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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.

Publications

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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

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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. 
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Title zhiyhu/CIDER-paper: Genome Biology Release 
Description Full Changelog: https://github.com/zhiyhu/CIDER-paper/commits/GBIO 
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Open Source License? Yes  
Impact n/a 
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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