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🧑🏼‍💻 Research - September 18, 2024

Longitudinal deep neural networks for assessing metastatic brain cancer on a large open benchmark.

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⚡ Quick Summary

This study introduces NYUMets-Brain, the world’s largest longitudinal dataset for assessing metastatic brain cancer, comprising data from 1,429 patients. Utilizing a novel deep neural network called Segmentation-Through-Time, the research achieved state-of-the-art results in detecting small metastases and demonstrated that the monthly rate of change in metastases is a strong predictor of overall survival.

🔍 Key Details

  • 📊 Dataset: 1,429 patients with longitudinal imaging and clinical follow-up
  • 🧩 Features used: Imaging data, clinical follow-up, medical management
  • ⚙️ Technology: Segmentation-Through-Time deep neural network
  • 🏆 Performance: State-of-the-art results for small (<10 mm³) metastases detection
  • 📈 Survival metric: Monthly rate of change in metastases (HR 1.27, 95% CI 1.18-1.38)

🔑 Key Takeaways

  • 🌟 NYUMets-Brain is the largest dataset for metastatic brain cancer assessment.
  • 🤖 Segmentation-Through-Time leverages longitudinal data for improved detection.
  • 🏆 Achieved state-of-the-art results in detecting small brain metastases.
  • 📈 Monthly changes in metastases are predictive of overall survival.
  • 🔓 Open access to dataset, codebase, and model weights for further research.
  • 🌍 Potential for broader applications in cancer research and clinical practice.

📚 Background

The detection and tracking of metastatic brain cancer pose significant challenges in both clinical trials and real-world settings. Traditional methods often fall short in providing timely and accurate assessments, which can hinder effective treatment planning. The integration of deep learning with extensive datasets offers a promising avenue to enhance diagnostic capabilities and improve patient outcomes.

🗒️ Study

Conducted by a team of researchers, this study utilized the NYUMets-Brain dataset to develop a deep neural network model named Segmentation-Through-Time. This model was designed to explicitly account for the longitudinal nature of the data, allowing for more accurate detection and segmentation of brain metastases over time.

📈 Results

The Segmentation-Through-Time model achieved remarkable performance, particularly in detecting small metastases, with results that set a new benchmark in the field. Additionally, the study found that the monthly rate of change in brain metastases was a significant predictor of overall survival, with a hazard ratio of 1.27 (95% CI 1.18-1.38), indicating that faster-growing metastases correlate with poorer outcomes.

🌍 Impact and Implications

The findings from this study have the potential to revolutionize the way metastatic brain cancer is monitored and treated. By providing a robust dataset and an advanced analytical model, researchers can now explore new avenues for improving patient care. The ability to predict survival based on the dynamics of metastases could lead to more personalized treatment strategies and better resource allocation in clinical settings.

🔮 Conclusion

This study highlights the transformative potential of deep learning in the assessment of metastatic brain cancer. The release of the NYUMets-Brain dataset and the Segmentation-Through-Time model opens up exciting opportunities for further research and collaboration in the field. As we continue to harness the power of AI in healthcare, we can look forward to improved diagnostic tools and enhanced patient outcomes.

💬 Your comments

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Longitudinal deep neural networks for assessing metastatic brain cancer on a large open benchmark.

Abstract

The detection and tracking of metastatic cancer over the lifetime of a patient remains a major challenge in clinical trials and real-world care. Advances in deep learning combined with massive datasets may enable the development of tools that can address this challenge. We present NYUMets-Brain, the world’s largest, longitudinal, real-world dataset of cancer consisting of the imaging, clinical follow-up, and medical management of 1,429 patients. Using this dataset we developed Segmentation-Through-Time, a deep neural network which explicitly utilizes the longitudinal structure of the data and obtained state-of-the-art results at small (<10 mm3) metastases detection and segmentation. We also demonstrate that the monthly rate of change of brain metastases over time are strongly predictive of overall survival (HR 1.27, 95%CI 1.18-1.38). We are releasing the dataset, codebase, and model weights for other cancer researchers to build upon these results and to serve as a public benchmark.

Author: [‘Link KE’, ‘Schnurman Z’, ‘Liu C’, ‘Kwon YJF’, ‘Jiang LY’, ‘Nasir-Moin M’, ‘Neifert S’, ‘Alzate JD’, ‘Bernstein K’, ‘Qu T’, ‘Chen V’, ‘Yang E’, ‘Golfinos JG’, ‘Orringer D’, ‘Kondziolka D’, ‘Oermann EK’]

Journal: Nat Commun

Citation: Link KE, et al. Longitudinal deep neural networks for assessing metastatic brain cancer on a large open benchmark. Longitudinal deep neural networks for assessing metastatic brain cancer on a large open benchmark. 2024; 15:8170. doi: 10.1038/s41467-024-52414-2

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