Detection Of Pulmonary Nodules Research Articles

A deep convolutional neural network ensemble for composite identification of pulmonary nodules and incidental findings on routine PET/CT

To evaluate primary and secondary pathologies of interest using an artificial intelligence (AI) platform, AI-Rad Companion, on low-dose computed tomography (CT) series from integrated positron-emission tomography (PET)/CT to detect CT findings that might be overlooked. One hundred and eighty-nine sequential patients who had undergone PET/CT were included. Images were evaluated using an ensemble of convolutional neural networks (AI-Rad Companion, Siemens Healthineers, Erlangen, Germany). The primary outcome was detection of pulmonary nodules for which the accuracy, identity, and intra-rater reliability was calculated. For secondary outcomes (binary detection of coronary artery calcium, aortic ectasia, vertebral height loss), accuracy and diagnostic performance were calculated. The overall per-nodule accuracy for detection of lung nodules was 0.847. The overall sensitivity and specificity for detection of lung nodules was 0.915 and 0.781. The overall per-patient accuracy for AI detection of coronary artery calcium, aortic ectasia, and vertebral height loss was 0.979, 0.966, and 0.840, respectively. The sensitivity and specificity for coronary artery calcium was 0.989 and 0.969. The sensitivity and specificity for aortic ectasia was 0.806 and 1. The neural network ensemble accurately assessed the number of pulmonary nodules and presence of coronary artery calcium and aortic ectasia on low-dose CT series of PET/CT. The neural network was highly specific for the diagnosis of vertebral height loss, but not sensitive. The use of the AI ensemble can help radiologists and nuclear medicine physicians to catch CT findings that might be overlooked.

Deep Learning-driven Pulmonary Nodule Detection from CT Images: Challenges, Current Status and Future Directions

Automatic detection of pulmonary nodule based on CT images can significantly improve the diagnosis and treatment of lung cancer. Based on the characteristics of CT image and pulmonary nodule, this study summarizes the challenges and recent progresses of CT image-based pulmonary nodule detection using various deep learning models. The study focuses on the review of major research developments by investigating their technical details, strengths and shortcomings. In light of the current application status of pulmonary nodule detection, a research agenda that aims to better apply and improve deep learningdriven pulmonary nodule detection technologies was given in this study.

Knowledge Sharing for Pulmonary Nodule Detection in Medical Cyber-Physical Systems.

With the rapid development of edge intelligence (EI) and machine learning (ML), the applications of Cyber-Physical Systems (CPS) have been discovered in all aspects of the life world. As one of its most essential branches, Medical CPS (MCPS) determines human health and medical treatment in the Internet of Everything (IOE) era. Knowledge sharing is the critical point of MCPS and has also been humanity's best dream through the ages. This paper explores a novel knowledge-sharing model in MCPS and takes a pulmonary nodule detection task as a significant case for building an Unet-based mask generator. A Classification-guided Module (CGM)-based discriminator with knowledge from EMRs is set against a generator to offer a promising result for each mask from the inexperienced participant of federated ML. After an iterative communication between the federated server and its clients for knowledge sharing, the segmented sub-image owns a coincident attribute distribution with that of the EMRs from the experts. Besides, the adversarial network augment the data to normalize the data distribution for all the clients as a remission for none independent identically distributed (non-IID) data problem. We implement a detection framework on the simulated EI environment following an existing adaptive synchronization strategy based on data sharing and median loss function. On 1304 scans of the merged dataset, our proposed framework can help boost the detection performance for most of the existing methods of pulmonary nodule detection.

Comparison of maximum intensity projection and volume rendering on multidetector computed tomography in detecting pulmonary nodules

BackgroundLung cancer is the one of the most common types of cancer and considered as a leading cause of death from neoplasms. Almost all types of lung cancer develop from pulmonary nodules. The wide availability of the multi-detector computed tomography (MDCT) scanners makes the detection of pulmonary nodules much easier. Volume rendering (VR) and maximum intensity projection (MIP) techniques are the most commonly used post-processing techniques. The purpose of this research is to compare and contrast the two techniques in terms of the number and size of nodules.ResultsIn the current study, 32 patients with pulmonary nodules were included being referred from the chest department, with their age ranging from 27 to 71 years old. Nodules characteristics, such as number and size, were evaluated on both MIP and VR techniques. Paired comparison of number of pulmonary nodules less than 6 mm between MIP and VR showed statistically significant difference in 4, 7 and 10 mm slip thickness with P-value 0.003, 0.0001 and 0.0001, respectively. Paired comparison of number of pulmonary nodules more than 6 mm in size between MIP and VR showed no statistically significant difference in 4, 7 and 10 mm slip thickness with P-value > 0.05 each. Comparison of the pulmonary nodules numbers according to slip thickness showed that there was a statistically significant difference in the number of detected nodules, showing that 10 mm slip thickness is significantly higher compared to 4 mm and 7 mm with P-value 0.0001, 0.0001 for nodules < 6 mm, and 0.001 for the lung nodules > 6 mm in size.ConclusionsWe can conclude the superiority of MIP over VR in detection of small sized nodules. MIP was easier to follow and showed high inter-reader agreement. The 10 mm MIP outperformed all other slab thicknesses for nodule detection less than 6 mm. There was no statistically significant difference between both techniques in terms of larger nodules measuring > 6 mm.

Development and Validation of a Deep Learning–Based Synthetic Bone-Suppressed Model for Pulmonary Nodule Detection in Chest Radiographs

Dual-energy chest radiography exhibits better sensitivity than single-energy chest radiography, partly due to its ability to remove overlying anatomical structures. To develop and validate a deep learning-based synthetic bone-suppressed (DLBS) nodule-detection algorithm for pulmonary nodule detection on chest radiographs. This decision analytical modeling study used data from 3 centers between November 2015 and July 2019 from 1449 patients. The DLBS nodule-detection algorithm was trained using single-center data (institute 1) of 998 chest radiographs. The DLBS algorithm was validated using 2 external data sets (institute 2, 246 patients; and institute 3, 205 patients). Statistical analysis was performed from March to December 2021. DLBS nodule-detection algorithm. The nodule-detection performance of DLBS model was compared with the convolution neural network nodule-detection algorithm (original model). Reader performance testing was conducted by 3 thoracic radiologists assisted by the DLBS algorithm or not. Sensitivity and false-positive markings per image (FPPI) were compared. Training data consisted of 998 patients (539 men [54.0%]; mean [SD] age, 54.2 [9.82] years), and 2 external validation data sets consisted of 246 patients (133 men [54.1%]; mean [SD] age, 55.3 [8.7] years) and 205 patients (105 men [51.2%]; mean [SD] age, 51.8 [9.1] years). Using the external validation data set of institute 2, the bone-suppressed model showed higher sensitivity compared with that of the original model for nodule detection (91.5% [109 of 119] vs 79.8% [95 of 119]; P < .001). The overall mean of FPPI with the bone-suppressed model was reduced compared with the original model (0.07 [17 of 246] vs 0.09 [23 of 246]; P < .001). For the observer performance testing with the data of institute 3, the mean sensitivity of 3 radiologists was 77.5% (95% [CI], 69.9%-85.2%), whereas that of radiologists assisted by DLBS modeling was 92.1% (95% CI, 86.3%-97.3%; P < .001). The 3 radiologists had a reduced number of FPPI when assisted by the DLBS model (0.071 [95% CI, 0.041-0.111] vs 0.151 [95% CI, 0.111-0.210]; P < .001). This decision analytical modeling study found that the DLBS model was more sensitive to detecting pulmonary nodules on chest radiographs compared with the original model. These findings suggest that the DLBS model could be beneficial to radiologists in the detection of lung nodules in chest radiographs without need of the specialized equipment or increase of radiation dose.

Computed Tomography Imaging Features of Lung Cancer under Artificial Intelligence Algorithm and Its Correlation with Pathology

This study aims to investigate the relationship between the detection performance of an artificial intelligence (AI) algorithm and pathology in chest computed tomography (CT) images. In this study, a new pulmonary nodule (PN) detection algorithm was designed and developed on the three-dimensional (3D) connected domain algorithm. The appropriate grayscale threshold of CT images was selected, the CT images were converted into black-and-white images, and the useless images were removed. Then, the remaining lung images were formed into a 3D black-and-white pixel matrix. Labeling statistics was carried out, and the size, property, and location of PN could be measured and determined. A self-built database of PNs undergoing chest multislice spiral CT examination was retrospectively selected, and 150 cases were randomly selected by SPSS 22.0. Image processing was performed according to the algorithm and compared with the PN detected by radiologists; finally, the detection results were counted. There were 560 benign and malignant PNs, 312 malignant, and 248 benign. The algorithm detected 498 cases, of which 478 cases were detected accurately, and the sensitivity was 95.98%. The radiologist detected 424 cases, 364 cases were accurate, and the sensitivity was 85.85%. Compared with the detection results of radiologists, the algorithm detection results of nodules in solid nodules and ground glass nodules were more accurate. The detection results of nodules in the pleural connection type, peripheral type, central type, and hilar type were more accurate and statistically significant ( P &lt; 0.05 ). The malignancy, size, property, and location of different nodules could be accurately determined through CT images under this algorithm. It provided important support for the pathological research of lung cancer and prejudged the future development of PN in patients more accurately.

Computer-Aided Detection (CAD) system for the Detection and Classification of Pulmonary Nodules in Lung Cancer using CT images

Computer-Aided Detection (CAD) system for the Detection and Classification of Pulmonary Nodules in Lung Cancer using CT images

WS-LungNet: A two-stage weakly-supervised lung cancer detection and diagnosis network

Computer-aided lung cancer diagnosis (CAD) system on computed tomography (CT) helps radiologists guide preoperative planning and prognosis assessment. The flexibility and scalability of deep learning methods are limited in lung CAD. In essence, two significant challenges to be solved are (1) Label scarcity due to cost annotations of CT images by experienced domain experts, and (2) Label inconsistency between the observed nodule malignancy and the patients’ pathology evaluation. These two issues can be considered weak label problems. We address these issues in this paper by introducing a weakly-supervised lung cancer detection and diagnosis network (WS-LungNet), consisting of a semi-supervised computer-aided detection (Semi-CADe) that can segment 3D pulmonary nodules based on unlabeled data through adversarial learning to reduce label scarcity, as well as a cross-nodule attention computer-aided diagnosis (CNA-CADx) for evaluating malignancy at the patient level by modeling correlations between nodules via cross-attention mechanisms and thereby eliminating label inconsistency. Through extensive evaluations on the LIDC-IDRI public database, we show that our proposed method achieves 82.99% competition performance metric (CPM) on pulmonary nodule detection and 88.63% area under the curve (AUC) on lung cancer diagnosis. Extensive experiments demonstrate the advantage of WS-LungNet on nodule detection and malignancy evaluation tasks. Our promising results demonstrate the benefits and flexibility of the semi-supervised segmentation with adversarial learning and the nodule instance correlation learning with the attention mechanism. The results also suggest that making use of the unlabeled data and taking the relationship among nodules in a case into account are essential for lung cancer detection and diagnosis.

Observer Sensitivity for Detection of Pulmonary Nodules in Ultra-Low Dose Computed Tomography Protocols Using a Third-Generation Dual-Source CT with Ultra-High Pitch—A Phantom Study

This study evaluates ultra-low-dose computed tomography (ULDCT) protocols concerning the detectability of pulmonary nodules. The influence of tube current settings, kernels, strength levels of third-generation iterative reconstruction algorithms, and pitch was investigated. A chest phantom with artificial spherical nodules of different densities and diameters was examined with a third-generation dual-source CT. Scanning and post-processing protocols, tube current levels, and ultra-high and non-high pitch modes were applied. Images were reconstructed with filtered back-projection (FBP) or advanced model-based iterative reconstruction (ADMIRE) algorithms. Sharp (Bl57) or medium-soft (Br36) convolution kernels were applied. The reading was performed by an experienced and an inexperienced reader. The highest observer sensitivity was found using a non-high pitch protocol at tube currents of 120 mAs and 90 mAs with the sharp kernel and iterative reconstruction level of 5. Non-high pitch protocols showed better detectability of solid nodules. Combinations with the medium-soft kernel achieved slightly higher observer sensitivity than with the sharp kernel. False positives (FP) occurred more often for subsolid nodules, at a tube current level of 120 mAs, and with the sharp kernel. A tube current level of 90 mAs combined with the highest iterative reconstruction level achieved the highest accuracy in lung nodule detection regardless of size, density, and reader experience.

PUNDIT: Pulmonary nodule detection with image category transformation.

Convolutional neural networks (CNNs) have achieved great success in pulmonary nodules detection, which plays an important role in lung cancerscreening. In this paper, we proposed a novel strategy for pulmonary nodule detection by learning it from a harder task, which was to transform nodule images into normal images. We named this strategy as pulmonary nodule detection with image category transformation (PUNDIT). There were two steps for nodules detection, nodule candidate detection and false positive (FP) reduction. In nodule candidate detection step, a segmentation-based framework was built for detection. We designed an image category transformation (ICT) task to translate nodule images into pixel-to-pixel normal images and share the information of detection and transformation tasks by multitask learning. As for references of transformation tasks, we proposed background consistency losses into standard cycle-consistent adversarial networks, which can solve the problem of background uncontrolled changing. A three-dimensional network was used in FP reductionstep. PUNDIT was evaluated in two datasets, cancer screening dataset (CSD) with 1186 nodules for cross-validation and (CTD) with 3668 nodules for external test. Results were mainly evaluated by competition performance metric (CPM), the average sensitivity at seven predefined FP rates. The CPM was improved from 0.906 to 0.931 in CSD, and from 0.835 to 0.848 inCTD. Experimental results showed that PUNDIT can improve the performance of pulmonary nodules detectioneffectively.

A Unified Visual Information Preservation Framework for Self-supervised Pre-Training in Medical Image Analysis.

Recent advances in self-supervised learning (SSL) in computer vision are primarily comparative, whose goal is to preserve invariant and discriminative semantics in latent representations by comparing siamese image views. However, the preserved high-level semantics do not contain enough local information, which is vital in medical image analysis (e.g., image-based diagnosis and tumor segmentation). To mitigate the locality problem of comparative SSL, we propose to incorporate the task of pixel restoration for explicitly encoding more pixel-level information into high-level semantics. We also address the preservation of scale information, a powerful tool in aiding image understanding but has not drawn much attention in SSL. The resulting framework can be formulated as a multi-task optimization problem on the feature pyramid. Specifically, we conduct multi-scale pixel restoration and siamese feature comparison in the pyramid. In addition, we propose non-skip U-Net to build the feature pyramid and develop sub-crop to replace multi-crop in 3D medical imaging. The proposed unified SSL framework (PCRLv2) surpasses its self-supervised counterparts on various tasks, including brain tumor segmentation (BraTS 2018), chest pathology identification (ChestX-ray, CheXpert), pulmonary nodule detection (LUNA), and abdominal organ segmentation (LiTS), sometimes outperforming them by large margins with limited annotations. Codes and models are available at https://github.com/RL4M/PCRLv2.

Pulmonary Lung Nodule Detection and classification through Image Enhancement and Deep Learning

Pulmonary Lung Nodule Detection and classification through Image Enhancement and Deep Learning

Pulmonary lung nodule detection and classification through image enhancement and deep learning

Pulmonary lung nodule detection and classification through image enhancement and deep learning

Comparing the Performance of Accuracy Using 3D CNN Model with the Fixed Spatial Transform With 3D CNN Model for the Detection of Pulmonary Nodules

Aim: The research study aims to detect the accuracy level of the pulmonary nodule using a convolutional neural network (CNN). The comparison between the Novel 3D CNN-fixed spatial transform algorithm and Novel 3D CNN Model algorithm for accurate detection. Materials and Methods: The information for this study was gained from the Kaggle website. The samples were taken into consideration as (N=20) for 3D CNN-fixed spatial transform and (N=20) 3D CNN Model according to the clinical. com, total sample size calculation was performed. Python software is used for accurate detection. Threshold Alpha is 0.05 %, G power is 80% and the enrollment ratio is set to 1. Result: This research study found that the 3D CNN with 89.29% of accuracy is preferred over 3D CNN with fixed spatial transform which gives 78.5% accuracy with a significance value (p=0.001), (p&lt;0.05) with a 95% confidence interval. There is statistical significance between the two groups. Conclusion: The mean value of 3D CNN -fixed spatial transform is 78.5% and Novel 3D CNN is 89.29%.Novel 3D CNN appears to give better accuracy than 3D CNN-fixed spatial transform.

Effects of Expert-Determined Reference Standards in Evaluating the Diagnostic Performance of a Deep Learning Model: A Malignant Lung Nodule Detection Task on Chest Radiographs.

Little is known about the effects of using different expert-determined reference standards when evaluating the performance of deep learning-based automatic detection (DLAD) models and their added value to radiologists. We assessed the concordance of expert-determined standards with a clinical gold standard (herein, pathological confirmation) and the effects of different expert-determined reference standards on the estimates of radiologists' diagnostic performance to detect malignant pulmonary nodules on chest radiographs with and without the assistance of a DLAD model. This study included chest radiographs from 50 patients with pathologically proven lung cancer and 50 controls. Five expert-determined standards were constructed using the interpretations of 10 experts: individual judgment by the most experienced expert, majority vote, consensus judgments of two and three experts, and a latent class analysis (LCA) model. In separate reader tests, additional 10 radiologists independently interpreted the radiographs and then assisted with the DLAD model. Their diagnostic performance was estimated using the clinical gold standard and various expert-determined standards as the reference standard, and the results were compared using the t test with Bonferroni correction. The LCA model (sensitivity, 72.6%; specificity, 100%) was most similar to the clinical gold standard. When expert-determined standards were used, the sensitivities of radiologists and DLAD model alone were overestimated, and their specificities were underestimated (all p-values < 0.05). DLAD assistance diminished the overestimation of sensitivity but exaggerated the underestimation of specificity (all p-values < 0.001). The DLAD model improved sensitivity and specificity to a greater extent when using the clinical gold standard than when using the expert-determined standards (all p-values < 0.001), except for sensitivity with the LCA model (p = 0.094). The LCA model was most similar to the clinical gold standard for malignant pulmonary nodule detection on chest radiographs. Expert-determined standards caused bias in measuring the diagnostic performance of the artificial intelligence model.

Development of a novel artificial intelligence algorithm to detect pulmonary nodules on chest radiography.

In this study, we aimed to develop a novel artificial intelligence (AI) algorithm to support pulmonary nodule detection, which will enable physicians to efficiently interpret chest radiographs for lung cancer diagnosis. We analyzed chest X-ray images obtained from a health examination center in Fukushima and the National Institutes of Health (NIH) Chest X-ray 14 dataset. We categorized these data into two types: type A included both Fukushima and NIH datasets, and type B included only the Fukushima dataset. We also demonstrated pulmonary nodules in the form of a heatmap display on each chest radiograph and calculated the positive probability score as an index value. Our novel AI algorithms had a receiver operating characteristic (ROC) area under the curve (AUC) of 0.74, a sensitivity of 0.75, and a specificity of 0.60 for the type A dataset. For the type B dataset, the respective values were 0.79, 0.72, and 0.74. The algorithms in both the type A and B datasets were superior to the accuracy of radiologists and similar to previous studies. The proprietary AI algorithms had a similar accuracy for interpreting chest radiographs when compared with previous studies and radiologists. Especially, we could train a high quality AI algorithm, even with our small type B data set. However, further studies are needed to improve and further validate the accuracy of our AI algorithm.

Phase-contrast virtual chest radiography

Respiratory X-ray imaging enhanced by phase contrast has shown improved airway visualization in animal models. Limitations in current X-ray technology have nevertheless hindered clinical translation, leaving the potential clinical impact an open question. Here, we explore phase-contrast chest radiography in a realistic in silico framework. Specifically, we use preprocessed virtual patients to generate in silico chest radiographs by Fresnel-diffraction simulations of X-ray wave propagation. Following a reader study conducted with clinical radiologists, we predict that phase-contrast edge enhancement will have a negligible impact on improving solitary pulmonary nodule detection (6 to 20 mm). However, edge enhancement of bronchial walls visualizes small airways (< 2 mm), which are invisible in conventional radiography. Our results show that phase-contrast chest radiography could play a future role in observing small-airway obstruction (e.g., relevant for asthma or early-stage chronic obstructive pulmonary disease), which cannot be directly visualized using current clinical methods, thereby motivating the experimental development needed for clinical translation. Finally, we discuss quantitative requirements on distances and X-ray source/detector specifications for clinical implementation of phase-contrast chest radiography.

An improved faster R-CNN algorithm for assisted detection of lung nodules

The morbidity and mortality of lung cancer are increasing rapidly in every country in the world, and pulmonary nodules are the main symptoms of lung cancer in the early stage. If we can diagnose pulmonary nodules in time at the early stage and follow up and treat suspicious patients, we can effectively reduce the incidence of lung cancer. CT (Computed Tomography) has been applied to the screening of many diseases because of its high resolution. Pulmonary nodules show white round shadows in CT images. With the popularity of CT equipment, doctors need to review a large number of imaging results every day. Doctors will misjudge and miss the lesions because of reviewing CT scanning results for a long time. At this time, the method of automatic detection of pulmonary nodules by computer can relieve the pressure of doctors in reviewing CT scan results.Traditional lung nodule detection methods, such as gray threshold method and region growing method, divide the detection process into two steps: extracting candidate regions and eliminating false regions. In addition, the traditional detection method can only operate on a single image, which leads to the inability of this method to detect the batch scanning results in real time. With the continuous development of computer equipment performance and artificial intelligence, the relationship between medical image processing and deep learning is getting closer and closer. In deep learning, object detection methods such as Faster R-CNN、YOLO can complete parallel detection of batch images, and deep structure can fully extract the features of input images. Compared with traditional lung nodule detection methods, it has the characteristics of high efficiency and high precision. Faster R-CNN is a classical and high-precision two-stage object detection method. In this paper, an improved Faster R-CNN model is proposed. On the basis of Faster R-CNN, multi-scale training strategy is used to fully mine the features of different scale spaces and perform path augmentation on lower-dimensional features, which improves the small object detection ability of the model. Through Online Hard Example Mining (OHEM), the loss value is used to quantify the difficulty of candidate region detection, and the training times of the region to be detected are adaptively adjusted. Make full use of prior information to customize the size and proportion of preset boundary anchor boxes. Using deformable convolution to improve the visual field to enhance the global features and enhance the ability to extract the feature information of pulmonary nodules in the same scale space.The new model was tested on LUNA16 (Lung Nodule Analysis 2016) dataset. The detection precision of the improved Faster R-CNN model for pulmonary nodules increased from 76.4% to 90.7%, and the recall rate increased from 40.1% to 56.8% Compared with the mainstream object detection algorithms YOLOv3 and Cascade R-CNN, the improved model is superior to the above models in every index.

Pulmonary Nodule Detection Based on Multiscale Feature Fusion.

As cancer with the highest morbidity and mortality in the world, lung cancer is characterized by pulmonary nodules in the early stage. The detection of pulmonary nodules is an important method for the early detection of lung cancer, which can greatly improve the survival rate of lung cancer patients. However, the accuracy of conventional detection methods for lung nodules is low. With the development of medical imaging technology, deep learning plays an increasingly important role in medical image detection, and pulmonary nodules can be accurately detected by CT images. Based on the above, a pulmonary nodule detection method based on deep learning is proposed. In the candidate nodule detection stage, the multiscale features and Faster R-CNN, a general-purpose detection framework based on deep learning, were combined together to improve the detection of small-sized lung nodules. In the false-positive nodule filtration stage, a 3D convolutional neural network based on multiscale fusion is designed to reduce false-positive nodules. The experiment results show that the candidate nodule detection model based on Faster R-CNN integrating multiscale features has achieved a sensitivity of 98.6%, 10% higher than that of the other single-scale model, the proposed method achieved a sensitivity of 90.5% at the level of 4 false-positive nodules per scan, and the CPM score reached 0.829. The results are higher than methods in other works of literature. It can be seen that the detection method of pulmonary nodules based on multiscale fusion has a higher detection rate for small nodules and improves the classification performance of true and false-positive pulmonary nodules. This will help doctors when making a lung cancer diagnosis.

A Novel Deep Learning Model Based on Multi-Scale and Multi-View for Detection of Pulmonary Nodules.

Lung cancer manifests as pulmonary nodules in the early stage. Thus, the early and accurate detection of these nodules is crucial for improving the survival rate of patients. We propose a novel two-stage model for lung nodule detection. In the candidate nodule detection stage, a deep learning model based on 3D context information roughly segments the nodules detects the preprocessed image and obtain candidate nodules. In this model, 3D image blocks are input into the constructed model, and it learns the contextual information between the various slices in the 3D image block. The parameters of our model are equivalent to those of a 2D convolutional neural network (CNN), but the model could effectively learn the 3D context information of the nodules. In the false-positive reduction stage, we propose a multi-scale shared convolutional structure model. Our lung detection model has no significant increase in parameters and computation in both stages of multi-scale and multi-view detection. The proposed model was evaluated by using 888 computed tomography (CT) scans from the LIDC-IDRI dataset and achieved a competition performance metric (CPM) score of 0.957. The average detection sensitivity per scan was 0.971/1.0 FP. Furthermore, an average detection sensitivity of 0.933/1.0 FP per scan was achieved based on data from Shanghai Pulmonary Hospital. Our model exhibited a higher detection sensitivity, a lower false-positive rate, and better generalization than current lung nodule detection methods. The method has fewer parameters and less computational complexity, which provides more possibilities for the clinical application of this method.