Dr. Wei-Chih Liao, M.D., Ph.D., FASGE, is a Professor of Medicine at the National Taiwan University, College of Medicine and an Attending Gastroenterologist in the Department of Internal Medicine at National Taiwan University Hospital. He earned his M.D. from National Taiwan University College of Medicine in 2005 and subsequently completed both his M.Sc. and Ph.D. in Epidemiology at National Taiwan University.
Pancreatic cancer (PC) is the most lethal cancer and ranks as the seventh and third leading cause of cancer deaths in Taiwan and the US, respectively. Computed tomography (CT) is the major modality for detecting PC, but small PCs are often obscure on CT with approximately 40% of tumors less than 2 cm being missed. Furthermore, the diagnostic performance of CT is interpreter-dependent and influenced by radiologist workload and expertise. Novel tools that can facilitate detection of PCs on CT are urgently needed given that patient survival sharply shortens with tumor growth.
We have developed a novel artificial intelligence (AI)-empowered computer-aided detection/diagnosis (CAD) tool to supplement radiologists in detecting PCs. This fully automatic end-to-end CAD tool can determine whether CT images harbor PC and indicate the location of the PC without requiring manual image preprocessing. When tested with images obtained in real clinical practice at institutions throughout Taiwan from the National Health Insurance, PANCREASaver achieved 89.7% sensitivity and 91.4% accuracy in differentiating between PC patients and controls, supporting its accuracy and generalizability. Because of the unique ability to detect PCs that are difficult to detect with the naked eye, this CAD tool may supplement radiologists in interpreting abdominal CT images to reduce the miss rate and enhance early detection of PC.