Evidence map›Paper›PMID 25025042›Full record

ArticleBioMed research international2014

Diagnosis system for hepatocellular carcinoma based on fractal dimension of morphometric elements integrated in an artificial neural network.

Dan Ionuț Gheonea, Costin Teodor Streba, Cristin Constantin Vere, Mircea Şerbănescu, Daniel Pirici, Maria Comănescu, Letiția Adela Maria Streba, Marius Eugen Ciurea, Stelian Mogoantă, Ion Rogoveanu

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Harnessing the Power of AI for Enhanced Diagnosis and Treatment of Hepatocellular Carcinoma.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024
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  9. Automated Gleason grading of prostate cancer using transfer learning from general-purpose deep-learning networks.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Dan Ionuț GheoneaResearch Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Petru Rares Street, No. 2, 200349 Craiova, Romania.
Costin Teodor StrebaResearch Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Petru Rares Street, No. 2, 200349 Craiova, Romania.
Cristin Constantin VereResearch Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Petru Rares Street, No. 2, 200349 Craiova, Romania.
Mircea ŞerbănescuDepartment of Medical Informatics, University of Medicine and Pharmacy of Craiova, Petru Rares Street, No. 2, 200349 Craiova, Romania.
Daniel PiriciDepartment of Histology, University of Medicine and Pharmacy of Craiova, Petru Rares Street, No. 2, 200349 Craiova, Romania.
Maria ComănescuDepartment of Pathology, University of Medicine and Pharmacy "Carol Davilla," Bucharest, Bulevardul Eroii Sanitari 8, 050474 București, Romania.
Letiția Adela Maria Streba2nd Medical Department, University of Medicine and Pharmacy of Craiova, Petru Rares Street, No. 2, 200349 Craiova, Romania.
Marius Eugen CiureaDepartment of Surgery, University of Medicine and Pharmacy of Craiova, Petru Rares Street, No. 2, 200349 Craiova, Romania.
Stelian MogoantăDepartment of Surgery, University of Medicine and Pharmacy of Craiova, Petru Rares Street, No. 2, 200349 Craiova, Romania.
Ion RogoveanuResearch Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Petru Rares Street, No. 2, 200349 Craiova, Romania.
University of Medicine and Pharmacy of Craiova · ROCarol Davila University of Medicine and Pharmacy · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsHepatocellular carcinoma (HCC) remains a leading cause of death by cancer worldwide. Computerized diagnosis systems relying on novel imaging markers gained significant importance in recent years. Our aim was to integrate a novel morphometric measurement--the fractal dimension (FD)--into an artificial neural network (ANN) designed to diagnose HCC. MATERIAL AND

methodsThe study included 21 HCC and 28 liver metastases (LM) patients scheduled for surgery. We performed hematoxylin staining for cell nuclei and CD31/34 immunostaining for vascular elements. We captured digital images and used an in-house application to segment elements of interest; FDs were calculated and fed to an ANN which classified them as malignant or benign, further identifying HCC and LM cases.

resultsUser intervention corrected segmentation errors and fractal dimensions were calculated. ANNs correctly classified 947/1050 HCC images (90.2%), 1021/1050 normal tissue images (97.23%), 1215/1400 LM (86.78%), and 1372/1400 normal tissues (98%). We obtained excellent interobserver agreement between human operators and the system.

conclusionWe successfully implemented FD as a morphometric marker in a decision system, an ensemble of ANNs designed to differentiate histological images of normal parenchyma from malignancy and classify HCCs and LMs.

Indexed as

FractalsNeural Networks, ComputerAgedCarcinoma, HepatocellularFemaleHumansLiver NeoplasmsMaleMiddle AgedNeoplasm Metastasis

Identifiers

PMID25025042
PMCPMC4084678
OpenAlexW2011705378

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.