Focal liver lesion diagnosis with deep learning and multistage CT imaging
Diagnosing liver lesions is crucial for treatment choices and patient outcomes. This study develops an automatic diagnosis system for liver lesions using multiphase enhanced computed tomography (CT). A total of 4039 patients from six data centers are enrolled to develop Liver Lesion Network (LiLNet). LiLNet identifies focal liver lesions, including hepatocellular carcinoma (HCC), intrahepatic cholangiocarcinoma (ICC), metastatic tumors (MET), focal nodular hyperplasia (FNH), hemangioma (HEM), and cysts (CYST). Validated in four external centers and clinically verified in two hospitals, LiLNet achieves an accuracy (ACC) of 94.7% and an area under the curve (AUC) of 97.2% for benign and malignant tumors. For HCC, ICC, and MET, the ACC is 88.7% with an AUC of 95.6%. For FNH, HEM, and CYST, the ACC is 88.6% with an AUC of 95.9%. LiLNet can aid in clinical diagnosis, especially in regions with a shortage of radiologists.
Authors
- Meiyi Yang (ORCID: https://orcid.org/0000-0003-4548-4945)
- Zixing Huang (ORCID: https://orcid.org/0000-0001-7967-5948)
- Xuan Cheng (ORCID: https://orcid.org/0000-0002-4234-6179)
- Ning Zhang (ORCID: https://orcid.org/0000-0001-8358-2197)
- Fubi Hu (ORCID: https://orcid.org/0000-0003-1637-2493)
- Meng Zhang (ORCID: https://orcid.org/0009-0001-2529-8654)
- Jiali Deng (ORCID: https://orcid.org/0000-0002-5291-028X)
- Tianshu Xie (ORCID: https://orcid.org/0000-0001-7021-8855)
- Lifeng Xu (ORCID: https://orcid.org/0000-0003-4957-7559)
- Bin Song (ORCID: https://orcid.org/0000-0002-7269-2101)
- Ming Liu (ORCID: https://orcid.org/0000-0002-1114-1728)
- Minghui Liu (ORCID: https://orcid.org/0000-0002-3171-0270)
- Feng Zhang (ORCID: https://orcid.org/0009-0004-0852-886X)
- Shaocheng Zhu (ORCID: https://orcid.org/0000-0003-3878-8115)
- Xiao Zhang (ORCID: https://orcid.org/0000-0002-4703-8407)
- Shasha Zhang (ORCID: https://orcid.org/0009-0009-8531-6517)
- Feifei Gao
- Haigang Gong (ORCID: https://orcid.org/0000-0002-7176-4142)
- Nianbo Liu
- Yi Wei
- Xiaomin Wang
Institutions
- University of Electronic Science and Technology of China (CN)
- Sichuan University (CN)
- Wenzhou Medical University (CN)
- Leshan Normal University (CN)
- Quzhou City People's Hospital (CN)
- West China Hospital of Sichuan University (CN)
- Quzhou University (CN)
- First Affiliated Hospital of Chengdu Medical College (CN)
- Henan Provincial People's Hospital (CN)
- Sanya Central Hospital (CN)
- Guizhou Provincial People's Hospital (CN)
Publication Details
- Journal
- Nature Communications
- Published
- 2024-08-15
- DOI
- https://doi.org/10.1038/s41467-024-51260-6
- Citations
- 40
- Primary Topic
- Radiomics and Machine Learning in Medical Imaging
- Type
- article
- Field-Weighted Citation Impact
- 16.17