Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Integrating Artificial Intelligence for Advancing Multiple Cancer Early Detection via Serum Biomarkers: A Narrative Review

Version 1 : Received: 31 December 2023 / Approved: 2 January 2024 / Online: 3 January 2024 (02:21:41 CET)

A peer-reviewed article of this Preprint also exists.

Wang, H.-Y.; Lin, W.-Y.; Zhou, C.; Yang, Z.-A.; Kalpana, S.; Lebowitz, M.S. Integrating Artificial Intelligence for Advancing Multiple-Cancer Early Detection via Serum Biomarkers: A Narrative Review. Cancers 2024, 16, 862. Wang, H.-Y.; Lin, W.-Y.; Zhou, C.; Yang, Z.-A.; Kalpana, S.; Lebowitz, M.S. Integrating Artificial Intelligence for Advancing Multiple-Cancer Early Detection via Serum Biomarkers: A Narrative Review. Cancers 2024, 16, 862.

Abstract

The concept and policies of multiple early cancer detection (MCED) have gained significant attention from governments worldwide in recent years. In the era of burgeoning artificial intelligence (AI) technology, the integration of MCED with AI has become a prevailing trend, giving rise to a plethora of MCED AI products. However, due to the heterogeneity of both the detection targets and the AI technologies, the overall diversity of MCED AI products remains considerable. The types of detection targets encompass protein biomarkers, cell-free DNA, or combinations of these biomarkers. In the development of AI models, different model training approaches are employed, including datasets of case-control researches or real-world cancer screening datasets. Various validation techniques, such as cross-validation, location-wise validation, and time-wise validation are used. All of the factors show significant impacts on the predictive efficacy of MCED AIs. After the completion of AI model development, deploying the MCED AIs in clinical practice presents numerous challenges, including presenting the predictive reports, identifying the potential locations and types of tumor, and addressing cancer-related information such as clinical follow-up and treatment. This study reviews several mature MCED AI products currently available in the market, detecting their composing factors from serum biomarkers detection, MCED AIs training/validation, and the clinical application. The review illuminates the challenges encountered by existing MCED AI products across these stages, offering insights into the continued development and obstacles within the field of MCED AI.

Keywords

Multi-Cancer Early Detection; MCED; Artificial Intelligence; AI; Serum Biomarkers

Subject

Medicine and Pharmacology, Oncology and Oncogenics

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