The International Association for the Study of Lung Cancer Early Lung Imaging Confederation.

dc.contributor.author

Mulshine, James L

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Avila, Ricardo S

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Conley, Ed

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Devaraj, Anand

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Ambrose, Laurie Fenton

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Flanagan, Tanya

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Henschke, Claudia I

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Hirsch, Fred R

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Janz, Robert

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Kakinuma, Ryutaro

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Lam, Stephen

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McWilliams, Annette

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Van Ooijen, Peter MA

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Oudkerk, Matthijs

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Pastorino, Ugo

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Reeves, Anthony

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Rogalla, Patrick

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Schmidt, Heidi

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Sullivan, Daniel C

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Wind, Haije HJ

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Wu, Ning

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Wynes, Murry

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Xueqian, Xie

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Yankelevitz, David F

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Field, John K

dc.date.accessioned

2021-04-01T21:58:12Z

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2021-04-01T21:58:12Z

dc.date.issued

2020-02

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2021-04-01T21:58:10Z

dc.description.abstract

Purpose

To improve outcomes for lung cancer through low-dose computed tomography (LDCT) early lung cancer detection. The International Association for the Study of Lung Cancer is developing the Early Lung Imaging Confederation (ELIC) to serve as an open-source, international, universally accessible environment to analyze large collections of quality-controlled LDCT images and associated biomedical data for research and routine screening care.

Methods

ELIC is an international confederation that allows access to efficiently analyze large numbers of high-quality computed tomography (CT) images with associated de-identified clinical information without moving primary imaging/clinical or imaging data from its local or regional site of origin. Rather, ELIC uses a cloud-based infrastructure to distribute analysis tools to the local site of the stored imaging and clinical data, thereby allowing for research and quality studies to proceed in a vendor-neutral, collaborative environment. ELIC's hub-and-spoke architecture will be deployed to permit analysis of CT images and associated data in a secure environment, without any requirement to reveal the data itself (ie, privacy protecting). Identifiable data remain under local control, so the resulting environment complies with national regulations and mitigates against privacy or data disclosure risk.

Results

The goal of pilot experiments is to connect image collections of LDCT scans that can be accurately analyzed in a fashion to support a global network using methodologies that can be readily scaled to accrued databases of sufficient size to develop and validate robust quantitative imaging tools.

Conclusion

This initiative can rapidly accelerate improvements to the multidisciplinary management of early, curable lung cancer and other major thoracic diseases (eg, coronary artery disease and chronic obstructive pulmonary disease) visualized on a screening LDCT scan. The addition of a facile, quantitative CT scanner image quality conformance process is a unique step toward improving the reliability of clinical decision support with CT screening worldwide.
dc.identifier.issn

2473-4276

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2473-4276

dc.identifier.uri

https://hdl.handle.net/10161/22518

dc.language

eng

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American Society of Clinical Oncology (ASCO)

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JCO clinical cancer informatics

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10.1200/cci.19.00099

dc.subject

Humans

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Lung Neoplasms

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Tomography, X-Ray Computed

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Reproducibility of Results

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Algorithms

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Patient Selection

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Image Processing, Computer-Assisted

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Practice Guidelines as Topic

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Early Detection of Cancer

dc.title

The International Association for the Study of Lung Cancer Early Lung Imaging Confederation.

dc.type

Journal article

duke.contributor.orcid

Sullivan, Daniel C|0000-0002-7556-5650

pubs.begin-page

89

pubs.end-page

99

pubs.issue

4

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School of Medicine

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Duke Clinical Research Institute

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Radiology

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Duke

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Institutes and Centers

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Clinical Science Departments

pubs.publication-status

Published

pubs.volume

4

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