A machine learning texture model for classifying lung cancer subtypes using preliminary bronchoscopic findings

Purpose Bronchoscopy is useful in lung cancer detection, but cannot be used to differentiate cancer types. A computer‐aided diagnosis ( CAD ) system was proposed to distinguish malignant cancer types to achieve objective diagnoses. Methods Bronchoscopic images of 12 adenocarcinoma and 10 squamous cell carcinoma patients were collected. The images were transformed from a red–blue–green ( RGB ) to a hue–saturation–value ( HSV ) color space to obtain more meaningful color textures. By combining significant textural features ( P < 0.05) in a machine learning classifier, a prediction model of malignant types was established. Results The performance of the CAD system achieved an accuracy of 86% (19/22), a sensitivity of 90% (9/10), a specificity of 83% (10/12), a positive predictive value of 82% (9/11), and a negative predictive value of 91% (10/11) in distinguishing lung cancer types. The area under the receiver operating characteristic curve was 0.82. Conclusions On the basis of extracted HSV textures of bronchoscopic images, the CAD system can provide recommendations for clinical diagnoses of lung cancer types.