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Publicações

Publicações por CTM

2021

Cervical Cancer Detection and Classification in Cytology Images Using a Hybrid Approach

Autores
Silva, EL; Sampaio, AF; Teixeira, LF; Vasconcelos, MJM;

Publicação
ADVANCES IN VISUAL COMPUTING (ISVC 2021), PT II

Abstract
The high incidence of cervical cancer in women has prompted the research of automatic screening methods. This work focuses on two of the steps present in such systems, more precisely, the identification of cervical lesions and their respective classification. The development of automatic methods for these tasks is associated with some shortcomings, such as acquiring sufficient and representative clinical data. These limitations are addressed through a hybrid pipeline based on a deep learning model (RetinaNet) for the detection of abnormal regions, combined with random forest and SVM classifiers for their categorization, and complemented by the use of domain knowledge in its design. Additionally, the nuclei in each detected region are segmented, providing a set of nuclei-specific features whose impact on the classification result is also studied. Each module is individually assessed in addition to the complete system, with the latter achieving a precision, recall and F1 score of 0.04, 0.20 and 0.07, respectively. Despite the low precision, the system demonstrates potential as an analysis support tool with the capability of increasing the overall sensitivity of the human examination process.

2021

Comprehensive Perspective for Lung Cancer Characterisation Based on AI Solutions Using CT Images

Autores
Pereira, T; Freitas, C; Costa, JL; Morgado, J; Silva, F; Negrao, E; de Lima, BF; da Silva, MC; Madureira, AJ; Ramos, I; Hespanhol, V; Cunha, A; Oliveira, HP;

Publicação
JOURNAL OF CLINICAL MEDICINE

Abstract
Lung cancer is still the leading cause of cancer death in the world. For this reason, novel approaches for early and more accurate diagnosis are needed. Computer-aided decision (CAD) can be an interesting option for a noninvasive tumour characterisation based on thoracic computed tomography (CT) image analysis. Until now, radiomics have been focused on tumour features analysis, and have not considered the information on other lung structures that can have relevant features for tumour genotype classification, especially for epidermal growth factor receptor (EGFR), which is the mutation with the most successful targeted therapies. With this perspective paper, we aim to explore a comprehensive analysis of the need to combine the information from tumours with other lung structures for the next generation of CADs, which could create a high impact on targeted therapies and personalised medicine. The forthcoming artificial intelligence (AI)-based approaches for lung cancer assessment should be able to make a holistic analysis, capturing information from pathological processes involved in cancer development. The powerful and interpretable AI models allow us to identify novel biomarkers of cancer development, contributing to new insights about the pathological processes, and making a more accurate diagnosis to help in the treatment plan selection.

2021

Embedding Anatomical Characteristics in 3D Models of Lower-limb Sockets through Statistical Shape Modelling

Autores
Costa, A; Rodrigues, D; Castro, M; Assis, S; Oliveira, HP;

Publicação
VISAPP: PROCEEDINGS OF THE 16TH INTERNATIONAL JOINT CONFERENCE ON COMPUTER VISION, IMAGING AND COMPUTER GRAPHICS THEORY AND APPLICATIONS - VOL. 4: VISAPP

Abstract
Lower limb amputation is a condition affecting millions of people worldwide. Patients are often prescribed with lower limb prostheses to aid their mobility, but these prostheses require frequent adjustments through an iterative and manual process, which heavily depends on patient feedback and on the prosthetist's experience. New computer-aided design and manufacturing technologies have been emerging as a way to improve the fitting process by creating virtual socket models. Statistical Shape modelling was used to create 3D models of transtibial (TT) and transfemoral (TF) sockets. Their generalization errors were, respectively, 6.8 +/- 1.8 mm and 10.5 +/- 1.6 mm, while specificity errors were 9.7 +/- 0.6 mm and 9.8 +/- 0.2 mm. In both models, a visual analysis showed that biomechanically meaningful features were captured: the largest variations found for both types were in the length of the residual limb and in the perimeter variation along the limb. The results obtained proved that statistical shape modelling methods can be applied to TF and TT sockets, with several potential applications in the orthoprosthetic field: generation of new plausible shapes and on-demand socket design adjustments.

2021

Machine Learning and Feature Selection Methods for EGFR Mutation Status Prediction in Lung Cancer

Autores
Morgado, J; Pereira, T; Silva, F; Freitas, C; Negrao, E; de Lima, BF; da Silva, MC; Madureira, AJ; Ramos, I; Hespanhol, V; Costa, JL; Cunha, A; Oliveira, HP;

Publicação
APPLIED SCIENCES-BASEL

Abstract
The evolution of personalized medicine has changed the therapeutic strategy from classical chemotherapy and radiotherapy to a genetic modification targeted therapy, and although biopsy is the traditional method to genetically characterize lung cancer tumor, it is an invasive and painful procedure for the patient. Nodule image features extracted from computed tomography (CT) scans have been used to create machine learning models that predict gene mutation status in a noninvasive, fast, and easy-to-use manner. However, recent studies have shown that radiomic features extracted from an extended region of interest (ROI) beyond the tumor, might be more relevant to predict the mutation status in lung cancer, and consequently may be used to significantly decrease the mortality rate of patients battling this condition. In this work, we investigated the relation between image phenotypes and the mutation status of Epidermal Growth Factor Receptor (EGFR), the most frequently mutated gene in lung cancer with several approved targeted-therapies, using radiomic features extracted from the lung containing the nodule. A variety of linear, nonlinear, and ensemble predictive classification models, along with several feature selection methods, were used to classify the binary outcome of wild-type or mutant EGFR mutation status. The results show that a comprehensive approach using a ROI that included the lung with nodule can capture relevant information and successfully predict the EGFR mutation status with increased performance compared to local nodule analyses. Linear Support Vector Machine, Elastic Net, and Logistic Regression, combined with the Principal Component Analysis feature selection method implemented with 70% of variance in the feature set, were the best-performing classifiers, reaching Area Under the Curve (AUC) values ranging from 0.725 to 0.737. This approach that exploits a holistic analysis indicates that information from more extensive regions of the lung containing the nodule allows a more complete lung cancer characterization and should be considered in future radiogenomic studies.

2021

EGFR Assessment in Lung Cancer CT Images: Analysis of Local and Holistic Regions of Interest Using Deep Unsupervised Transfer Learning

Autores
Silva, F; Pereira, T; Morgado, J; Frade, J; Mendes, J; Freitas, C; Negrao, E; De Lima, BF; Da Silva, MC; Madureira, AJ; Ramos, I; Hespanhol, V; Costa, JL; Cunha, A; Oliveira, HP;

Publicação
IEEE ACCESS

Abstract
Statistics have demonstrated that one of the main factors responsible for the high mortality rate related to lung cancer is the late diagnosis. Precision medicine practices have shown advances in the individualized treatment according to the genetic profile of each patient, providing better control on cancer response. Medical imaging offers valuable information with an extensive perspective of the cancer, opening opportunities to explore the imaging manifestations associated with the tumor genotype in a non-invasive way. This work aims to study the relevance of physiological features captured from Computed Tomography images, using three different 2D regions of interest to assess the Epidermal growth factor receptor (EGFR) mutation status: nodule, lung containing the main nodule, and both lungs. A Convolutional Autoencoder was developed for the reconstruction of the input image. Thereafter, the encoder block was used as a feature extractor, stacking a classifier on top to assess the EGFR mutation status. Results showed that extending the analysis beyond the local nodule allowed the capture of more relevant information, suggesting the presence of useful biomarkers using the lung with nodule region of interest, which allowed to obtain the best prediction ability. This comparative study represents an innovative approach for gene mutations status assessment, contributing to the discussion on the extent of pathological phenomena associated with cancer development, and its contribution to more accurate Artificial Intelligence-based solutions, and constituting, to the best of our knowledge, the first deep learning approach that explores a comprehensive analysis for the EGFR mutation status classification.

2021

The Role of Liquid Biopsy in Early Diagnosis of Lung Cancer

Autores
Freitas, C; Sousa, C; Machado, F; Serino, M; Santos, V; Cruz Martins, N; Teixeira, A; Cunha, A; Pereira, T; Oliveira, HP; Costa, JL; Hespanhol, V;

Publicação
FRONTIERS IN ONCOLOGY

Abstract
Liquid biopsy is an emerging technology with a potential role in the screening and early detection of lung cancer. Several liquid biopsy-derived biomarkers have been identified and are currently under ongoing investigation. In this article, we review the available data on the use of circulating biomarkers for the early detection of lung cancer, focusing on the circulating tumor cells, circulating cell-free DNA, circulating micro-RNAs, tumor-derived exosomes, and tumor-educated platelets, providing an overview of future potential applicability in the clinical practice. While several biomarkers have shown exciting results, diagnostic performance and clinical applicability is still limited. The combination of different biomarkers, as well as their combination with other diagnostic tools show great promise, although further research is still required to define and validate the role of liquid biopsies in clinical practice.

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