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2024-03-18

AI breakthrough promises more accurate, non-invasive brain tumor diagnosis

For patients diagnosed with a brain tumor, the first critical step is determining exactly what type it is. Glioblastomas, metastases, lymphomas - each has vastly different characteristics and requires a specific treatment approach. However, reliably distinguishing between them currently necessitates invasive procedures like biopsies or surgery.

 

 

A multi-institutional team of researchers may have found a better way using the power of artificial intelligence. Their new AI diagnostic tool called DISCERN (Diagnostic in Susceptibility Contrast Enhancing Regions for Neuroscology) is designed to visually classify brain tumors based solely on non-invasive MRI scans.

In a study published in Cell Reports Medicine, DISCERN demonstrated a remarkable 78% accuracy rate in differentiating glioblastomas, metastases, and central nervous system lymphomas - better than existing diagnostic methods.

"DISCERN facilitates brain tumor classification to help medical teams decide if surgery is needed to confirm a diagnosis," explained lead researcher Dr. Ana Androvic. "It's a computer-aided tool, but one that could significantly improve treatment planning and prognoses for patients."

 

Finding the Hidden Cancer Patterns

While radiologists are highly trained to spot brain tumors on imaging scans, DISCERN leverages machine learning's abilities to identify subtle patterns invisible to the human eye. The researchers trained the visual AI system on over 50,000 annotated MRI voxels, teaching it to recognize the unique biomarkers associated with each tumor type.

On a test set of 500 new cases, DISCERN classified the tumors correctly 78% of the time based solely on their MRI appearance - an impressive feat considering its training dataset contained just 40 patient examples.

"The AI is finding signals and making distinctions that our current methods are simply missing," said Dr. Androvic. "With more data, we're confident it can become even more reliable as a non-invasive diagnostic aid."

 

Paving the Way for Wider AI Adoption

Beyond its breakthrough performance, DISCERN is notable for its user-friendly interface designed to accelerate AI adoption in clinical settings. The researchers deployed the visual diagnostic tool for free online usage, not requiring any specialized AI expertise to operate.

"We made it accessible on purpose so any doctor or researcher could utilize it and further improve the AI's accuracy with their own data," said Dr. Androvic. “Crowdsourcing insights from the medical community is the best way to keep refining DISCERN.”

The researchers are confident their work demonstrates how AI can redefine best practices in areas like brain tumor treatment. By removing logistical barriers like cost and technical requirements, they aim to spur rapid institutional embrace of new AI-powered methods.

Of course, DISCERN is not intended to be the sole method of diagnosis, but rather an assistive tool to complement radiologists' expertise. Pathology and surgical biopsies would still be required to finalize and initiate treatment.

But the advent of accurate, non-invasive AI visualization marks a major milestone - reducing patient risk while giving doctors critical insights earlier in the diagnostic process. According to Dr. Androvic, it's just the beginning of how artificial intelligence will transform cancer care and other medical disciplines.

"The capabilities of these AI models are increasing exponentially each year," she stated. "We're at an inflection point where they can truly augment human expertise and usher in a new standard for how modern medicine is practiced."

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