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Related Experiment Video

Updated: Jun 4, 2026

Predicting Treatment Response to Image-Guided Therapies Using Machine Learning: An Example for Trans-Arterial Treatment of Hepatocellular Carcinoma
04:09

Predicting Treatment Response to Image-Guided Therapies Using Machine Learning: An Example for Trans-Arterial Treatment of Hepatocellular Carcinoma

Published on: October 10, 2018

Machine Learning Assessment of Pathologic Response in Lung Cancer Resections After Neoadjuvant Therapy-IASLC MPR

Sanja Dacic1, Daniel Shenker2, Mary Redman3

  • 1Department of Pathology, Yale School of Medicine, New Haven, Connecticut.

Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer
|June 2, 2026
PubMed

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Summary
This summary is machine-generated.

Machine learning models accurately assess pathologic response (PR) in non-small cell lung cancer (NSCLC) after neoadjuvant therapy, showing high agreement with pathologists and similar survival outcomes.

Area of Science:

  • Pathology
  • Oncology
  • Artificial Intelligence in Medicine

Background:

  • Accurate assessment of pathologic response (PR) is crucial for treatment efficacy in surgically resected lung cancers post-neoadjuvant therapy.
  • Machine learning (ML) offers potential for enhanced efficiency and accuracy in PR evaluation.

Purpose of the Study:

  • Develop and validate digital models using ML for quantifying tumor bed (TB) area and residual viable tumor (VT).
  • Compare ML-derived PR assessments against pathologist evaluations from the IASLC reproducibility study.

Main Methods:

  • Trained convolutional neural network (digital AI) and Convex Hull algorithm (CHA) models using extensive manual pathologist annotations (N=15,564).
  • Calculated PR as the percentage of VT within the TB area for both digital models and pathologist average PR (APR).
Keywords:
Lung cancerMPRMachine learningNeoadjuvant therapyReproducibility

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Last Updated: Jun 4, 2026

Predicting Treatment Response to Image-Guided Therapies Using Machine Learning: An Example for Trans-Arterial Treatment of Hepatocellular Carcinoma
04:09

Predicting Treatment Response to Image-Guided Therapies Using Machine Learning: An Example for Trans-Arterial Treatment of Hepatocellular Carcinoma

Published on: October 10, 2018

  • Assessed concordance between pathologist APR, digital AI, and CHA, correlating findings with patient outcomes.
  • Main Results:

    • Demonstrated strong correlations between all approaches: APR vs. Digital AI (0.97), APR vs. CHA (0.97), and Digital AI vs. CHA (0.99).
    • Achieved 100% agreement for major pathologic response (MPR) between digital PR and CHA, with high kappa concordance (0.82) between pathologist APR and digital methods.
    • Observed higher concordance in squamous cell carcinoma (Kappa 0.92) compared to non-squamous carcinoma (Kappa 0.77).
    • Digital AI and pathologist APR showed comparable relapse-free survival (RFS) and overall survival (OS) outcomes.

    Conclusions:

    • The high agreement between machine learning approaches and pathologist assessments supports their utility in evaluating PR for NSCLC patients.
    • Digital AI and CHA models provide reliable and reproducible PR evaluations, potentially aiding clinical decision-making.