Turing AI Fellowship: clinAIcan - developing clinical applications of artificial intelligence for cancer
Lead Research Organisation:
University of Manchester
Department Name: School of Health Sciences
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.
Organisations
- University of Manchester (Lead Research Organisation)
- F. Hoffmann-La Roche AG (Collaboration)
- Medicines and Healthcare Regulatory Agency (Collaboration)
- University of Birmingham (Project Partner)
- AstraZeneca (Project Partner)
- Hummingbird Diagnostics GmbH (Project Partner)
- Karolinska Institute (Project Partner)
- University of Oxford (Project Partner)
- Ovarian Cancer Action (Project Partner)
- F. Hoffmann-La Roche (International) (Project Partner)
- The Francis Crick Institute (Project Partner)
- UC Davis School of Medicine (Project Partner)
Publications
Danks D.
(2022)
Derivative-Based Neural Modelling of Cumulative Distribution Functions for Survival Analysis
in Proceedings of Machine Learning Research
Danks D.
(2021)
BasisDeVAE: Interpretable Simultaneous Dimensionality Reduction and Feature-Level Clustering with Derivative-Based Variational Autoencoders
in Proceedings of Machine Learning Research
Falck F
(2021)
Multi-Facet Clustering Variational Autoencoders
Falck F.
(2022)
A Multi-Resolution Framework for U-Nets with Applications to Hierarchical VAEs
in Advances in Neural Information Processing Systems
Falck F.
(2021)
Multi-Facet Clustering Variational Autoencoders
in Advances in Neural Information Processing Systems
Related Projects
| Project Reference | Relationship | Related To | Start | End | Award Value |
|---|---|---|---|---|---|
| EP/V023233/1 | 01/01/2021 | 28/02/2022 | £1,211,857 | ||
| EP/V023233/2 | Transfer | EP/V023233/1 | 01/03/2022 | 29/03/2026 | £1,018,122 |
| Description | Work arising from this fellowship has enabled me to contribute to the development of new national guidance on cancer immunotherapy design through the MHRA. This is currently undergoing draft public consultation (https://www.gov.uk/government/consultations/draft-guidance-on-individualised-mrna-cancer-immunotherapies). |
| First Year Of Impact | 2025 |
| Sector | Healthcare,Pharmaceuticals and Medical Biotechnology |
| Impact Types | Cultural 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 | Multimorbidity and Pregnancy: Determinants, Clusters, Consequences and Trajectories (MuM-PreDiCT) |
| Amount | £2,948,688 (GBP) |
| Funding ID | MR/W014432/1 |
| Organisation | Medical Research Council (MRC) |
| Sector | Public |
| Country | United Kingdom |
| Start | 08/2021 |
| End | 08/2024 |
| Description | OPTIMising therapies, disease trajectories, and AI assisted clinical management for patients Living with complex multimorbidity (OPTIMAL study) |
| Amount | £2,500,000 (GBP) |
| Funding ID | NIHR202632 |
| Organisation | National Institute for Health and Care Research |
| Sector | Public |
| Country | United Kingdom |
| Start | 07/2021 |
| End | 08/2024 |
| 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 |
| Title | zhiyhu/CIDER-paper: Genome Biology Release |
| Description | Full Changelog: https://github.com/zhiyhu/CIDER-paper/commits/GBIO |
| Type Of Technology | Software |
| Year Produced | 2021 |
| Open Source License? | Yes |
| Impact | n/a |
| URL | https://zenodo.org/record/5715956 |
| Description | Ovarian Cancer Action Patient Workshop Series |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Patients, carers and/or patient groups |
| Results and Impact | A patient workshop series on "artificial intelligence and cancer" were developed with the charity "Ovarian Cancer Action". We identified 12 patients who participated in all three workshops and a further 40 attended a webinar. The purpose of the workshops was to enable patient input into the proposed fellowship plans. Patients were given an overview of key research objectives and research themes and asked for their feedback and response. A report is being written on the outcomes. The workshop has led to readjustments in the research plan to prioritise areas that patients felt were more important. |
| Year(s) Of Engagement Activity | 2021 |
| URL | https://www.youtube.com/watch?v=kQ8m4L15GYM&ab_channel=OvarianCancerActionUK |
