Physicians treating patients with early-stage lung cancer face a conundrum: choosing potentially helpful yet toxic therapies such as chemotherapy, radiation or immunotherapy to knock out the cancer and lessen the risk of it spreading to the brain, or waiting to see if lung surgery alone proves sufficient. When up to 70% of such patients do not experience brain metastasis — the spread of cancer to the brain — the question arises: Who should receive additional aggressive treatments, and who can safely wait?
A new study led by Washington University School of Medicine in St. Louis could help physicians strike the right balance between proactive intervention and cautious monitoring for patients with early-stage lung cancer. The study, published March 4 in The Journal of Pathology, uses an artificial intelligence (AI) method to study patients’ lung biopsy images and predict whether the cancer will spread to the brain.