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Researchers seek to revolutionize rectal cancer treatment with AI
Case Western Reserve UniversitySep 19 2024 With a new four-year, $1.14 million grant from the U.S. Department of Veterans Affairs, researchers at Case Western Reserve University and the Louis Stokes Cleveland VA Medical Center, will use artificial intelligence (AI) to determine the best personalized treatment for Veterans with rectal cancer. Colorectal cancers are the third-most common type of cancer in military personnel, affecting up to 8% of Veterans and 5% of active-duty Service members, according to the American Cancer Society (ACS). More than 152,000 patients in the United States will be diagnosed with colorectal cancer in 2024, with more than 46,000 localized to the rectum, according to the ACS. Satish Viswanath, co-director of the Center for AI Enabling Discovery in Disease Biology (AID2B) at Case Western Reserve and a biomedical engineer and research scientist at the Cleveland VA Medical Center, along with VA co-investigators, plan to use AI to develop an algorithm that analyzes magnetic resonance imaging (MRI) scans to better understand how rectal tumors respond to treatment. The AI tool, called the computational image Rectal Response Classifier (ciRRC), will assess MRI data in more detail than human evaluation alone. The hope is the tool, once fully developed and tested, will allow doctors to offer Veterans timely customized precision oncology treatment. Rectal cancer patients undergo a one-size-fits-all treatment protocol that almost always requires surgery, but surgery comes with inherent risks and complications, including patients having a worse quality of life. We urgently need better markers to assess the risk of metastasis and invasion so patients can be recommended additional therapy to maximize their chance of survival." Eric Marderstein, co-investigator and section chief of general and colorectal surgery at the Cleveland VA Medical Center With the advent of newer combinations of treatments, like chemotherapy and radiation therapy, doctors could use ciRRC to determine whether a patient may be resistant to a specific treatment regimen. They could then offer different options to help patients avoid complications and decide the level of treatment. The study also includes a unique multi-institutional validation of ciRRC across Midwest VA Medical Centers to expand its potential impact. "Time is of the essence, especially for Veterans who tend to be older than other rectal cancer patients," Viswanath said. "Our project addresses this critical need to improve outcomes and quality of life for Veterans." Case Western Reserve University
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Researchers Awarded $1.14m to Use Artificial Intel | Newswise
Newswise -- CLEVELAND -- With a new four-year, $1.14 million grant from the U.S. Department of Veterans Affairs, researchers at Case Western Reserve University and the Louis Stokes Cleveland VA Medical Center, will use artificial intelligence (AI) to determine the best personalized treatment for Veterans with rectal cancer. Colorectal cancers are the third-most common type of cancer in military personnel, affecting up to 8% of Veterans and 5% of active-duty Service members, according to the American Cancer Society (ACS). More than 152,000 patients in the United States will be diagnosed with colorectal cancer in 2024, with more than 46,000 localized to the rectum, according to the ACS. Satish Viswanath, co-director of the Center for AI Enabling Discovery in Disease Biology (AID2B) at Case Western Reserve and a biomedical engineer and research scientist at the Cleveland VA Medical Center, along with VA co-investigators, plan to use AI to develop an algorithm that analyzes magnetic resonance imaging (MRI) scans to better understand how rectal tumors respond to treatment. The AI tool, called the computational image Rectal Response Classifier (ciRRC), will assess MRI data in more detail than human evaluation alone. The hope is the tool, once fully developed and tested, will allow doctors to offer Veterans timely customized precision oncology treatment. "Rectal cancer patients undergo a one-size-fits-all treatment protocol that almost always requires surgery, but surgery comes with inherent risks and complications, including patients having a worse quality of life," said Eric Marderstein, co-investigator and section chief of general and colorectal surgery at the Cleveland VA Medical Center. "We urgently need better markers to assess the risk of metastasis and invasion so patients can be recommended additional therapy to maximize their chance of survival." With the advent of newer combinations of treatments, like chemotherapy and radiation therapy, doctors could use ciRRC to determine whether a patient may be resistant to a specific treatment regimen. They could then offer different options to help patients avoid complications and decide the level of treatment. The study also includes a unique multi-institutional validation of ciRRC across Midwest VA Medical Centers to expand its potential impact. "Time is of the essence, especially for Veterans who tend to be older than other rectal cancer patients," Viswanath said. "Our project addresses this critical need to improve outcomes and quality of life for Veterans." ### Case Western Reserve University is one of the country's leading private research institutions. Located in Cleveland, we offer a unique combination of forward-thinking educational opportunities in an inspiring cultural setting. Our leading-edge faculty engage in teaching and research in a collaborative, hands-on environment. Our nationally recognized programs include arts and sciences, dental medicine, engineering, law, management, medicine, nursing and social work. About 6,000 undergraduate and 6,300 graduate students comprise our student body. Visit case.edu to see how Case Western Reserve thinks beyond the possible.
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Researchers receive a $1.14 million grant to develop an AI-driven approach for personalized rectal cancer treatment. The project aims to improve patient outcomes and reduce unnecessary treatments.

A team of researchers has been awarded a substantial $1.14 million grant to develop an innovative artificial intelligence (AI) system aimed at revolutionizing rectal cancer treatment strategies. This cutting-edge project, led by Dr. Taman Upadhaya from Case Western Reserve University, seeks to harness the power of AI to determine the most effective treatment approach for individual rectal cancer patients
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.Rectal cancer treatment currently involves a combination of chemotherapy, radiation therapy, and surgery. However, the effectiveness of these treatments can vary significantly among patients. In some cases, patients may achieve a complete response to initial treatments, potentially avoiding the need for invasive surgery. The challenge lies in accurately identifying these patients and tailoring treatment plans accordingly
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.The research team aims to develop an AI system that can analyze medical imaging data, including MRI and PET scans, to predict treatment outcomes more accurately. By leveraging machine learning algorithms, the system will identify subtle patterns and biomarkers that may indicate a patient's likelihood of responding well to specific treatments
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.If successful, this AI-powered approach could significantly improve patient outcomes by:
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The project brings together a multidisciplinary team of experts from various institutions, including Case Western Reserve University, University Hospitals, and Cleveland Clinic. This collaboration aims to leverage diverse expertise in oncology, radiology, and AI to develop a robust and clinically applicable solution
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.While the current focus is on rectal cancer, the researchers believe that the principles and methodologies developed in this study could potentially be applied to other types of cancer in the future. This project represents a significant step towards the broader goal of using AI to enhance personalized medicine and improve overall cancer care
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