Application of Artificial Neural Network Model Established by Tumor Markers and Bronchofibroscopic Data in Auxiliary Diagnosis of Lung Cancer

Abstract: Objective To establish the artificial neural network (ANN) model of auxiliary diagnosis of lung cancer combined with tumor markers and picture data collected by bronchofibroscope. Methods The levels of serum Carcinoembryonic antigen (CEA), Neuron specific enolase (NSE), Squamous cell carcinoma antigen (SCC-Ag) and Cytokeratin 19 fragment (CYFRA21-1) were detected by enzyme linked immunosorbent assay (ELISA) in 55 lung cancer patients and 64 patients with lung benign disease. The bronchofibroscopic picture characteristics were selected and quantificated, then 3 ANN intellectual models were developed, which were model only with tumor markers, only with bronchofibroscopic data, and both with them. Results Using the 3 ANN models to distinguish lung cancer in samples, the results of ANN model established by combined data were the best: its sensitivity, specificity and accurate rate were 94.5%, 96.9%, and 95.8%, respectively. Conclusion ANN model combined with tumor markers and bronchofibroscopic data can be used as a potential useful tool in auxiliary diagnosis of lung cancer.

[1]  Jigneshkumar L Patel,et al.  Applications of artificial neural networks in medical science. , 2007, Current clinical pharmacology.

[2]  Kunio Doi,et al.  Image-processing technique for suppressing ribs in chest radiographs by means of massive training artificial neural network (MTANN) , 2006, IEEE Transactions on Medical Imaging.

[3]  Xun Fang,et al.  [The clinical diagnosis value of fibro-optic bronchoscope examination combined with tumor marker determination to lung cancer]. , 2007, Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition.

[4]  Daw-Tung Lin,et al.  Autonomous detection of pulmonary nodules on CT images with a neural network-based fuzzy system. , 2005, Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society.

[5]  R. Krenke,et al.  [The role of fiberoptic bronchoscopy in the diagnostic algorithm of solitary pulmonary nodule]. , 2008, Pneumonologia i alergologia polska.

[6]  Zhou Yan-bi Current status of serum tumor markers in lung cancer , 2007 .

[7]  Yan Geng,et al.  [Clinical value of combined determination of serum and pleural effusion level of CEA,CYFRA21-1, TPS in the diagnosis of lung cancer]. , 2008, Xi bao yu fen zi mian yi xue za zhi = Chinese journal of cellular and molecular immunology.

[8]  Feng Chen,et al.  [Clinical value of combined detection of serum tumor markers in lung cancer diagnosis]. , 2008, Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition.

[9]  H. Satoh,et al.  Squamous Cell Carcinoma Antigen in Lung Cancer and Nonmalignant Respiratory Diseases , 2008, Lung.

[10]  K. Doi,et al.  Usefulness of an artificial neural network for differentiating benign from malignant pulmonary nodules on high-resolution CT: evaluation with receiver operating characteristic analysis. , 2002, AJR. American journal of roentgenology.

[11]  Radomir Pavićević,et al.  CYFRA 21-1 in non-small cell lung cancer--standardisation and application during diagnosis. , 2008, Collegium antropologicum.

[12]  Silvio Bicciato Artificial neural network technologies to identify biomarkers for therapeutic intervention. , 2004, Current opinion in molecular therapeutics.