Research Article
Open Access

Transformer network–based disease subtyping from multidimensional lesion-layer features

Linrong Yuan
Linrong Yuan
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
Yutong Xie
Yutong Xie
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
Danhong Li
Danhong Li
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
Jianghui Li
Jianghui Li
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
Miao Yu
Miao Yu
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
Siqi Wang
Siqi Wang
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
Yu Wang
Yu Wang
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
He Ren
He Ren
renh@sumhs.edu.cn
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
Address correspondence to
Article notes
Highlights
He Ren, Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences; No. 279, Zhouzhu Highway, Pudong New Area, Shanghai 201318, China. Tel: +86-18817581363. E-mail: renh@sumhs.edu.cn.
Received July 26, 2025; Accepted September 10, 2025; Published September 30, 2025
  • A total of 289 patient CT datasets were analyzed, and 15 optimal radiomic features were identified using ANOVA, correlation analysis, and random forest ranking, ensuring high discriminative power and clinical interpretability.

  • The proposed model demonstrated excellent performance (Accuracy: 0.98, Area Under the Curve: 0.99) in training set, demonstrating robust learning capacity and the ability to distinguish lesion subtypes from multidimensional radiomic features.

  • By leveraging serialized radiomic trends rather than isolated feature analysis, this study provides a new paradigm for early screening and personalized diagnosis of lung adenocarcinoma.

Research Article
Open Access
Transformer network–based disease subtyping from multidimensional lesion-layer features
Linrong Yuan
Linrong Yuan
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
Yutong Xie
Yutong Xie
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
Danhong Li
Danhong Li
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
Jianghui Li
Jianghui Li
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
Miao Yu
Miao Yu
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
Siqi Wang
Siqi Wang
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
Yu Wang
Yu Wang
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
,
He Ren
He Ren
renh@sumhs.edu.cn
Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
Address correspondence to
He Ren, Faculty of Medical Instrumentation, Shanghai University of Medicine and Health Sciences; No. 279, Zhouzhu Highway, Pudong New Area, Shanghai 201318, China. Tel: +86-18817581363. E-mail: renh@sumhs.edu.cn.
Article notes
Received July 26, 2025; Accepted September 10, 2025; Published September 30, 2025
Highlights
  • A total of 289 patient CT datasets were analyzed, and 15 optimal radiomic features were identified using ANOVA, correlation analysis, and random forest ranking, ensuring high discriminative power and clinical interpretability.

  • The proposed model demonstrated excellent performance (Accuracy: 0.98, Area Under the Curve: 0.99) in training set, demonstrating robust learning capacity and the ability to distinguish lesion subtypes from multidimensional radiomic features.

  • By leveraging serialized radiomic trends rather than isolated feature analysis, this study provides a new paradigm for early screening and personalized diagnosis of lung adenocarcinoma.

2025 Sep;3(3):174-181
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Abstract

Objective: To develop and validate a Transformer-based radiomics model for classifying lung adenocarcinoma subtypes from computed tomography imaging data. Methods: We retrospectively collected 289 computed tomography images of lung adenocarcinoma, including adenocarcinoma in situ, minimally invasive adenocarcinoma, and invasive adenocarcinoma. Correlation-based feature analysis was employed and identified 15 optimal radiomic features. A Transformer-based classification model incorporating multi-head attention and position-wise feed-forward Networks was subsequently constructed. Results: The proposed model achieved a training accuracy of 0.98, test accuracy of 0.914, training recall of 0.942, test recall of 0.874, training F1-score of 0.940, test F1-score of 0.871, training area under the curve of 0.99, and test area under the curve of 0.88. Conclusion: This Transformer-based radiomics model effectively classifies lung adenocarcinoma subtypes, aiding early screening, diagnosis, and personalized treatment strategies to improve patient prognosis.

Keywords: Computed tomography, lung adenocarcinoma subtype analysis, radiomic characteristics, deep learning, transformer network model

Progress in Medical Devices

ISSN: 2957-5478

Volume 3, Issue 3

September 2025

Pages: 143-201

PDF CITE Accesses: 5
Progress in Medical Devices
ISSN: 2957-5478
ZENTIME PUBLISHING CORPORATION LIMITED
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