Accurate lung cancer risk prediction remains challenging due to substantial variability across patient populations and clinical settings -- no single model performs best for all cohorts. To address this, we propose a personalized lung cancer risk prediction agent that dynamically selects the most appropriate model for each patient by combining cohort-specific knowledge with modern retrieval and reasoning techniques. Given a patient's CT scan and structured metadata -- including demographic, clinical, and nodule-level features -- the agent first performs cohort retrieval using FAISS-based similarity search across nine diverse real-world cohorts to identify the most relevant patient population from a multi-institutional database. Second, a Large Language Model (LLM) is prompted with the retrieved cohort and its associated performance metrics to recommend the optimal prediction algorithm from a pool of eight representative models, including classical linear risk models (e.g., Mayo, Brock), temporally-aware models (e.g., TD-VIT, DLSTM), and multi-modal computer vision-based approaches (e.g., Liao, Sybil, DLS, DLI). This two-stage agent pipeline -- retrieval via FAISS and reasoning via LLM -- enables dynamic, cohort-aware risk prediction personalized to each patient's profile. Building on this architecture, the agent supports flexible and cohort-driven model selection across diverse clinical populations, offering a practical path toward individualized risk assessment in real-world lung cancer screening.

In the field of non-invasive medical imaging, radiomic features are utilized to measure tumor characteristics. However, these features can be affected by the techniques used to discretize the images, ultimately impacting the accuracy of diagnosis. To investigate the influence of various image discretization methods on diagnosis, it is common practice to evaluate multiple discretization strategies individually. This approach often leads to redundant and time-consuming tasks such as training predictive models and fine-tuning hyperparameters separately. This study examines the feasibility of employing multi-task Bayesian optimization to accelerate the hyperparameters search for classifying benign and malignant pulmonary nodules using RBF SVM. Our findings suggest that multi-task Bayesian optimization significantly accelerates the search for hyperparameters in comparison to a single-task approach. To the best of our knowledge, this is the first investigation to utilize multi-task Bayesian optimization in a critical medical context.

This paper introduces a novel deep-learning method for the automatic detection and segmentation of lung nodules, aimed at advancing the accuracy of early-stage lung cancer diagnosis. The proposed approach leverages a unique "Channel Squeeze U-Structure" that optimizes feature extraction and information integration across multiple semantic levels of the network. This architecture includes three key modules: shallow information processing, channel residual structure, and channel squeeze integration. These modules enhance the model's ability to detect and segment small, imperceptible, or ground-glass nodules, which are critical for early diagnosis. The method demonstrates superior performance in terms of sensitivity, Dice similarity coefficient, precision, and mean Intersection over Union (IoU). Extensive experiments were conducted on the Lung Image Database Consortium (LIDC) dataset using five-fold cross-validation, showing excellent stability and robustness. The results indicate that this approach holds significant potential for improving computer-aided diagnosis systems, providing reliable support for radiologists in clinical practice and aiding in the early detection of lung cancer, especially in resource-limited settings

In this paper, Pro-HRnet-CNN, an innovative model combining HRNet and void-convolution techniques, is proposed for disease prediction under lung imaging. Through the experimental comparison on the authoritative LIDC-IDRI dataset, we found that compared with the traditional ResNet-50, Pro-HRnet-CNN showed better performance in the feature extraction and recognition of small-size nodules, significantly improving the detection accuracy. Particularly within the domain of detecting smaller targets, the model has exhibited a remarkable enhancement in accuracy, thereby pioneering an innovative avenue for the early identification and prognostication of pulmonary conditions.

To increase the transparency of modern computer-aided diagnosis (CAD) systems for assessing the malignancy of lung nodules, an interpretable model based on applying the generalized additive models and the concept-based learning is proposed. The model detects a set of clinically significant attributes in addition to the final malignancy regression score and learns the association between the lung nodule attributes and a final diagnosis decision as well as their contributions into the decision. The proposed concept-based learning framework provides human-readable explanations in terms of different concepts (numerical and categorical), their values, and their contribution to the final prediction. Numerical experiments with the LIDC-IDRI dataset demonstrate that the diagnosis results obtained using the proposed model, which explicitly explores internal relationships, are in line with similar patterns observed in clinical practice. Additionally, the proposed model shows the competitive classification and the nodule attribute scoring performance, highlighting its potential for effective decision-making in the lung nodule diagnosis.

At present, the incidence and fatality rate of lung cancer in China rank first among all malignant tumors. Despite the continuous development and improvement of China's medical level, the overall 5-year survival rate of lung cancer patients is still lower than 20% and is staged. A number of studies have confirmed that early diagnosis and treatment of early stage lung cancer is of great significance to improve the prognosis of patients. In recent years, artificial intelligence technology has gradually begun to be applied in oncology. ai is used in cancer screening, clinical diagnosis, radiation therapy (image acquisition, at-risk organ segmentation, image calibration and delivery) and other aspects of rapid development. However, whether medical ai can be socialized depends on the public's attitude and acceptance to a certain extent. However, at present, there are few studies on the diagnosis of early lung cancer by AI technology combined with SCT scanning. In view of this, this study applied the combined method in early lung cancer screening, aiming to find a safe and efficient screening mode and provide a reference for clinical diagnosis and treatment.

The accuracy of predictive models for solitary pulmonary nodule (SPN) diagnosis can be greatly increased by incorporating repeat imaging and medical context, such as electronic health records (EHRs). However, clinically routine modalities such as imaging and diagnostic codes can be asynchronous and irregularly sampled over different time scales which are obstacles to longitudinal multimodal learning. In this work, we propose a transformer-based multimodal strategy to integrate repeat imaging with longitudinal clinical signatures from routinely collected EHRs for SPN classification. We perform unsupervised disentanglement of latent clinical signatures and leverage time-distance scaled self-attention to jointly learn from clinical signatures expressions and chest computed tomography (CT) scans. Our classifier is pretrained on 2,668 scans from a public dataset and 1,149 subjects with longitudinal chest CTs, billing codes, medications, and laboratory tests from EHRs of our home institution. Evaluation on 227 subjects with challenging SPNs revealed a significant AUC improvement over a longitudinal multimodal baseline (0.824 vs 0.752 AUC), as well as improvements over a single cross-section multimodal scenario (0.809 AUC) and a longitudinal imaging-only scenario (0.741 AUC). This work demonstrates significant advantages with a novel approach for co-learning longitudinal imaging and non-imaging phenotypes with transformers. Code available at https://github.com/MASILab/lmsignatures.

Lung cancer(LC) is a type of malignant neoplasm that originates in the bronchial mucosa or glands.As a clinically common nodule,solitary pulmonary nodules(SPNs) have a significantly higher probability of malignancy when they are larger than 8 mm in diameter.But there is also a risk of lung cancer when the diameter is less than 8mm,the purpose of this study was to create a nomogram for estimating the likelihood of lung cancer in patients with SPNs of 8 mm or smaller using computed tomography(CT) scans and biomarker information.Use CT scans and various biomarkers as input to build predictive models for the likelihood of lung cancer in patients with SPNs of 8 mm or less.The age,precursor gastrin-releasing peptide (ProGRP),gender,Carcinoembryonic Antigen(CEA),and stress corrosion cracking(SCC) were independent key tumor markers and were entered into the nomogram.The developed nomogram demonstrated strong accuracy in predicting lung cancer risk,with an internal validation area under the receiver operating characteristics curve(ROC) of 0.8474.The calibration curves plotted showed that the nomogram predicted the probability of lung cancer with good agreement with the actual probability.In this study,we finally succeeded in constructing a suitable nomogram that could predict the risk of lung cancer in patients with SPNs<=8 mm in diameter.The model has a high level of accuracy and is able to accurately distinguish between different patients,allowing clinicians to develop personalized treatment plans for individuals with SPNs.

Lung cancer is a leading cause of cancer-related deaths worldwide, and early detection is crucial for improving patient outcomes. Nevertheless, early diagnosis of cancer is a major challenge, particularly in low-resource settings where access to medical resources and trained radiologists is limited. The objective of this study is to propose an automated end-to-end deep learning-based framework for the early detection and classification of lung nodules, specifically for low-resource settings. The proposed framework consists of three stages: lung segmentation using a modified 3D U-Net named 3D Res-U-Net, nodule detection using YOLO-v5, and classification with a Vision Transformer-based architecture. We evaluated the proposed framework on a publicly available dataset, LUNA16. The proposed framework's performance was measured using the respective domain's evaluation matrices. The proposed framework achieved a 98.82% lung segmentation dice score while detecting the lung nodule with 0.76 mAP@50 from the segmented lung, at a low false-positive rate. The performance of both networks of the proposed framework was compared with other studies and found to outperform them regarding segmentation and detection accuracy. Additionally, our proposed Vision transformer network obtained an accuracy of 93.57%, which is 1.21 higher than the state-of-the-art networks. Our proposed end-to-end deep learning-based framework can effectively segment lungs, and detect and classify lung nodules, specifically in low-resource settings with limited access to radiologists. The proposed framework outperforms existing studies regarding all the respective evaluation metrics. The proposed framework can potentially improve the accuracy and efficiency of lung cancer screening in low-resource settings, ultimately leading to better patient outcomes.

Detection of pulmonary nodules by CT is used for screening lung cancer in early stages.omputer aided diagnosis (CAD) based on deep-learning method can identify the suspected areas of pulmonary nodules in CT images, thus improving the accuracy and efficiency of CT diagnosis. The accuracy and robustness of deep learning models. Method:In this paper, we explore (1) the data augmentation method based on the generation model and (2) the model structure improvement method based on the embedding mechanism. Two strategies have been introduced in this study: a new data augmentation method and a embedding mechanism. In the augmentation method, a 3D pixel-level statistics algorithm is proposed to generate pulmonary nodule and by combing the faked pulmonary nodule and healthy lung, we generate new pulmonary nodule samples. The embedding mechanism are designed to better understand the meaning of pixels of the pulmonary nodule samples by introducing hidden variables. Result: The result of the 3DVNET model with the augmentation method for pulmonary nodule detection shows that the proposed data augmentation method outperforms the method based on generative adversarial network (GAN) framework, training accuracy improved by 1.5%, and with embedding mechanism for pulmonary nodules classification shows that the embedding mechanism improves the accuracy and robustness for the classification of pulmonary nodules obviously, the model training accuracy is close to 1 and the model testing F1-score is 0.90.Conclusion:he proposed data augmentation method and embedding mechanism are beneficial to improve the accuracy and robustness of the model, and can be further applied in other common diagnostic imaging tasks.