AI-Driven Models for Diagnosing and Predicting Outcomes in Lung Cancer: A Systematic Review and Meta-Analysis

Author:

Kanan Mohammed1ORCID,Alharbi Hajar2,Alotaibi Nawaf3,Almasuood Lubna4,Aljoaid Shahad5,Alharbi Tuqa6ORCID,Albraik Leen7,Alothman Wojod8,Aljohani Hadeel9,Alzahrani Aghnar10ORCID,Alqahtani Sadeem11ORCID,Kalantan Razan9,Althomali Raghad12,Alameen Maram12ORCID,Mufti Ahdab13

Affiliation:

1. Department of Clinical Pharmacy, King Fahad Medical City, Riyadh 12211, Saudi Arabia

2. Department of Medicine, Gdansk Medical University, 80210 Gdansk, Poland

3. Department of Clinical Pharmacy, Northern Border University, Rafha 73213, Saudi Arabia

4. Department of Pharmacy, Qassim University, Buraydah 52571, Saudi Arabia

5. Department of Medicine, University of Tabuk, Tabuk 47911, Saudi Arabia

6. Department of Medicine, Qassim University, Buraydah 52571, Saudi Arabia

7. Department of Medicine, Al-Faisal University, Riyadh 12385, Saudi Arabia

8. Department of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 31411, Saudi Arabia

9. Department of Medicine and Surgery, King Abdulaziz University, Jeddah 22230, Saudi Arabia

10. Department of Medicine, Al-Baha University, Al Bahah 65964, Saudi Arabia

11. Department of Pharmacy, King Khalid University, Abha 62217, Saudi Arabia

12. Department of Medicine, Taif University, Taif 26311, Saudi Arabia

13. Department of Medicine, Ibn Sina National College, Jeddah 22230, Saudi Arabia

Abstract

(1) Background: Lung cancer’s high mortality due to late diagnosis highlights a need for early detection strategies. Artificial intelligence (AI) in healthcare, particularly for lung cancer, offers promise by analyzing medical data for early identification and personalized treatment. This systematic review evaluates AI’s performance in early lung cancer detection, analyzing its techniques, strengths, limitations, and comparative edge over traditional methods. (2) Methods: This systematic review and meta-analysis followed the PRISMA guidelines rigorously, outlining a comprehensive protocol and employing tailored search strategies across diverse databases. Two reviewers independently screened studies based on predefined criteria, ensuring the selection of high-quality data relevant to AI’s role in lung cancer detection. The extraction of key study details and performance metrics, followed by quality assessment, facilitated a robust analysis using R software (Version 4.3.0). The process, depicted via a PRISMA flow diagram, allowed for the meticulous evaluation and synthesis of the findings in this review. (3) Results: From 1024 records, 39 studies met the inclusion criteria, showcasing diverse AI model applications for lung cancer detection, emphasizing varying strengths among the studies. These findings underscore AI’s potential for early lung cancer diagnosis but highlight the need for standardization amidst study variations. The results demonstrate promising pooled sensitivity and specificity of 0.87, signifying AI’s accuracy in identifying true positives and negatives, despite the observed heterogeneity attributed to diverse study parameters. (4) Conclusions: AI demonstrates promise in early lung cancer detection, showing high accuracy levels in this systematic review. However, study variations underline the need for standardized protocols to fully leverage AI’s potential in revolutionizing early diagnosis, ultimately benefiting patients and healthcare professionals. As the field progresses, validated AI models from large-scale perspective studies will greatly benefit clinical practice and patient care in the future.

Publisher

MDPI AG

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