Abstract

Different types of Convolutional Neural Networks (CNNs) have been applied to detect cancerous lung nodules from computed tomography (CT) scans. However, the size of a nodule is very diverse and can range anywhere between 3 and 30 millimeters. The high variation of nodule sizes makes classifying them a difficult and challenging task. In this study, we propose a novel CNN architecture called Gated-Dilated (GD) networks to classify nodules as malignant or benign. Unlike previous studies, the GD network uses multiple dilated convolutions instead of max-poolings to capture the scale variations. Moreover, the GD network has a Context-Aware sub-network that analyzes the input features and guides the features to a suitable dilated convolution. We evaluated the proposed network on more than 1,000 CT scans from the LIDC-LDRI dataset. Our proposed network outperforms state-of-the-art baseline models including Multi-Crop, Resnet, and Densenet, with an AUC of >0.95. Compared to the baseline models, the GD network improves the classification accuracies of mid-range sized nodules. Furthermore, we observe a relationship between the size of the nodule and the attention signal generated by the Context-Aware sub-network, which validates our new network architecture.

Highlights

  • Lung cancer is the second most common cancer in men and women [1], [2]

  • Early-stage lung cancer is typified by a small nodule, which can be detected as a round, spherical structure in computed tomography (CT) scans [3]

  • A linear relationship was observed between the nodule size and attention signal generated by our network architecture, which indicates that the Context-Aware sub-network works effectively to guide the features to the right attention gate/dilation rate based on the nodule size

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Summary

Introduction

Lung cancer is the second most common cancer in men and women [1], [2]. In 2018 alone, there have been approximately 234,030 new cases and 154,050 deaths from lung cancer [2] altogether, which makes it by far the most common cause of cancer death among both men and women. More people die of lung cancer than of colon, breast, and prostate cancers combined [2]. Diagnosis of lung cancer is extremely important for early treatment and cure of the disease. Early-stage lung cancer is typified by a small nodule, which can be detected as a round, spherical structure in computed tomography (CT) scans [3]. Doctors typically extract multiple features/characteristics of nodules from CT scans, such as size, morphology, contours, interval

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