Artificial Intelligence System for Assessment of Tumor Risk and Diagnosis and Treatment

Study Overview
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Brief Summary
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To improve the accuracy of risk prediction, screening and treatment outcome of cancer, we aim to establish a medical database that includes standardized and structured clinical diagnosis and treatment information, image features, pathological features, and multi-omics information and to develop a multi-modal data fusion-based technology system using artificial intelligence technology based on database.

Detailed Description
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The main aims are as follows: To establish a data platform for multi-modal information of common tumors (lung cancer/pulmonary nodules, stomach and colorectal cancers) : electronic medical records (including routine clinical detection, treatment, outcome), pathological image data, medical imaging (CT, MRI, ultrasound, nuclear medicine, etc.), multiple omics data (genome, transcriptome, and metabolome, proteomics) omics data, etiology and carcinogenic exposure information. We will make use of artificial intelligence technology to create the multi-modal medical big data cross-analysis technology and the above disease individualized accurate diagnosis and curative effect prediction models. In order to solve the three key problems of multi-modal data fusion mining, such as unbalanced, small sample size, and poor interpretability, we will establish an artificial intelligence recognition algorithm for image images and pathological images, and use image processing and deep learning technologies to mine multi-level depth visual features of image data and pathological data. In addition, we will use bioinformatics analysis algorithms to conduct molecular network mining and functional analysis of molecular markers at the level of multiple omics technologies (pathologic, genomic, transcriptome, metabolome, proteome, etc.).

Official Title
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Development of an Artificial Intelligence System for Assessment of Tumor Risk and Diagnosis and Treatment Based on Multimodal Data Fusion Using Deep Learning Technology

Conditions
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Artificial Intelligence, Deep Learning, Lung Cancer, Lung; Node, Stomach Cancer, Colon Cancer, Cancer Risk, Cancer Screening, Cancer, Treatment-Related

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants with the suspected of lung cancer/node, or stomach cancer/lesion, or colorectal cancer/leision Participants that have signed informed consent. Participants with detailed electronic medical records, image records, pathological records, multi-omics information, and other important clinical diagnostic information. Healthy participants with no clinical diagnosis of lung cancer/node, or stomach cancer/lesion, or colorectal cancer/leision. Exclusion Criteria: Participants with primary clinical and pathological data missing. Participants lost to follow-up. Participants with too poor medical image quality to perform segment and mark ROI accurately

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Lung cancer group<br>Participants with lung cancer/pulmonary nodules | |
| Stomach cancer group<br>Participants with Stomach cancer/Stomach lesion | |
| Colorectal cancer group<br>Participants with Colorectal cancer/Colorectal lesion | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The outcome of clinical diagnosis of suspected patients with lung cancer/pulmonary nodular (Benign/Malignant nodule) | The outcome of clinical diagnosis of patients with lung cancer/pulmonary nodular (Benign/Malignant nodule). ① Benign nodule ② Malignant neoplasm/nodule: squamous cell carcinoma, adenocarcinoma, small cell carcinoma, and large cell carcinoma. | 2022-2026 | 
| The outcome of clinical diagnosis of suspected patients with stomach cancer or lesion (Benign/Malignant). | ① Benign ② Malignant | 2022-2026 | 
| The outcome of clinical diagnosis of suspected patients with colorectal cancer or lesion (Benign/Malignant). | ① Benign ② Malignant | 2022-2026 | 
| Treatment response of anti-cancer therapy at first evaluation in patients with lung/stomach/colorectal cancer (CR, PR, PD, SD). | The treatment response of anti-cancer therapy at first evaluation in patients with lung/stomach/colorectal cancer follows The Response Evaluation Criteria In Solid Tumors (RECIST version 1.1) from the World Health Organization (WHO). The evaluation index is as follows. CR (complete response): Disappearance of all target lesions and reduction in the short axis measurement of all pathologic lymph nodes to ≤10 mm. PR (partial response): 30% decrease in the sum of the longest diameter of the target lesions compared with baseline. PD (progressive disease):≥20% increase of at least 5 mm in the sum of the longest diameter of the target lesions compared with the smallest sum of the longest diameter recorded OR The appearance of new lesions, including those detected by FDG-PET (fludeoxyglucose positron emission tomography). SD (stable disease): Neither PR nor PD. | 2022-2026 |