Variações na Captação de FDG Miocárdica e Uso de Metformina: Implicações para a Sobrevida Durante a Imunoterapia DOI Creative Commons
Matheus Coelho Torres, Juliana Góes Martins Fagundes, Luís Fábio Barbosa Botelho

et al.

ARQUIVOS BRASILEIROS DE CARDIOLOGIA - IMAGEM CARDIOVASCULAR, Journal Year: 2025, Volume and Issue: 38(1)

Published: Jan. 30, 2025

Introdução: O aumento do uso de inibidores checkpoint imunológicos (ICIs) melhorou significativamente os resultados no câncer pulmão; entanto, ainda há falta protocolos para prever a resposta ao tratamento. Além disso, estudos pré-clínicos indicaram uma associação promissora entre metformina, β-bloqueadores (BBs) e melhores em pacientes com câncer. Objetivos: objetivo principal deste estudo foi investigar o impacto da metformina nos desfechos sobrevida. Os objetivos secundários incluíram avaliação variação na captação FDG miocárdio (alteração valor padronizado [ΔSUV]) durante tratamento ICIs dos efeitos tabagismo, diabetes, hipertensão BBs Métodos: Este coorte retrospectivo unicêntrico braço único avaliou pulmão que começaram usar julho 2016 dezembro 2021. critérios inclusão foram: idade superior 18 anos, tratado (inibidores CTLA-4, PD-1 PD-L1) realização pelo menos dois exames tomografia por emissão pósitrons combinada à computadorizada (PET-CT). Resultados: Cinquenta oito preencheram todos inclusão. usuários apresentaram um 759 dias sobrevida global (SG) (p = 0,015). Uma tendência 161 livre progressão (SLP) observada ΔSUV miocárdica positiva comparação grupo negativa 0,066), juntamente 285 favor (p=0,886). Conclusão: A significativa SG sugere é adjuvante promissor terapia ICI. pode sugerir papel potencial PET-CT previsão resposta, porém, maiores são necessários solidificar essa hipótese.

Non-Invasive Measurement Using Deep Learning Algorithm Based on Multi-Source Features Fusion to Predict PD-L1 Expression and Survival in NSCLC DOI Creative Commons
Chengdi Wang, Jiechao Ma, Jun Shao

et al.

Frontiers in Immunology, Journal Year: 2022, Volume and Issue: 13

Published: April 7, 2022

Programmed death-ligand 1 (PD-L1) assessment of lung cancer in immunohistochemical assays was only approved diagnostic biomarker for immunotherapy. But the tumor proportion score (TPS) PD-L1 challenging owing to invasive sampling and intertumoral heterogeneity. There a strong demand development an artificial intelligence (AI) system measure expression signature (ES) non-invasively.

Language: Английский

Citations

48

Predicting EGFR and PD-L1 Status in NSCLC Patients Using Multitask AI System Based on CT Images DOI Creative Commons
Chengdi Wang, Jiechao Ma, Jun Shao

et al.

Frontiers in Immunology, Journal Year: 2022, Volume and Issue: 13

Published: Feb. 18, 2022

Epidermal growth factor receptor (EGFR) genotyping and programmed death ligand-1 (PD-L1) expressions are of paramount importance for treatment guidelines such as the use tyrosine kinase inhibitors (TKIs) immune checkpoint (ICIs) in lung cancer. Conventional identification EGFR or PD-L1 status requires surgical biopsied tumor specimens, which obtained through invasive procedures associated with risk morbidities may be unavailable to access tissue samples. Here, we developed an artificial intelligence (AI) system that can predict using non-invasive computed tomography (CT) images.

Language: Английский

Citations

45

Facts and Hopes on the Use of Artificial Intelligence for Predictive Immunotherapy Biomarkers in Cancer DOI Open Access
Narmin Ghaffari Laleh, Marta Ligero, Raquel Pérez-López

et al.

Clinical Cancer Research, Journal Year: 2022, Volume and Issue: 29(2), P. 316 - 323

Published: Sept. 9, 2022

Immunotherapy by immune checkpoint inhibitors has become a standard treatment strategy for many types of solid tumors. However, the majority patients with cancer will not respond, and predicting response to this therapy is still challenge. Artificial intelligence (AI) methods can extract meaningful information from complex data, such as image data. In clinical routine, radiology or histopathology images are ubiquitously available. AI been used predict immunotherapy images, either directly indirectly via surrogate markers. While none these currently in academic commercial developments pointing toward potential adoption near future. Here, we summarize state art AI-based biomarkers based on images. We point out limitations, caveats, pitfalls, including biases, generalizability, explainability, which relevant researchers health care providers alike, outline key use cases new class predictive biomarkers.

Language: Английский

Citations

44

Biology-guided deep learning predicts prognosis and cancer immunotherapy response DOI Creative Commons
Yuming Jiang, Zhicheng Zhang, Wei Wang

et al.

Nature Communications, Journal Year: 2023, Volume and Issue: 14(1)

Published: Aug. 23, 2023

Substantial progress has been made in using deep learning for cancer detection and diagnosis medical images. Yet, there is limited success on prediction of treatment response outcomes, which important implications personalized strategies. A significant hurdle clinical translation current data-driven models lack interpretability, often attributable to a disconnect from the underlying pathobiology. Here, we present biology-guided approach that enables simultaneous tumor immune stromal microenvironment status as well outcomes We validate model predicting prognosis gastric benefit adjuvant chemotherapy multi-center international study. Further, predicts checkpoint inhibitors complements clinically approved biomarkers. Importantly, our identifies subset mismatch repair-deficient tumors are non-responsive immunotherapy may inform selection patients combination treatments.

Language: Английский

Citations

38

Artificial intelligence-assisted selection and efficacy prediction of antineoplastic strategies for precision cancer therapy DOI

Zhe Zhang,

Xiawei Wei

Seminars in Cancer Biology, Journal Year: 2023, Volume and Issue: 90, P. 57 - 72

Published: Feb. 14, 2023

Language: Английский

Citations

25

Radiomics models based on multisequence MRI for predicting PD-1/PD-L1 expression in hepatocellular carcinoma DOI Creative Commons

Xue-Qin Gong,

Ning Liu,

Yun-Yun Tao

et al.

Scientific Reports, Journal Year: 2023, Volume and Issue: 13(1)

Published: May 12, 2023

Abstract The purpose of this study was to explore the effectiveness radiomics based on multisequence MRI in predicting expression PD-1/PD-L1 hepatocellular carcinoma (HCC). One hundred and eight patients with HCC who underwent contrast-enhanced 2 weeks before surgical resection were enrolled retrospective study. Corresponding paraffin sections collected for immunohistochemistry detect PD-1 PD-L1. All randomly divided into a training cohort validation at ratio 7:3. Univariate multivariate analyses used select potential clinical characteristics related PD-L1 expression. Radiomics features extracted from axial fat-suppression T2-weighted imaging (FS-T2WI) images arterial phase portal venous dynamic MRI, corresponding feature sets generated. least absolute shrinkage selection operator (LASSO) optimal analysis. Logistic regression analysis performed construct single-sequence radiomic-clinical models. predictive performance judged by area under receiver operating characteristic curve (AUC) cohorts. In whole cohort, positive 43 patients, 34 patients. presence satellite nodules served as an independent predictor AUC values FS-T2WI, phase, models 0.696, 0.843, 0.863, 0.946 group 0.669, 0.792, 0.800 0.815 group, respectively. 0.731, 0.800, 0.831 0.898 0.621, 0.743, 0.771, 0.810 0.779 combined showed better performance. results suggest that model has predict preoperative HCC, which could become biomarker immune checkpoint inhibitor (ICI)-based treatment.

Language: Английский

Citations

24

Artificial Intelligence-Based Treatment Decisions: A New Era for NSCLC DOI Open Access
Oraianthi Fiste, Ioannis Gkiozos, Andriani Charpidou

et al.

Cancers, Journal Year: 2024, Volume and Issue: 16(4), P. 831 - 831

Published: Feb. 19, 2024

Non-small cell lung cancer (NSCLC) is the leading cause of cancer-related mortality among women and men, in developed countries, despite public health interventions including tobacco-free campaigns, screening early detection methods, recent therapeutic advances, ongoing intense research on novel antineoplastic modalities. Targeting oncogenic driver mutations immune checkpoint inhibition has indeed revolutionized NSCLC treatment, yet there still remains unmet need for robust standardized predictive biomarkers to accurately inform clinical decisions. Artificial intelligence (AI) represents computer-based science concerned with large datasets complex problem-solving. Its concept brought a paradigm shift oncology considering its immense potential improved diagnosis, treatment guidance, prognosis. In this review, we present current state AI-driven applications management, particular focus radiomics pathomics, critically discuss both existing limitations future directions field. The thoracic community should not be discouraged by likely long road AI implementation into daily practice, as transformative impact personalized approaches undeniable.

Language: Английский

Citations

14

Integration of deep learning and habitat radiomics for predicting the response to immunotherapy in NSCLC patients DOI Creative Commons

Weimin Caii,

Xiao Wu,

Kun Guo

et al.

Cancer Immunology Immunotherapy, Journal Year: 2024, Volume and Issue: 73(8)

Published: June 4, 2024

Abstract Background The non-invasive biomarkers for predicting immunotherapy response are urgently needed to prevent both premature cessation of treatment and ineffective extension. This study aimed construct a model response, based on the integration deep learning habitat radiomics in patients with advanced non-small cell lung cancer (NSCLC). Methods Independent patient cohorts from three medical centers were enrolled training ( n = 164) test 82). Habitat imaging features derived sub-regions clustered individual’s tumor by K-means method. extracted 3D ResNet algorithm. Pearson correlation coefficient, T least absolute shrinkage selection operator regression used select features. Support vector machine was applied implement radiomics, respectively. Then, combination developed integrating sources data. Results obtained strong well-performance, achieving area under receiver operating characteristics curve 0.865 (95% CI 0.772–0.931). significantly discerned high low-risk patients, exhibited significant benefit clinical use. Conclusion deep-leaning contributed NSCLC. may be as potential tool individual management.

Language: Английский

Citations

12

Deep learning in radiology for lung cancer diagnostics: A systematic review of classification, segmentation, and predictive modeling techniques DOI
Anirudh Atmakuru, Subrata Chakraborty, Oliver Faust

et al.

Expert Systems with Applications, Journal Year: 2024, Volume and Issue: 255, P. 124665 - 124665

Published: July 5, 2024

Language: Английский

Citations

11

Immunotherapy and Cancer: The Multi-Omics Perspective DOI Open Access

Clelia Donisi,

Andrea Pretta, Valeria Pusceddu

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(6), P. 3563 - 3563

Published: March 21, 2024

Immunotherapies have revolutionized cancer treatment approaches. Because not all patients respond positively to immune therapeutic agents, it represents a challenge for scientists who strive understand the mechanisms behind such resistance. In-depth exploration of tumor biology, using novel technologies as omics science, can help decode role microenvironment (TIME) in producing response blockade strategies. It also identify biomarkers patient stratification and personalized treatment. This review aims explore these new models highlight their possible pivotal changing clinical practice.

Language: Английский

Citations

10