Turing AI Fellowship: clinAIcan - developing clinical applications of artificial intelligence for cancer
Lead Research Organisation:
University of Oxford
Department Name: Women s and Reproductive Health
Abstract
Cancer is an evolving disease. No two cancers are ever exactly the same, no two cancer cells are even likely to be the same at the molecular level. 'Omics technologies allow us to measure the molecular activity of cancer to determine how it changes as the cancer develops. However, this is difficult to do with real patients as we only ever have access to a cancer only when it has developed and, once diagnosed, the cancer will be treated, perturbing it from its natural untreated trajectory. It is never possible to directly measure what the cancer was like before diagnosis, in its earliest stages of development, nor what would happen to the cancer if it was untreated or treated in a different way.
In this project, we aim to develop artificial intelligence (AI) technologies that will allow us to describe how cancers evolve at the molecular level. We exploit the fact that cancer, whilst never exactly identical, they often share similar development trajectories which we can learn by collating information from across deep high-resolution molecular profiles of many cancers. As patients will never be diagnosed at exactly the same point of disease progression, each patient therefore occupies a unique point on the common disease trajectory. A collection of patients therefore should represent a continuum along these trajectories. AI can therefore help us to understand how cancers change over time by leveraging information from across many patients without us having to actually follow and observe cancers as they develop in individual patients.
In this research, we will develop models of cancer progression using a rich-body of modern AI techniques that we will make novel adaptations to enable their application to 'omics data. We will then use these technologies and work with a range of academic, industry and charity partners to identify prototypic applications of this research that might including helping to improve treatment decision making for cancer, provide patients with more detailed information about their disease and treatment options in an accessible way and to improve the efficiency and efficacy of cancer clinical trials.
In this project, we aim to develop artificial intelligence (AI) technologies that will allow us to describe how cancers evolve at the molecular level. We exploit the fact that cancer, whilst never exactly identical, they often share similar development trajectories which we can learn by collating information from across deep high-resolution molecular profiles of many cancers. As patients will never be diagnosed at exactly the same point of disease progression, each patient therefore occupies a unique point on the common disease trajectory. A collection of patients therefore should represent a continuum along these trajectories. AI can therefore help us to understand how cancers change over time by leveraging information from across many patients without us having to actually follow and observe cancers as they develop in individual patients.
In this research, we will develop models of cancer progression using a rich-body of modern AI techniques that we will make novel adaptations to enable their application to 'omics data. We will then use these technologies and work with a range of academic, industry and charity partners to identify prototypic applications of this research that might including helping to improve treatment decision making for cancer, provide patients with more detailed information about their disease and treatment options in an accessible way and to improve the efficiency and efficacy of cancer clinical trials.
Publications
Danks D.
(2022)
Derivative-Based Neural Modelling of Cumulative Distribution Functions for Survival Analysis
in Proceedings of Machine Learning Research
Falck F.
(2022)
A Multi-Resolution Framework for U-Nets with Applications to Hierarchical VAEs
in Advances in Neural Information Processing Systems
Foguet C
(2022)
Genetically personalised organ-specific metabolic models in health and disease.
in Nature communications
Gadd C.
(2022)
MmVAE: Multimorbidity clustering using relaxed bernoulli ß-variational autoencoders
in Proceedings of Machine Learning Research
Günther F
(2023)
On the Difficulty of Predicting Engagement with Digital Health for Substance Use.
in Studies in health technology and informatics
Description | We have successfully worked with the biotechnology start-up Singula Bio to develop a new analysis tool (called "PicoCNV") to identify DNA changes in microscopic cancer samples from whole genome sequencing. Microscopic cancer samples contain very few cells and frequently appear after cancer treatment. These cells are often treatment resistant and can go on to produce secondary cancers. At the microscopic stage they do not contain sufficient DNA to allow conventional DNA sequencing. Singula Bio have overcome this by developing a new sequencing platform which - together with our analysis algorithm - allows accurate determination of DNA changes in the cancer cells. These DNA changes are being used by Singula Bio to help them design individualised cancer immunotherapies. The flexibility of this fellowship has also allowed my team to make a significant contribution to the MUM-PREDICT project (https://mumpredict.org/) where we have developed AI tools to identify patterns of multiple long-term conditions in women with pregnancy. Our tools have enabled us to identify rare combinations of conditions which co-occur in pregnant women from large GP databases. We have also developed risk prediction tools that allow us to predict the next most likely health condition an individual based on their current health status. Our contribution has been recognised by Health Data Research UK, where we were awarded "Team of the Year" in 2022 as part of the wider MUM-PREDICT research collaboration. Recently we successfully applied for further EPSRC funding to develop a foundation model for clinical prediction of multiple long-term conditions using millions of GP health records. |
Exploitation Route | We are currently working with public health specialists and clinicians linked to the MUM-PREDICT project to understand how our risk prediction tools can be deployed for real world use to support pregnancy in the community. We have filed a patent with Singula Bio for PicoCNV. This software is currently incorporated into Singula Bio's research and development for cancer immunotherapies. |
Sectors | Healthcare |
URL | https://mumpredict.org/a-winning-end-to-2022/ |
Description | We have contributed to the development of the Physiological Society report From 'Black Box' to Trusted Healthcare Tools which looks at physiology's role in unlocking the potential of artificial intelligence for health. The report launched in the Houses of Lords on 27 June 2023. My work on Ovarian Cancer was a highlighted case example. https://www.physoc.org/policy/public-health-and-ageing/aiphysiology/ https://www.physoc.org/magazine-articles/editorial-28/ |
First Year Of Impact | 2023 |
Sector | Healthcare,Pharmaceuticals and Medical Biotechnology |
Impact Types | Policy & public services |
Description | Clinical prediction foundation models for individuals with multiple long-term conditions |
Amount | £615,516 (GBP) |
Funding ID | EP/Y018192/1 |
Organisation | Engineering and Physical Sciences Research Council (EPSRC) |
Sector | Public |
Country | United Kingdom |
Start | 09/2023 |
End | 04/2025 |
Description | MHRA TIGER |
Organisation | Medicines and Healthcare Regulatory Agency |
Country | United Kingdom |
Sector | Public |
PI Contribution | We are providing expert advice and developing guidance to the MHRA for the development of Software and AI as a Medical Device. |
Collaborator Contribution | MHRA are leading this Software and AI as a Medical Device Change Programme as the regulator for this area. |
Impact | Outputs will appear in late 2023. |
Start Year | 2022 |
Description | Roche |
Organisation | F. Hoffmann-La Roche AG |
Department | Roche Diagnostics |
Country | Global |
Sector | Private |
PI Contribution | We have co-developed with Roche two training events (based on a hackathon format) for doctoral students in spatial biology and protein modelling informatics. The first was held in July 2023 and the second will be in April 2024. |
Collaborator Contribution | Roche have co-funded the events and provided expert knowledge in the design and setup of the workshops. They are also offering internships to selected participants at the training events. |
Impact | N/A |
Start Year | 2023 |
Title | DeSurv |
Description | Derivative-Based Neural Modelling of Cumulative Distribution Functions for Survival Analysis |
Type Of Technology | Software |
Year Produced | 2022 |
Open Source License? | Yes |
Impact | Research led to successful follow-up grant applications. |
URL | https://github.com/djdanks/DeSurv |
Title | Rarity |
Description | This repository provides an implementation of Rarity, a hybrid clustering framework with the goal to identify potentially novel rare clusters of cells from single cell image mass cytometry data. |
Type Of Technology | Software |
Year Produced | 2023 |
Open Source License? | Yes |
Impact | None yet as only recently released. |
URL | https://github.com/kasparmartens/rarity |
Description | 2nd Annual World Ovarian Cancer Coalition Global Partner Meeting |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Patients, carers and/or patient groups |
Results and Impact | As part of the World Ovarian Cancer Coalition Partner meeting, I contributed to an online discussion session on "Cancer Research: Innovation and Technology" with Mike Ambrogi, Kathrin Felkendt. The purpose was to introduce the audience to the every day work that scientists and researchers do to change the future of ovarian cancer. At this session we chat with experts on their out-of-the-box work in cancer research, their innovations, and the potential for technology. First aired at 2nd Annual World Ovarian Cancer Coalition Global Partner Meeting, November 30, 2022. |
Year(s) Of Engagement Activity | 2022 |
URL | https://www.youtube.com/watch?v=sI4oXIm3ZKs&ab_channel=WorldOvarianCancerCoalition |