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Quantifying the Brain Metastatic Tumor Micro-Environment using an Organ-On-A Chip 3D Model, Machine Learning, and Confocal Tomography
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Ultra-fast deep-learned CNS tumour classification during surgery.

C Vermeulen1,2, M Pagès-Gallego1,2, L Kester3

  • 1Oncode Institute, Utrecht, The Netherlands.

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|October 11, 2023
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Summary
This summary is machine-generated.

A new AI tool, Sturgeon, accurately classifies central nervous system tumors during surgery using rapid sequencing. This machine-learned diagnosis aids neurosurgeons, potentially improving patient outcomes and reducing complications.

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Area of Science:

  • Neuro-oncology
  • Artificial Intelligence in Medicine
  • Genomic Medicine

Background:

  • Central nervous system (CNS) tumors are highly lethal, especially in children.
  • Neurosurgical tumor resection requires balancing maximal tumor removal with minimal neurological damage.
  • Current diagnostic methods like imaging and histology are often inconclusive or inaccurate.

Purpose of the Study:

  • To develop a patient-agnostic, transfer-learned neural network (Sturgeon) for molecular subclassification of CNS tumors.
  • To enable rapid, intraoperative CNS tumor diagnosis using sparse methylation profiles from nanopore sequencing.
  • To assess the accuracy and speed of Sturgeon in real-time surgical settings.

Main Methods:

  • Development of Sturgeon, a neural network trained on sparse methylation profiles.
  • Utilizing rapid nanopore sequencing for intraoperative data acquisition.
  • Validation of Sturgeon on retrospective and real-time surgical cases.

Main Results:

  • Sturgeon achieved accurate diagnoses in 45/50 retrospective samples within 40 minutes.
  • In real-time surgeries, Sturgeon provided diagnoses in under 90 minutes.
  • 72% (18/25) of real-time diagnoses were correct, with others not reaching confidence thresholds.

Conclusions:

  • Machine-learned diagnosis via low-cost intraoperative sequencing can aid neurosurgical decision-making.
  • This approach has the potential to prevent neurological comorbidity and avoid repeat surgeries.
  • AI-powered molecular subclassification offers a promising advancement in CNS tumor management.