Syed Thouheed Ahmed, T Y Satheesha, Lakshmi Hassan Nagaraja, Achyut Shankar, Ashwani Kumar, Afifa Salsabil Fathima
{"title":"Automated lung cancer classification using intensity-driven RoI selection and transfer learning.","authors":"Syed Thouheed Ahmed, T Y Satheesha, Lakshmi Hassan Nagaraja, Achyut Shankar, Ashwani Kumar, Afifa Salsabil Fathima","doi":"10.1186/s12911-026-03519-9","DOIUrl":null,"url":null,"abstract":"<p><p>Lung cancer diagnosis increasingly relies on advanced medical imaging systems and expert interpretation across heterogeneous clinical data sources. However, accurate clinical decision-making remains challenging due to variations in expert judgment and the complexity of extracting discriminative patterns from electronic health records and radiological datasets. To address these challenges, this paper proposes an enhanced lung cancer classification framework that leverages intensity-driven region-of-interest (RoI) selection from publicly available benchmark datasets, including the Lung Image Database Consortium Image Collection (LIDC-IDRI) and The Cancer Imaging Archive (TCIA). The proposed methodology incorporates customized label refinement and precise annotation of vulnerable RoI regions to capture clinically relevant features associated with malignant nodules. A high-dimensional RoI mapping strategy is employed to improve feature representation and discrimination. Furthermore, a feedback-driven optimization mechanism is integrated within a transfer learning framework to iteratively refine model parameters and enhance learning stability. The optimized RoI representations are transferred to customized deep learning models, enabling efficient knowledge reuse and robust decision-making. The proposed approach is implemented using the CoVNet architecture and evaluated under a 60:40 training-testing split. Experimental results demonstrate a classification accuracy of 97.84%, validating the effectiveness of the proposed framework in improving predictive performance for lung cancer classification.</p>","PeriodicalId":9340,"journal":{"name":"BMC Medical Informatics and Decision Making","volume":" ","pages":""},"PeriodicalIF":5.5000,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13637333/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Medical Informatics and Decision Making","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12911-026-03519-9","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICAL INFORMATICS","Score":null,"Total":0}
引用次数: 0
Abstract
Lung cancer diagnosis increasingly relies on advanced medical imaging systems and expert interpretation across heterogeneous clinical data sources. However, accurate clinical decision-making remains challenging due to variations in expert judgment and the complexity of extracting discriminative patterns from electronic health records and radiological datasets. To address these challenges, this paper proposes an enhanced lung cancer classification framework that leverages intensity-driven region-of-interest (RoI) selection from publicly available benchmark datasets, including the Lung Image Database Consortium Image Collection (LIDC-IDRI) and The Cancer Imaging Archive (TCIA). The proposed methodology incorporates customized label refinement and precise annotation of vulnerable RoI regions to capture clinically relevant features associated with malignant nodules. A high-dimensional RoI mapping strategy is employed to improve feature representation and discrimination. Furthermore, a feedback-driven optimization mechanism is integrated within a transfer learning framework to iteratively refine model parameters and enhance learning stability. The optimized RoI representations are transferred to customized deep learning models, enabling efficient knowledge reuse and robust decision-making. The proposed approach is implemented using the CoVNet architecture and evaluated under a 60:40 training-testing split. Experimental results demonstrate a classification accuracy of 97.84%, validating the effectiveness of the proposed framework in improving predictive performance for lung cancer classification.
期刊介绍:
BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in relation to the design, development, implementation, use, and evaluation of health information technologies and decision-making for human health.