Evidence map›Paper›PMID 26759159›Full record

ArticleBiomedical engineering online2016

Computer-aided detection (CADe) and diagnosis (CADx) system for lung cancer with likelihood of malignancy.

Macedo Firmino, Giovani Angelo, Higor Morais, Marcel R Dantas, Ricardo Valentim

Open access · goldAbstract read
In one paragraph

Article in Biomedical engineering online, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
19.2field-weighted citation impact, top 1% 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

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 243 citations in OpenAlex.

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  8. The Right to Explanation in AI: In a Lonely Place.Journal of medical Internet research · 2025
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8 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 1 country.

Macedo FirminoDepartment of Information and Computer Science, Federal Institute of Rio Grande do Norte (IFRN), Natal, Brazil. jose.macedo@ifrn.edu.br.
Giovani AngeloLaboratory of Technological Innovation in Healthcare, University Hospital Onofre Lopes (HUOL), Natal, Brazil. giovani.angelo@gmail.com.
Higor MoraisDepartment of Information and Computer Science, Federal Institute of Rio Grande do Norte (IFRN), Natal, Brazil. higor.morais@ifrn.edu.br.
Marcel R DantasLaboratory of Technological Innovation in Healthcare, University Hospital Onofre Lopes (HUOL), Natal, Brazil. ribeirodantasdm@gmail.com.
Ricardo ValentimLaboratory of Technological Innovation in Healthcare, University Hospital Onofre Lopes (HUOL), Natal, Brazil. ricardo.valentim@ufrnet.br.
Hospital Universitário Onofre Lopes · BRInstituto Federal do Rio Grande do Norte · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCADe and CADx systems for the detection and diagnosis of lung cancer have been important areas of research in recent decades. However, these areas are being worked on separately. CADe systems do not present the radiological characteristics of tumors, and CADx systems do not detect nodules and do not have good levels of automation. As a result, these systems are not yet widely used in clinical settings.

methodsThe purpose of this article is to develop a new system for detection and diagnosis of pulmonary nodules on CT images, grouping them into a single system for the identification and characterization of the nodules to improve the level of automation. The article also presents as contributions: the use of Watershed and Histogram of oriented Gradients (HOG) techniques for distinguishing the possible nodules from other structures and feature extraction for pulmonary nodules, respectively. For the diagnosis, it is based on the likelihood of malignancy allowing more aid in the decision making by the radiologists. A rule-based classifier and Support Vector Machine (SVM) have been used to eliminate false positives.

resultsThe database used in this research consisted of 420 cases obtained randomly from LIDC-IDRI. The segmentation method achieved an accuracy of 97 % and the detection system showed a sensitivity of 94.4 % with 7.04 false positives per case. Different types of nodules (isolated, juxtapleural, juxtavascular and ground-glass) with diameters between 3 mm and 30 mm have been detected. For the diagnosis of malignancy our system presented ROC curves with areas of: 0.91 for nodules highly unlikely of being malignant, 0.80 for nodules moderately unlikely of being malignant, 0.72 for nodules with indeterminate malignancy, 0.67 for nodules moderately suspicious of being malignant and 0.83 for nodules highly suspicious of being malignant.

conclusionsFrom our preliminary results, we believe that our system is promising for clinical applications assisting radiologists in the detection and diagnosis of lung cancer.

Indexed as

Diagnosis, Computer-AssistedFalse Positive ReactionsHumansImaging, Three-DimensionalLikelihood FunctionsLungLung NeoplasmsSupport Vector MachineTomography, X-Ray Computed

Identifiers

PMID26759159
PMCPMC5002110
OpenAlexW2234650031

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.