Lung cancer is a leading cause of cancer-related deaths worldwide, and early detection is crucial for improving patient outcomes. Nevertheless, early diagnosis of cancer is a major challenge, particularly in low-resource settings where access to medical resources and trained radiologists is limited. The objective of this study is to propose an automated end-to-end deep learning-based framework for the early detection and classification of lung nodules, specifically for low-resource settings. The proposed framework consists of three stages: lung segmentation using a modified 3D U-Net named 3D Res-U-Net, nodule detection using YOLO-v5, and classification with a Vision Transformer-based architecture. We evaluated the proposed framework on a publicly available dataset, LUNA16. The proposed framework's performance was measured using the respective domain's evaluation matrices. The proposed framework achieved a 98.82% lung segmentation dice score while detecting the lung nodule with 0.76 mAP@50 from the segmented lung, at a low false-positive rate. The performance of both networks of the proposed framework was compared with other studies and found to outperform them regarding segmentation and detection accuracy. Additionally, our proposed Vision transformer network obtained an accuracy of 93.57%, which is 1.21 higher than the state-of-the-art networks. Our proposed end-to-end deep learning-based framework can effectively segment lungs, and detect and classify lung nodules, specifically in low-resource settings with limited access to radiologists. The proposed framework outperforms existing studies regarding all the respective evaluation metrics. The proposed framework can potentially improve the accuracy and efficiency of lung cancer screening in low-resource settings, ultimately leading to better patient outcomes.

本研究提出了一个端到端的基于深度学习的自动化框架，用于在低资源环境下实现肺结节的早期检测和分类，并对其进行了评估，结果表明在分割和检测精度方面超过了现有研究，并证明在肺癌筛查方面具有潜在的准确性和效率提高。

一种基于深度学习的自动化端到端肺癌诊断框架，用于检测和分类肺结节