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Principal Investigator
Name
Piyush Samant
Degrees
Ph.D
Institution
Mirxes Labs Pte. Ltd., Singapore
Position Title
Data Scientiest
Email
About this CDAS Project
Study
PLCO (Learn more about this study)
Project ID
PLCOI-1503
Initial CDAS Request Approval
Mar 25, 2024
Title
Advancing Lung Cancer Detection: Harnessing PLCO Trial X-Ray Imagery for Improved Diagnostic Algorithms
Summary
The "Advancing Lung Cancer Detection" project aims to leverage the extensive repository of X-ray images from the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial to develop and refine diagnostic algorithms for early lung cancer detection. Early detection of lung cancer significantly increases survival rates, yet remains a challenge due to the subtlety of early-stage indicators and the high variability among cases. This project proposes a multidisciplinary approach combining medical imaging, machine learning, and clinical oncology to address these challenges.
The core objectives of the project include:
1. Data Curation and Preparation: Selecting and processing a subset of X-ray images from the PLCO trial, focusing on those pertinent to lung cancer. This involves image enhancement, annotation, and standardization to prepare a high-quality dataset for algorithm training and testing.
2. Algorithm Development: Utilizing advanced machine learning and deep learning techniques to develop algorithms capable of identifying early-stage lung cancer markers in X-ray images. This includes designing models that can differentiate between benign and malignant nodules, recognize patterns indicative of early-stage lung cancer, and adapt to the variability in human anatomy and image acquisition parameters.
3. Validation and Testing: Rigorously testing the developed algorithms against a separate set of images not used in the training phase. This step is crucial for assessing the algorithms' accuracy, sensitivity, specificity, and overall diagnostic performance.
4. Clinical Integration Feasibility Study: Evaluating the practicality of integrating the developed algorithms into clinical workflows. This involves assessing the algorithms' compatibility with existing medical imaging systems, their impact on diagnostic processes, and their potential to improve clinical outcomes.
5. Ethical and Regulatory Considerations: Ensuring the ethical use of patient data throughout the project and compliance with all relevant healthcare regulations, including patient privacy and data security standards.
The project's interdisciplinary team will consist of experts in deep learning, radiology, oncology, and biomedical ethics. Collaborations with clinical partners will be sought to ensure that the project's outcomes are aligned with clinical needs and can be seamlessly integrated into practice.
The expected outcomes include a set of highly reliable diagnostic tools that can be integrated into existing medical imaging platforms, enhancing the ability of radiologists and oncologists to detect lung cancer at its earliest, most treatable stages. This project has the potential to significantly impact public health by improving lung cancer survival rates through the power of early detection.
By harnessing the unique and comprehensive dataset provided by the PLCO trial, this project stands to make significant contributions to the field of lung cancer diagnosis, offering new avenues for research and development in medical imaging technology and algorithmic diagnosis.
Aims

The "Advancing Lung Cancer Detection" project is structured around the following specific aims:

Curate a High-Quality Dataset:

• To enhance and standardize these images to ensure they are suitable for advanced analytical techniques, thereby creating a robust dataset for training and testing diagnostic algorithms.

Develop Advanced Diagnostic Algorithms:

• To design, train, and refine machine learning and deep learning models capable of identifying and characterizing early-stage lung cancer indicators in X-ray images.
• To innovate algorithms that distinguish between benign and malignant pulmonary nodules with high accuracy, contributing to reducing false positives and negatives in lung cancer screening.

Validate Algorithm Performance:

• To conduct extensive testing of the developed algorithms using a separate, validation dataset not previously exposed to the models during training, ensuring the reliability and generalizability of the diagnostic tools.
• To evaluate the algorithms' diagnostic accuracy, sensitivity, specificity, and predictive value in detecting early-stage lung cancer, aiming for performance that meets or exceeds current clinical standards.

Assess Clinical Integration and Impact:

• To study the feasibility of integrating these diagnostic algorithms into existing clinical workflows, including compatibility with current medical imaging systems and potential impacts on diagnostic processes and patient outcomes.
• To engage with clinical partners to understand and address practical considerations, ensuring that the tools developed can be seamlessly adopted in clinical settings.

Address Ethical and Regulatory Compliance:

• To ensure all aspects of the project adhere to the highest ethical standards, particularly concerning patient data privacy, consent, and security, in line with HIPAA and other relevant regulations.
• To establish clear protocols for data handling, algorithm training, and testing processes that safeguard patient confidentiality and data integrity.

Foster Interdisciplinary Collaboration:

• To build and maintain an interdisciplinary team comprising experts in artificial intelligence, radiology, oncology, and biomedical ethics, ensuring a well-rounded approach to the project's challenges and objectives.
• To facilitate knowledge exchange and collaborative problem-solving among team members, leveraging diverse expertise to enhance the project's outcomes.

The successful achievement of these aims will result in the development of reliable, effective, and clinically integrable tools for early lung cancer detection, with the potential to significantly improve diagnostic accuracy and patient outcomes in lung cancer care.

Collaborators

Dr. Piyush Samant
Data Scientist
Mirxes Labs Pvt. Ltd, Singapore