Artificial Intelligence in Clinical Oncology: From Data to Digital Pathology and Treatment

Author:

Senthil Kumar Kirthika123,Miskovic Vanja45,Blasiak Agata1236,Sundar Raghav12789,Pedrocchi Alessandra Laura Giulia4,Pearson Alexander T.1011,Prelaj Arsela45,Ho Dean1236ORCID

Affiliation:

1. The Institute for Digital Medicine (WisDM), Yong Loo Lin School of Medicine, National University of Singapore, Singapore

2. The N.1 Institute for Health (N.1), National University of Singapore, Singapore

3. Department of Biomedical Engineering, College of Design and Engineering, National University of Singapore, Singapore

4. Department of Electronics, Informatics, and Bioengineering, Politecnico di Milano, Milan, Italy

5. Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy

6. Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore

7. Department of Haematology-Oncology, National University Cancer Institute, National University Hospital

8. Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore

9. Singapore Gastric Cancer Consortium, Singapore

10. Section of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL

11. University of Chicago Comprehensive Cancer Center, Chicago, IL

Abstract

Recently, a wide spectrum of artificial intelligence (AI)–based applications in the broader categories of digital pathology, biomarker development, and treatment have been explored. In the domain of digital pathology, these have included novel analytical strategies for realizing new information derived from standard histology to guide treatment selection and biomarker development to predict treatment selection and response. In therapeutics, these have included AI-driven drug target discovery, drug design and repurposing, combination regimen optimization, modulated dosing, and beyond. Given the continued advances that are emerging, it is important to develop workflows that seamlessly combine the various segments of AI innovation to comprehensively augment the diagnostic and interventional arsenal of the clinical oncology community. To overcome challenges that remain with regard to the ideation, validation, and deployment of AI in clinical oncology, recommendations toward bringing this workflow to fruition are also provided from clinical, engineering, implementation, and health care economics considerations. Ultimately, this work proposes frameworks that can potentially integrate these domains toward the sustainable adoption of practice-changing AI by the clinical oncology community to drive improved patient outcomes.

Publisher

American Society of Clinical Oncology (ASCO)

Subject

General Medicine

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