A multicenter study of neurofibromatosis type 1 utilizing deep learning for whole body tumor identification

Abstract Deep-learning models have shown promise in differentiating between benign and malignant lesions. Previous studies have primarily focused on specific anatomical regions, overlooking tumors occurring throughout the body with highly heterogeneous whole-body backgrounds. Using neurofibromatosis...

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Main Authors: Cheng-Jiang Wei, Yan Tang, Yang-Bai Sun, Tie-Long Yang, Cheng Yan, Hui Liu, Jun Liu, Jing-Ning Huang, Ming-Han Wang, Zhen-Wei Yao, Ji-Long Yang, Zhi-Chao Wang, Qing-Feng Li
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:npj Digital Medicine
Online Access:https://doi.org/10.1038/s41746-025-01454-z
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author Cheng-Jiang Wei
Yan Tang
Yang-Bai Sun
Tie-Long Yang
Cheng Yan
Hui Liu
Jun Liu
Jing-Ning Huang
Ming-Han Wang
Zhen-Wei Yao
Ji-Long Yang
Zhi-Chao Wang
Qing-Feng Li
author_facet Cheng-Jiang Wei
Yan Tang
Yang-Bai Sun
Tie-Long Yang
Cheng Yan
Hui Liu
Jun Liu
Jing-Ning Huang
Ming-Han Wang
Zhen-Wei Yao
Ji-Long Yang
Zhi-Chao Wang
Qing-Feng Li
author_sort Cheng-Jiang Wei
collection DOAJ
description Abstract Deep-learning models have shown promise in differentiating between benign and malignant lesions. Previous studies have primarily focused on specific anatomical regions, overlooking tumors occurring throughout the body with highly heterogeneous whole-body backgrounds. Using neurofibromatosis type 1 (NF1) as an example, this study developed highly accurate MRI-based deep-learning models for the early automated screening of malignant peripheral nerve sheath tumors (MPNSTs) against complex whole-body background. In a Chinese seven-center cohort, data from 347 subjects were analyzed. Our one-step model incorporated normal tissue/organ labels to provide contextual information, offering a solution for tumors with complex backgrounds. To address privacy concerns, we utilized a lightweight deep neural network suitable for hospital deployment. The final model achieved an accuracy of 85.71% for MPNST diagnosis in the validation cohort and 84.75% accuracy in the independent test set, outperforming another classic two-step model. This success suggests potential for AI models in screening other whole-body primary/metastatic tumors.
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institution Kabale University
issn 2398-6352
language English
publishDate 2025-01-01
publisher Nature Portfolio
record_format Article
series npj Digital Medicine
spelling doaj-art-d7c70073279c4d1984179c37d7af57a42025-01-26T12:53:47ZengNature Portfolionpj Digital Medicine2398-63522025-01-01811910.1038/s41746-025-01454-zA multicenter study of neurofibromatosis type 1 utilizing deep learning for whole body tumor identificationCheng-Jiang Wei0Yan Tang1Yang-Bai Sun2Tie-Long Yang3Cheng Yan4Hui Liu5Jun Liu6Jing-Ning Huang7Ming-Han Wang8Zhen-Wei Yao9Ji-Long Yang10Zhi-Chao Wang11Qing-Feng Li12Neurofibromatosis Type 1 Center and Laboratory for Neurofibromatosis Type 1 Research, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Radiology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Musculoskeletal Surgery, Fudan University Shanghai Cancer CenterDepartment of Bone and Soft Tissue Tumor, Tianjin Medical University Cancer Institute and HospitalDepartment of Radiology, Zhongshan Hospital Fudan UniversityDepartment of Radiology, The Fourth Hospital of Hebei Medical UniversityNeurofibromatosis Type 1 Center and Laboratory for Neurofibromatosis Type 1 Research, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineShanghai Key Laboratory of Sleep Disordered Breathing, Department of Otolaryngology-Head and Neck Surgery, Otolaryngology Institute of Shanghai Jiao Tong University, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of MedicineDepartment of Ophthalmology, Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai Key Laboratory of Orbital Diseases and Ocular OncologyDepartment of Radiology, Huashan Hospital, Fudan UniversityDepartment of Bone and Soft Tissue Tumor, Tianjin Medical University Cancer Institute and HospitalNeurofibromatosis Type 1 Center and Laboratory for Neurofibromatosis Type 1 Research, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineNeurofibromatosis Type 1 Center and Laboratory for Neurofibromatosis Type 1 Research, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of MedicineAbstract Deep-learning models have shown promise in differentiating between benign and malignant lesions. Previous studies have primarily focused on specific anatomical regions, overlooking tumors occurring throughout the body with highly heterogeneous whole-body backgrounds. Using neurofibromatosis type 1 (NF1) as an example, this study developed highly accurate MRI-based deep-learning models for the early automated screening of malignant peripheral nerve sheath tumors (MPNSTs) against complex whole-body background. In a Chinese seven-center cohort, data from 347 subjects were analyzed. Our one-step model incorporated normal tissue/organ labels to provide contextual information, offering a solution for tumors with complex backgrounds. To address privacy concerns, we utilized a lightweight deep neural network suitable for hospital deployment. The final model achieved an accuracy of 85.71% for MPNST diagnosis in the validation cohort and 84.75% accuracy in the independent test set, outperforming another classic two-step model. This success suggests potential for AI models in screening other whole-body primary/metastatic tumors.https://doi.org/10.1038/s41746-025-01454-z
spellingShingle Cheng-Jiang Wei
Yan Tang
Yang-Bai Sun
Tie-Long Yang
Cheng Yan
Hui Liu
Jun Liu
Jing-Ning Huang
Ming-Han Wang
Zhen-Wei Yao
Ji-Long Yang
Zhi-Chao Wang
Qing-Feng Li
A multicenter study of neurofibromatosis type 1 utilizing deep learning for whole body tumor identification
npj Digital Medicine
title A multicenter study of neurofibromatosis type 1 utilizing deep learning for whole body tumor identification
title_full A multicenter study of neurofibromatosis type 1 utilizing deep learning for whole body tumor identification
title_fullStr A multicenter study of neurofibromatosis type 1 utilizing deep learning for whole body tumor identification
title_full_unstemmed A multicenter study of neurofibromatosis type 1 utilizing deep learning for whole body tumor identification
title_short A multicenter study of neurofibromatosis type 1 utilizing deep learning for whole body tumor identification
title_sort multicenter study of neurofibromatosis type 1 utilizing deep learning for whole body tumor identification
url https://doi.org/10.1038/s41746-025-01454-z
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