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Clinical Laboratories and Pathology Groups

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Clinical Laboratories and Pathology Groups

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Study findings could lead to new clinical laboratory diagnostics that give pathologists a more detailed understanding about certain types of cancer

New studies proving artificial intelligence (AI) can be used effectively in clinical laboratory diagnostics and personalized healthcare continue to emerge. Scientists in the UK recently trained an AI model using machine learning and deep learning to enable earlier, more accurate detection of 13 different types of cancer.

Researchers from the University of Cambridge and Imperial College London used their AI model to identify specific DNA methylation signatures that can denote the presence of certain cancers with 98.2% accuracy. 

DNA stores genetic information in sequences of four nucleotide bases: A (adenine), T (thymine), G (guanine) and C (cytosine). These bases can be modified through DNA methylation. There are millions of DNA methylation markers in every single cell, and they change in the early stages of cancer development.

One common characteristic of many cancers is an epigenetic phenomenon called aberrant DNA methylation. Modifications in DNA can influence gene expression and are observable in cancer cells. A methylation profile can differentiate tumor types and subtypes and changes in the process often come before malignancy appears. This renders methylation very useful in catching cancers while in the early stages. 

However, deciphering slight changes in methylation patterns can be extremely difficult. According to the scientists, “identifying the specific DNA methylation signatures indicative of different cancer types is akin to searching for a needle in a haystack.”

Nevertheless, the researchers believe identifying these changes could become a useful biomarker for early detection of cancers, which is why they built their AI models.

The UK researcher team published its findings in the Oxford journal Biology Methods and Protocols titled, “Early Detection and Diagnosis of Cancer with Interpretable Machine Learning to Uncover Cancer-specific DNA Methylation Patterns.”

“Computational methods such as this model, through better training on more varied data and rigorous testing in the clinic, will eventually provide AI models that can help doctors with early detection and screening of cancers,” said Shamith Samarajiwa, PhD (above), Senior Lecturer and Group Leader, Computational Biology and Genomic Data Science, Imperial College London, in a news release. “This will provide better patient outcomes.” With additional research, clinical laboratories and pathologists may soon have new cancer diagnostics based on these AI models. (Photo copyright: University of Cambridge.)

Understanding Underlying Mechanisms of Cancer

To perform their research, the UK team obtained methylation microarray data on 13 human cancer types and 15 non-cancer types from The Cancer Genome Atlas (TCGA) of the National Cancer Institute (NCI) Center for Cancer Genomics. The DNA fragments they examined came from tissue samples rather than blood-based samples. 

The researchers then used a combination of machine learning and deep learning techniques to train an AI algorithm to examine DNA methylation patterns of the collected data. The algorithm identified and differentiated specific cancer types, including breast, liver, lung and prostate, from non-cancerous tissue with a 98.2% accuracy rate. The team evaluated their AI model by comparing the results to independent research. 

In their Biology Methods and Protocols paper, the authors noted that their model does require further training and testing and stressed that “the important aspect of this study was the use of an explainable and interpretable core AI model.” They also claim their model could help medical professionals understand “the underlying mechanisms that contribute to the development of cancer.” 

Using AI to Lower Cancer Rates Worldwide

According to the Centers for Disease Control and Prevention (CDC), cancer ranks as the second leading cause of death in the United States with 608,371 deaths reported in 2022.  The leading cause of death in the US is heart disease with 702,880 deaths reported in the same year. 

Globally cancer diagnoses and death rates are even more alarming. World Health Organization (WHO) data shows an estimated 20 million new cancer cases worldwide in 2022, with 9.7 million persons perishing from various cancers that year.

The UK researchers are hopeful their new AI model will help lower those numbers. They state in their paper that “most cancers are treatable and curable if detected early enough.”

More research and studies are needed to confirm the results of this study, but it appears to be a very promising line of exploration and development of using AI to detect, identify, and diagnose cancer earlier. This type of probing could provide pathologists with improved tools for determining the presence of cancer and lead to better patient outcomes. 

—JP Schlingman

Related Information:

New AI Detects 13 Deadly Cancers with 98% Accuracy from Tissue Samples

Will it Soon Be Possible for Doctors to Use AI to Detect and Diagnose Cancer?

Early Detection and Diagnosis of Cancer with Interpretable Machine Learning to Uncover Cancer-specific DNA Methylation Patterns

Study Suggests AI May Soon Be Able to Detect Cancer

AI Analyzes DNA Methylation for Early Cancer Detection

Aberrant DNA Methylation as a Cancer-Inducing Mechanism

Global Cancer Burden Growing, Amidst Mounting Need for Services

Aberrant DNA Methylation as a Cancer-inducing Mechanism

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