Health
AI detects ovarian cancer better than human experts in new study
For the nearly 20,000 women in the U.S. who receive an ovarian cancer diagnosis each year, artificial intelligence is emerging as a potentially life-saving tool.
In a new study led by researchers at Karolinska Institutet in Sweden, AI models did a better job of detecting ovarian cancer than human doctors.
The research, which was published in Nature Medicine, tested an AI model’s ability to distinguish between benign and malignant lesions on the ovaries, according to a press release.
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The AI model was trained on more than 17,000 ultrasound images from 3,652 patients across 20 hospitals in eight countries, the release stated.
“High-quality diagnostics can become more accessible, particularly in regions with limited access to experienced examiners,” said a study author. (iStock)
The AI model achieved an accuracy rate of 86% for detecting ovarian cancer, compared to 82% for human experts and 77% for those with less expertise.
“I was surprised that the AI models outperformed all 33 of the expert examiners,” study author Elisabeth Epstein, a professor at the Department of Clinical Science and Education at Karolinska Institutet, told Fox News Digital.
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Ovarian tumors are common and “often detected by chance,” according to Epstein.
“Our study demonstrates that AI-driven diagnostic support can significantly improve ovarian cancer diagnosis by enhancing triage efficiency, reducing diagnostic errors and addressing the shortage of expert examiners,” she said in a statement to Fox News Digital.
The AI model achieved an accuracy rate of 86% for detecting ovarian cancer, compared to 82% for human experts and 77% for those with less expertise. (iStock)
“High-quality diagnostics can become more accessible, particularly in regions with limited access to experienced examiners,” Epstein went on.
“This will help reduce waiting times, avoid unnecessary interventions and facilitate earlier cancer detection, ultimately improving patient outcomes and ensuring more accurate diagnoses.”
AI could also reduce the need for referrals as well as the chances of misdiagnosis, the researchers noted.
“I was surprised that the AI models outperformed all 33 of the expert examiners.”
Dr. Brian Slomovitz, director of gynecologic oncology and co-chair of the Cancer Research Committee at Mount Sinai Medical Center in Florida, noted that screening and early detection of ovarian cancer is the “holy grail” to reduce deaths from this disease.
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“This large retrospective trial clearly demonstrates that there may be a role in incorporating AI-driven support to better interpret ultrasound findings in patients with a pelvic mass,” Slomovitz, who was not involved in this particular study, told Fox News Digital.
“This, by itself, increases the accuracy of the radiologic findings by both decreasing the false positive rate (leading to unnecessary surgeries) and decreasing the false negative rate (missing cases of cancer).”
Screening and early detection of ovarian cancer is the “holy grail” to reduce deaths from this disease, one oncologist noted. (iStock)
There are other ways to evaluate ovarian cancer patients beyond radiology scans, the doctor noted.
“Menopausal status, presence or absence of symptoms, and blood test results are some other factors used to determine which patients may or may not need surgery,” Slomovitz said. “It would be great if these factors could be incorporated into the AI modeling.”
OVARIAN CANCER SIGNS, SYMPTOMS, DIAGNOSIS AND TREATMENT OPTIONS
In addition to showing improved accuracy of ultrasound analysis, the AI technology will need to demonstrate a survival benefit in order to gain widespread use, he added.
“I am optimistic that artificial intelligence will be a part of the armamentarium used to improve the care we offer to our patients.”
“I am optimistic that artificial intelligence will be a part of the armamentarium used to improve the care we offer to our patients,” an oncologist said. (iStock)
Dr. Harvey Castro, a Dallas, Texas-based board-certified emergency medicine physician and national speaker on AI in health care, agreed that the tech has the potential to improve cancer diagnostics, but cautioned that limitations remain.
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“The AI relies on diverse, high-quality data, and bias could limit effectiveness,” he told Fox News Digital.
“It’s also not fully validated for routine clinical use, and transparency and regulatory concerns remain unresolved.”
Castro reiterated that additional research is needed to determine how well AI adapts to real-world settings, the long-term impact on health care costs and outcomes, and whether the tech will be able to handle diverse populations and different clinical environments.
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The researchers also acknowledged the potential limitations of the study.
“It is not a prospective study, so additional data is needed to know how it would perform in a real clinical setting,” Epstein told Fox News Digital.
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The team is planning to soon begin clinical studies at Stockholm South Hospital in Sweden, she added.
“It is still the physician who remains responsible for the patient’s diagnosis and treatment.”
Epstein noted that AI should only be used as a diagnostic support and not a replacement for human physicians.
“It is still the physician who remains responsible for the patient’s diagnosis and treatment,” she stated.
The Karolinska Institutet research team collaborated with the KTH Royal Institute of Technology. Funding was provided by the Swedish Research Council, the Swedish Cancer Society, the Stockholm Regional Council, the Cancer Research Funds of Radiumhemmet and the Wallenberg AI, Autonomous Systems and Software Program (WASP), according to the release.
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Health
Common eating habit may trigger premature immune system aging, study finds
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Eating too much salt has long been linked to high blood pressure, but new research suggests it could trick the immune system into prematurely aging the blood vessels.
A preclinical study recently published in the Journal of the American Heart Association has identified a biological chain reaction that links a salty diet to cardiovascular decay.
Scientists at the University of South Alabama observed that mice on a high-salt diet experienced rapid deterioration in their blood vessel function.
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After just four weeks of high sodium intake, the small arteries responsible for regulating blood flow lost their ability to relax, according to a press release.
The team found that the cells lining these vessels had entered a state of cellular senescence, a form of premature cellular aging in which cells stop dividing and release a mix of inflammatory signals that can damage surrounding tissue.
Excess salt has long been linked to high blood pressure, but a new study goes deeper into its effects on the cardiovascular system. (iStock)
The researchers tried to replicate this damage by exposing blood vessel cells directly to salt in a laboratory dish, but the cells showed no harmful effects.
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This suggests that salt isn’t directly causing damage to the vascular lining but that the real culprit may be the body’s own defense mechanism, the researchers noted.
Excess salt may trigger the immune system to release a molecule called interleukin-16 (IL-16), which acts as a messenger that instructs blood vessel cells to grow old before their time, according to the study.
Excess salt may trigger the immune system to release a molecule called interleukin-16, which acts as a messenger that instructs blood vessel cells to grow old before their time, according to the study. (iStock)
Once these cells age, they fail to produce nitric oxide, the essential gas that tells arteries to dilate and stay flexible.
To test whether this process could be reversed, the team turned to a class of experimental drugs known as senolytics.
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Using a cancer medication called navitoclax, which selectively clears out aged and dysfunctional cells, the researchers were able to restore nearly normal blood vessel function in the salt-fed mice, the release stated.
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By removing the decaying cells created by the high-salt diet, the drug allowed the remaining healthy tissue to maintain its elasticity and respond correctly to blood flow demands.
Excess salt may trigger the immune system into stopping the cells from dividing, the study suggests. (iStock)
The study did have some limitations. The transition from mouse models to human treatment remains a significant hurdle, the team cautioned.
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Senolytic drugs like navitoclax are still being studied for safety, and the team emphasized that previous trials have shown mixed results regarding their impact on artery plaque.
Additionally, the researchers have not yet confirmed whether the same IL-16 pathway is the primary driver of vascular aging in humans.
Health
Healthy diets spark lung cancer risk in non-smokers as pesticides loom
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Eating a diet high in fruits and vegetables was found to have a surprising link to lung cancer among younger non-smokers, early research suggests.
The observational study, led by Jorge Nieva, M.D., of the USC Norris Comprehensive Cancer Center at Keck Medicine, was presented this month at the American Association for Cancer Research (AACR) annual meeting in San Diego. It has not yet been peer-reviewed.
Researchers looked at dietary, smoking and demographic data for 187 patients who were diagnosed with lung cancer at age 50 or younger.
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They found that among non-smokers, there was a link between healthier-than-average diets – rich in fruits, vegetables and whole grains – and the chance of lung cancer development.
Young lung cancer patients ate more servings of dark green vegetables, legumes and whole grains compared to the average U.S. adult, the researchers found.
Eating a diet high in fruits and vegetables was found to have a surprising link to lung cancer among younger non-smokers, early research suggests. (iStock)
The researchers hypothesized that pesticides applied to conventionally grown produce could be a possible factor in the disease association.
“Commercially produced (non-organic) fruits, vegetables and whole grains are more likely to be associated with a higher residue of pesticides than dairy, meat and many processed foods,” according to Nieva. He also noted that agricultural workers exposed to pesticides tend to have higher rates of lung cancer.
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“There is a large subset of lung cancer patients whose disease is not caused by smoking,” Nieva told Fox News Digital.
The disease is becoming more common in non-smokers 50 and younger, especially women – despite the fact that smoking rates have been falling for decades, the researcher noted.
The researchers hypothesized that pesticides applied to conventionally grown produce could be a possible factor in the disease association. (iStock)
“These patients tend to have eaten much healthier diets before their diagnosis than the average American,” he went on. “We need to support research into understanding why Americans – and women in particular – who no longer smoke very much are still having lung cancer,” he said.
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The study did have some limitations, Nieva acknowledged, primarily that it relied on survey data and was limited by the participants’ memories of their food intake.
“Also, the survey participants were self-selected, and this could have biased the findings,” he told Fox News Digital.
“There is a large subset of lung cancer patients whose disease is not caused by smoking.”
The researchers did not test specific foods for pesticides, relying instead on average pesticide levels for certain types of food. Looking ahead, they plan to test patients’ blood and urine samples to directly measure pesticide levels, Nieva said.
Although the study shows only an association and does not prove that pesticides caused lung cancer, Nieva recommends that people wash their produce before eating and choose organic foods whenever possible.
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“This work represents a critical step toward identifying modifiable environmental factors that may contribute to lung cancer in young adults,” said Nieva. “Our hope is that these insights can guide both public health recommendations and future investigation into lung cancer prevention.”
“It is possible that the increased lung cancer risk could be due to pesticide exposure in whole farmed foods, but is by no means certain,” a doctor said. (AP Photo/Charlie Neibergall)
Dr. Marc Siegel, Fox News senior medical analyst, said the study is “interesting,” but that it “raises far more questions than it answers.”
“It is a small study (around 150) and observational, so no proof,” the doctor, who was not involved in the research, told Fox News Digital.
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“It is possible that the increased lung cancer risk could be due to pesticide exposure in whole farmed foods, but it is by no means certain,” Siegel went on. “How much exposure is needed? How much of it gets into food and in which areas? This requires much further study.”
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Kayla Nichols, communications director for Pesticide Action & Agroecology Network, a distributed global network, said the organization agrees with the study’s conclusion that more research should be done on the rise in lung cancer, particularly in individuals eating diets higher in produce and fiber.
“There is a large subset of lung cancer patients whose disease is not caused by smoking,” the researcher told Fox News Digital. (iStock)
“There is a bounty of existing research that already links pesticide exposure to increased risk of multiple types of cancers,” Nichols, who was also not involved in the study, told Fox News Digital. She called for more research on chronic, low-level exposures to pesticides, as well as more effective policies to protect the public from pesticide residues on food.
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The study was supported by the National Institutes of Health and the National Cancer Institute, as well as industry partners including AstraZeneca and Genentech, among others.
Fox News Digital reached out to several pesticide companies and trade groups for comment.
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