Radiomics and Deep Learning Prediction of Immunotherapy-Induced Pneumonitis From Computed Tomography

JCO Clinical Cancer Informatics, 2025

Plain-language summary

Immune checkpoint inhibitors can trigger pneumonitis, a potentially life-threatening lung inflammation that may force patients to stop treatment, so predicting who is at risk could make therapy safer. Using pre-treatment chest CT scans from cancer patients at Vanderbilt University Medical Center, the researchers built three image-based models and found that a deep learning model reading the raw scans (AUC 0.819) outperformed a traditional radiomics-only approach (AUC 0.747), while combining the two added little. The work suggests that analyzing pre-treatment scans with deep learning could help flag at-risk patients, supporting safer immunotherapy use and better stratification in drug trials.

Read the full paper (DOI: 10.1200/CCI-24-00198).

This is a plain-language summary written for discoverability; the authoritative version is the published paper. Part of Travis Osterman's peer-reviewed publications.