Machine learning allows robust classification of lung neoplasm tissue using an electronic biopsy through minimally-invasive electrical impedance spectroscopy

New bronchoscopy techniques like radial probe endobronchial ultrasound have been developed for real-time sampling characterization, but their use is still limited. This study aims to use classification algorithms with minimally invasive electrical impedance spectroscopy to improve neoplastic lung ti...

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Detalles Bibliográficos
Autores: Company-Se, Georgina|||0000-0002-0473-4955, Pajares Ruiz, Virginia|||0000-0002-0916-527X, Rafecas-Codern, Albert|||0000-0003-0556-6436, Riu, Pere J.|||0000-0003-0477-1972, Rosell-Ferrer, J., Bragós, R., Nescolarde, Lexa|||0000-0001-6861-5106
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:321755
Acceso en línea:https://ddd.uab.cat/record/321755
https://dx.doi.org/urn:doi:10.1038/s41598-025-94826-0
Access Level:acceso abierto
Palabra clave:Bronchoscopy
Classification
Machine learning
Minimally-invasive bioimpedance
Neoplasm
Descripción
Sumario:New bronchoscopy techniques like radial probe endobronchial ultrasound have been developed for real-time sampling characterization, but their use is still limited. This study aims to use classification algorithms with minimally invasive electrical impedance spectroscopy to improve neoplastic lung tissue identification during biopsies. Decision Tree, Support Vector Machines (SVM), Ensemble Method, K-Nearest Neighbors, Naïve Bayes and Discriminant Analysis were applied using mean averaged bioimpedance modulus and phase angle spectra from lung tissue across 15 frequencies (15-307 kHz). Mann-Whitney U test assessed statistical significance between neoplasm and other tissues. Grid search analysis was conducted to determine the optimal hyperparameter configuration for each model, employing a 5-fold cross-validation approach. Model performance was evaluated using Receiver Operating Characteristic curves, with the Area Under Curve (AUC), precision, recall, and F1-score calculated. All the frequencies used to train and test the algorithms obtained high significant differences between neoplasm and the other types of tissues (P < 0.001). All the algorithms implemented obtained an accuracy, AUC and F1-score above the 95% except for Naïve Bayes. Decision Tree, Discriminant Analysis and SVM algorithms are suitable for the implementation of a new low-cost guidance method during bronchoscopy.