A 3-dimensional Resnet model for assessment of drug efficacy in 3D cancer models using optical coherence tomography

Gavrielle R Untracht1, Jan Kaminski2, Eike Guldenring2

  • 1Department of Health Technology, Technical University of Denmark, Kongens Lyngby, Denmark.

Plos One
|July 24, 2026
PubMed

Insights

Optical coherence tomography (OCT) combined with 3D machine learning models can accurately assess drug efficacy in 3D tumor spheroids. This approach shows promise for high-throughput drug screening using advanced in vitro models.

Area of Science:

  • Biomedical Engineering
  • Oncology
  • Medical Imaging

Background:

  • High drug failure rates in clinical trials (90%) are primarily due to lack of efficacy.
  • Advanced in vitro models like 3D tumor spheroids improve drug testing, but standardized evaluation methods are lacking.
  • Optical coherence tomography (OCT) offers potential for high-throughput screening of 3D models, yet optimal classification models and image features for drug efficacy assessment require further study.

Purpose of the Study:

  • To investigate the use of OCT and machine learning for identifying drug efficacy biomarkers in 3D tumor spheroid models.
  • To compare the performance of 2D multi-view and 3D ResNet models for classifying spheroid responses to cisplatin.
  • To identify key image features that indicate drug efficacy in OCT images of 3D tumor spheroids.

Main Methods:

  • Volumetric OCT imaging was performed on co-cultured HT29 spheroids treated with varying cisplatin concentrations.
  • Two machine learning models, a 2D multi-view ResNet and a 3D ResNet, were employed for image classification.
  • Key image features associated with different treatment groups were identified using the 3D model.

Main Results:

  • Visible differences in spheroid morphology were observed in OCT images based on cisplatin concentration.
  • The 3D ResNet model achieved 91.2% accuracy in classifying spheroids by cisplatin concentration, outperforming the 2D multi-view model (71.9%).
  • Key features identified by the 3D model significantly enhanced classification accuracy, highlighting their importance in assessing drug response.

Conclusions:

  • OCT combined with 3D machine learning offers a viable method for high-throughput drug screening using 3D in vitro tumor models.
  • The study identified critical image features within OCT data that correlate with drug efficacy.
  • This approach has the potential to improve drug development pipelines by enabling more accurate and efficient preclinical testing.

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