Comparing Artificial Intelligence and Traditional Regression Models in Lung Cancer Risk Prediction Using A Systematic Review and Meta-Analysis

  • 0College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Summary

This summary is machine-generated.

Artificial intelligence (AI) models show superior performance in predicting lung cancer risk compared to traditional regression models. AI, especially when using low-dose CT imaging, offers improved accuracy for identifying high-risk individuals.

Area Of Science

  • Medical Informatics
  • Oncology
  • Radiology

Background

  • Accurate lung cancer risk prediction is crucial for optimizing screening with low-dose CT (LDCT).
  • Traditional regression models have been used, but their predictive accuracy may be limited.

Purpose Of The Study

  • To compare the predictive performance of artificial intelligence (AI)-based models against traditional regression models for future lung cancer risk.
  • To evaluate the effectiveness of AI in identifying individuals who would benefit most from lung cancer screening.

Main Methods

  • A systematic review and meta-analysis of studies comparing AI and traditional models for lung cancer risk prediction.
  • Searched multiple databases (MEDLINE, Embase, Scopus, CINAHL) for relevant research.
  • Extracted model characteristics and performance metrics, assessing study quality and pooling discrimination performance using area under the receiver operating characteristic curve (AUC).

Main Results

  • Included 140 studies with 185 traditional and 64 AI models; 16 AI and 65 traditional models were externally validated.
  • Pooled AUC for externally validated AI models was 0.82 (95% CI, 0.80-0.85), significantly higher than traditional models (AUC 0.73, 95% CI, 0.72-0.74).
  • AI models incorporating LDCT imaging showed a pooled AUC of 0.85 (95% CI, 0.82-0.88), though overall risk of bias was high for both model types.

Conclusions

  • AI-based models demonstrate significant promise for enhancing lung cancer risk prediction compared to traditional methods.
  • AI models, particularly those utilizing imaging data, may improve the identification of high-risk individuals for lung cancer screening.
  • Further research is needed for prospective validation and direct comparisons of AI models against traditional methods in diverse populations.

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