The Role of Deep Learning in Cancer Detection: A Systematic Review of Architectures, Datasets, and Clinical Applicability
DOI:
https://doi.org/10.52436/1.jutif.2025.6.5.4748Keywords:
Cancer detection, Clinical applicability, Convolutional neural networks (CNNs), Deep learning, Medical imaging, Systematic reviewAbstract
Early cancer detection continues to be a significant challenge in clinical practice due to limitation of conventional diagnostic technique that often takes time and error prone. This systematic review evaluates the efficacy of deep learning (DL) architecture and datasets to improve cancer detection and diagnosis. We performed a structural analysis on 40 high-impact research paper published in Q1 journals between 2014 and 2025, considering DL model performance, datasets, and clinical relevance. Results indicate that fundamental architectures such as convolutional neural networks (CNNs) and recurrent neural networks (RNNs) consistently report high diagnostic accuracy (>90%) on radiology- and histopathology-based imaging datasets. Conversely, DL performance on non-imaging clinical data, including electronic medical records (EMDs), is more varied. Evaluation metrics such as AUC and DICE shows the trade-off between classification precision and segmentation accuracy. Despite their potential, DL models have significant limitations in terms of generalization, interpretability, and integration within real-world clinical workflows. This review highlights the need for standardized evaluation, implementation of ethical models, and multi-modal data fusion to facilitate wider and more equitable clinical uptake of DL in cancer diagnostics.
Downloads
References
F. Bray, M. Laversanne, and I. Weiderpass Elisabete and Soerjomataram, “The ever-increasing importance of cancer as a leading cause of premature death worldwide,” Cancer, vol. 127, no. 16, pp. 3029–3030, Aug. 2021.
J. Ferlay et al., “Cancer statistics for the year 2020: An overview,” Int J Cancer, vol. 149, no. 4, pp. 778–789, 2021.
F. Bray, M. Laversanne, E. Weiderpass, and I. Soerjomataram, “The ever‐increasing importance of cancer as a leading cause of premature death worldwide,” Cancer, vol. 127, no. 16, pp. 3029–3030, 2021.
M. Arif et al., “Clinically significant prostate cancer detection and segmentation in low-risk patients using a convolutional neural network on multi-parametric MRI,” Eur Radiol, vol. 30, no. 12, pp. 6582–6592, 2020.
Y. Bengio, I. Goodfellow, and A. Courville, Deep learning, vol. 1. MIT press Cambridge, MA, USA, 2017.
Y. Lecun, Y. Bengio, and G. Hinton, “Deep learning,” May 27, 2015, Nature Publishing Group. doi: 10.1038/nature14539.
S. Kumbhare, A. B. Kathole, and S. Shinde, “Federated learning aided breast cancer detection with intelligent Heuristic-based deep learning framework,” Biomed Signal Process Control, vol. 86, p. 105080, 2023.
C. B. Gonçalves, J. R. Souza, and H. Fernandes, “CNN architecture optimization using bio-inspired algorithms for breast cancer detection in infrared images,” Comput Biol Med, vol. 142, p. 105205, 2022.
R. Ali, A. Manikandan, R. Lei, and J. Xu, “A novel SpaSA based hyper-parameter optimized FCEDN with adaptive CNN classification for skin cancer detection,” Sci Rep, vol. 14, no. 1, p. 9336, 2024.
M. Masud, N. Sikder, A.-A. Nahid, A. K. Bairagi, and M. A. AlZain, “A machine learning approach to diagnosing lung and colon cancer using a deep learning-based classification framework,” Sensors, vol. 21, no. 3, p. 748, 2021.
T. Mahmood, J. Li, Y. Pei, F. Akhtar, M. U. Rehman, and S. H. Wasti, “Breast lesions classifications of mammographic images using a deep convolutional neural network-based approach,” PLoS One, vol. 17, no. 1, p. e0263126, 2022.
J. Li et al., “A multi-resolution model for histopathology image classification and localization with multiple instance learning,” Comput Biol Med, vol. 131, p. 104253, 2021.
L. Zhang, J. Zhang, W. Gao, F. Bai, N. Li, and N. Ghadimi, “A deep learning outline aimed at prompt skin cancer detection utilizing gated recurrent unit networks and improved orca predation algorithm,” Biomed Signal Process Control, vol. 90, p. 105858, 2024.
N. Chouhan, A. Khan, J. Z. Shah, M. Hussnain, and M. W. Khan, “Deep convolutional neural network and emotional learning based breast cancer detection using digital mammography,” Comput Biol Med, vol. 132, p. 104318, 2021.
R. M. Munshi, L. Cascone, N. Alturki, O. Saidani, A. Alshardan, and M. Umer, “A novel approach for breast cancer detection using optimized ensemble learning framework and XAI,” Image Vis Comput, vol. 142, p. 104910, 2024.
R. S. Raaj, “Breast cancer detection and diagnosis using hybrid deep learning architecture,” Biomed Signal Process Control, vol. 82, p. 104558, 2023.
E. A. Mohamed, E. A. Rashed, T. Gaber, and O. Karam, “Deep learning model for fully automated breast cancer detection system from thermograms,” PLoS One, vol. 17, no. 1, p. e0262349, 2022.
S. Montaha et al., “BreastNet18: a high accuracy fine-tuned VGG16 model evaluated using ablation study for diagnosing breast cancer from enhanced mammography images,” Biology (Basel), vol. 10, no. 12, p. 1347, 2021.
G. C. Forte et al., “Deep learning algorithms for diagnosis of lung cancer: a systematic review and meta-analysis,” Cancers (Basel), vol. 14, no. 16, p. 3856, 2022.
K. M. Kuo, P. C. Talley, and C.-S. Chang, “The accuracy of artificial intelligence used for non-melanoma skin cancer diagnoses: a meta-analysis,” BMC Med Inform Decis Mak, vol. 23, no. 1, p. 138, 2023.
R. Cuocolo et al., “Machine learning for the identification of clinically significant prostate cancer on MRI: a meta-analysis,” Eur Radiol, vol. 30, no. 12, pp. 6877–6887, 2020.
E. Abbaspour et al., “Machine learning and deep learning models for preoperative detection of lymph node metastasis in colorectal cancer: a systematic review and meta-analysis,” Abdominal Radiology, pp. 1–15, 2024.
K.-L. Liu et al., “Deep learning to distinguish pancreatic cancer tissue from non-cancerous pancreatic tissue: a retrospective study with cross-racial external validation,” Lancet Digit Health, vol. 2, no. 6, pp. e303–e313, 2020.
J. Yoo et al., “Deep learning diffuse optical tomography,” IEEE Trans Med Imaging, vol. 39, no. 4, pp. 877–887, 2019.
P. L. Schrammen et al., “Weakly supervised annotation‐free cancer detection and prediction of genotype in routine histopathology,” J Pathol, vol. 256, no. 1, pp. 50–60, 2022.
K.-L. Liu et al., “Deep learning to distinguish pancreatic cancer tissue from non-cancerous pancreatic tissue: a retrospective study with cross-racial external validation,” Lancet Digit Health, vol. 2, no. 6, pp. e303–e313, 2020.
R. Ali, A. Manikandan, R. Lei, and J. Xu, “A novel SpaSA based hyper-parameter optimized FCEDN with adaptive CNN classification for skin cancer detection,” Sci Rep, vol. 14, no. 1, 2024, doi: 10.1038/s41598-024-57393-4.
H. Aljuaid, N. Alturki, N. Alsubaie, L. Cavallaro, and A. Liotta, “Computer-aided diagnosis for breast cancer classification using deep neural networks and transfer learning,” Comput Methods Programs Biomed, vol. 223, 2022, doi: 10.1016/j.cmpb.2022.106951.
S. Almotairi, G. Kareem, M. Aouf, B. Almutairi, and M. A.-M. Salem, “Liver tumor segmentation in CT scans using modified segnet,” Sensors (Switzerland), vol. 20, no. 5, 2020, doi: 10.3390/s20051516.
M. Arif et al., “Clinically significant prostate cancer detection and segmentation in low-risk patients using a convolutional neural network on multi-parametric MRI,” Eur Radiol, vol. 30, no. 12, pp. 6582–6592, 2020, doi: 10.1007/s00330-020-07008-z.
N. Chouhan, A. Khan, J. Z. Shah, M. Hussnain, and M. W. Khan, “Deep convolutional neural network and emotional learning based breast cancer detection using digital mammography,” Comput Biol Med, vol. 132, 2021, doi: 10.1016/j.compbiomed.2021.104318.
W. Cong, X. Intes, and G. Wang, “Optical tomographic imaging for breast cancer detection,” J Biomed Opt, vol. 22, no. 9, 2017, doi: 10.1117/1.JBO.22.9.096011.
L. J. Crasta, R. Neema, and A. R. Pais, “A novel Deep Learning architecture for lung cancer detection and diagnosis from Computed Tomography image analysis,” Healthcare Analytics, vol. 5, 2024, doi: 10.1016/j.health.2024.100316.
A. Cruz-Roa et al., “High-throughput adaptive sampling for whole-slide histopathology image analysis (HASHI) via convolutional neural networks: Application to invasive breast cancer detection,” PLoS One, vol. 13, no. 5, 2018, doi: 10.1371/journal.pone.0196828.
A. Dascalu and E. O. David, “Skin cancer detection by deep learning and sound analysis algorithms: A prospective clinical study of an elementary dermoscope,” EBioMedicine, vol. 43, pp. 107–113, 2019, doi: 10.1016/j.ebiom.2019.04.055.
C. B. Gonçalves, J. R. Souza, and H. Fernandes, “CNN architecture optimization using bio-inspired algorithms for breast cancer detection in infrared images,” Comput Biol Med, vol. 142, 2022, doi: 10.1016/j.compbiomed.2021.105205.
S. S. Han et al., “Keratinocytic Skin Cancer Detection on the Face Using Region-Based Convolutional Neural Network,” JAMA Dermatol, vol. 156, no. 1, pp. 29–37, 2020, doi: 10.1001/jamadermatol.2019.3807.
Q. Huang, H. Ding, and N. Razmjooy, “Oral cancer detection using convolutional neural network optimized by combined seagull optimization algorithm,” Biomed Signal Process Control, vol. 87, 2024, doi: 10.1016/j.bspc.2023.105546.
R. Kashyap, “Dilated residual grooming kernel model for breast cancer detection,” Pattern Recognit Lett, vol. 159, pp. 157–164, 2022, doi: 10.1016/j.patrec.2022.04.037.
P. Kumar Mallick, S. H. Ryu, S. K. Satapathy, S. Mishra, G. N. Nguyen, and P. Tiwari, “Brain MRI Image Classification for Cancer Detection Using Deep Wavelet Autoencoder-Based Deep Neural Network,” IEEE Access, vol. 7, pp. 46278–46287, 2019, doi: 10.1109/ACCESS.2019.2902252.
S. Kumbhare, A. B.Kathole, and S. Shinde, “Federated learning aided breast cancer detection with intelligent Heuristic-based deep learning framework,” Biomed Signal Process Control, vol. 86, 2023, doi: 10.1016/j.bspc.2023.105080.
J. Li et al., “A multi-resolution model for histopathology image classification and localization with multiple instance learning,” Comput Biol Med, vol. 131, 2021, doi: 10.1016/j.compbiomed.2021.104253.
S. Li, M. Dong, G. Du, and X. Mu, “Attention Dense-U-Net for Automatic Breast Mass Segmentation in Digital Mammogram,” IEEE Access, vol. 7, pp. 59037–59047, 2019, doi: 10.1109/ACCESS.2019.2914873.
K.-L. Liu et al., “Deep learning to distinguish pancreatic cancer tissue from non-cancerous pancreatic tissue: a retrospective study with cross-racial external validation,” Lancet Digit Health, vol. 2, no. 6, pp. e303–e313, 2020, doi: 10.1016/S2589-7500(20)30078-9.
T. Mahmood, J. Li, Y. Pei, F. Akhtar, M. Ur Rehman, and S. H. Wasti, “Breast lesions classifications of mammographic images using a deep convolutional neural network-based approach,” PLoS One, vol. 17, no. 1 January, 2022, doi: 10.1371/journal.pone.0263126.
S. J. Mambou, P. Maresova, O. Krejcar, A. Selamat, and K. Kuca, “Breast cancer detection using infrared thermal imaging and a deep learning model,” Sensors (Switzerland), vol. 18, no. 9, 2018, doi: 10.3390/s18092799.
A. Masood et al., “Computer-Assisted Decision Support System in Pulmonary Cancer detection and stage classification on CT images,” J Biomed Inform, vol. 79, pp. 117–128, 2018, doi: 10.1016/j.jbi.2018.01.005.
M. Masud, N. Sikder, A.-A. Nahid, A. K. Bairagi, and M. A. Alzain, “A machine learning approach to diagnosing lung and colon cancer using a deep learning‐based classification framework,” Sensors (Switzerland), vol. 21, no. 3, pp. 1–21, 2021, doi: 10.3390/s21030748.
S. Mehmood et al., “Malignancy Detection in Lung and Colon Histopathology Images Using Transfer Learning with Class Selective Image Processing,” IEEE Access, vol. 10, pp. 25657–25668, 2022, doi: 10.1109/ACCESS.2022.3150924.
R. Mohakud and R. Dash, “Designing a grey wolf optimization based hyper-parameter optimized convolutional neural network classifier for skin cancer detection,” Journal of King Saud University - Computer and Information Sciences, vol. 34, no. 8, pp. 6280–6291, 2022, doi: 10.1016/j.jksuci.2021.05.012.
E. A. Mohamed, E. A. Rashed, T. Gaber, and O. Karam, “Deep learning model for fully automated breast cancer detection system from thermograms,” PLoS One, vol. 17, no. 1 January 2022, 2022, doi: 10.1371/journal.pone.0262349.
S. Montaha et al., “BreastNet18: A High Accuracy Fine-Tuned VGG16 Model Evaluated Using Ablation Study for Diagnosing Breast Cancer from Enhanced Mammography Images,” Biology (Basel), vol. 10, no. 12, 2021, doi: 10.3390/biology10121347.
R. M. Munshi, L. Cascone, N. Alturki, O. Saidani, A. Alshardan, and M. Umer, “A novel approach for breast cancer detection using optimized ensemble learning framework and XAI,” Image Vis Comput, vol. 142, 2024, doi: 10.1016/j.imavis.2024.104910.
R. Sathesh Raaj, “Breast cancer detection and diagnosis using hybrid deep learning architecture,” Biomed Signal Process Control, vol. 82, 2023, doi: 10.1016/j.bspc.2022.104558.
P. L. Schrammen et al., “Weakly supervised annotation-free cancer detection and prediction of genotype in routine histopathology,” Journal of Pathology, vol. 256, no. 1, pp. 50–60, 2022, doi: 10.1002/path.5800.
S. Serte and H. Demirel, “Gabor wavelet-based deep learning for skin lesion classification,” Comput Biol Med, vol. 113, 2019, doi: 10.1016/j.compbiomed.2019.103423.
I. Shafi et al., “An Effective Method for Lung Cancer Diagnosis from CT Scan Using Deep Learning-Based Support Vector Network,” Cancers (Basel), vol. 14, no. 21, 2022, doi: 10.3390/cancers14215457.
P. M. Shakeel, M. A. Burhanuddin, and M. I. Desa, “Automatic lung cancer detection from CT image using improved deep neural network and ensemble classifier,” Neural Comput Appl, vol. 34, no. 12, pp. 9579–9592, 2022, doi: 10.1007/s00521-020-04842-6.
E. Shkolyar et al., “Augmented Bladder Tumor Detection Using Deep Learning,” Eur Urol, vol. 76, no. 6, pp. 714–718, 2019, doi: 10.1016/j.eururo.2019.08.032.
Z. Song et al., “Clinically applicable histopathological diagnosis system for gastric cancer detection using deep learning,” Nat Commun, vol. 11, no. 1, 2020, doi: 10.1038/s41467-020-18147-8.
M. Toğaçar, B. Ergen, and Z. Cömert, “Detection of lung cancer on chest CT images using minimum redundancy maximum relevance feature selection method with convolutional neural networks,” Biocybern Biomed Eng, vol. 40, no. 1, pp. 23–39, 2020, doi: 10.1016/j.bbe.2019.11.004.
Y. Yan, Y. Liu, Y. Wu, H. Zhang, Y. Zhang, and L. Meng, “Accurate segmentation of breast tumors using AE U-net with HDC model in ultrasound images,” Biomed Signal Process Control, vol. 72, 2022, doi: 10.1016/j.bspc.2021.103299.
J. Yoo et al., “Deep Learning Diffuse Optical Tomography,” IEEE Trans Med Imaging, vol. 39, no. 4, pp. 877–887, 2020, doi: 10.1109/TMI.2019.2936522.
S. Yoo, I. Gujrathi, M. A. Haider, and F. Khalvati, “Prostate Cancer Detection using Deep Convolutional Neural Networks,” Sci Rep, vol. 9, no. 1, p. 19518, 2019, doi: 10.1038/s41598-019-55972-4.
L. Zhang, J. Zhang, W. Gao, F. Bai, N. Li, and N. Ghadimi, “A deep learning outline aimed at prompt skin cancer detection utilizing gated recurrent unit networks and improved orca predation algorithm,” Biomed Signal Process Control, vol. 90, 2024, doi: 10.1016/j.bspc.2023.105858.
J. Zhou et al., “Weakly supervised 3D deep learning for breast cancer classification and localization of the lesions in MR images,” Journal of Magnetic Resonance Imaging, vol. 50, no. 4, pp. 1144–1151, 2019, doi: 10.1002/jmri.26721.
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Muhammad Farhan Abdurrahman, Yan Rianto, Nasir Hamzah, Muhammad Firmansyah, Nurul Adi Prawira, Thomas Fajar Nugraha

This work is licensed under a Creative Commons Attribution 4.0 International License.
 
						
 
  
 




 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 