules in low-dose CT for early detection of lung cancer journal March 2018
Machine learning approach for distinguishing malignant and benign lung nodules utilizing standardized perinodular parenchymal features from CT journal June 2019
Evolving the pulmonary nodules diagnosis from classical approaches to deep learning-aided decision support: three decades’ development course and future prospect journal November 2019
Novel convolutional neural network architecture for improved pulmonary nodule classification on computed tomography journal February 2020
Lung Nodule: Imaging Features and Evaluation in the Age of Machine Learning journal July 2019
Pulmonary nodule classification in lung cancer screening with three-dimensional convolutional neural networks journal October 2017
Lessons on managing pulmonary nodules from NELSON: we have come a long way journal March 2019
Artificial intelligence in oncology, its scope and future prospects with specific reference to radiation oncology journal July 2019
An Appraisal of Lung Nodules Automatic Classification Algorithms for CT Images journal January 2019

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