Evidence map›Paper›PMID 31074592›Full record

ArticleCancer medicine2019

Toward automatic prediction of EGFR mutation status in pulmonary adenocarcinoma with 3D deep learning.

Wei Zhao, Jiancheng Yang, Bingbing Ni, Dexi Bi, Yingli Sun, Mengdi Xu, Xiaoxia Zhu, Cheng Li, Liang Jin, Pan Gao and 3 more

Abstract read
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

63 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Trial
  5. Article
  6. Abdominal radiology (New York) · 2026
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  19. Prediction of epidermal growth factor receptor (Quantitative imaging in medicine and surgery · 2024
    Article
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3 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

13 authors.

Wei ZhaoDepartment of Radiology, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Jiancheng YangDepartment of Electronic Engineering, Shanghai Jiao Tong University, Shanghai, China.
Bingbing NiDepartment of Electronic Engineering, Shanghai Jiao Tong University, Shanghai, China.
Dexi BiDepartment of Pathology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Yingli SunDepartment of Radiology, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Mengdi XuDiannei Technology, Shanghai, China.
Xiaoxia ZhuDepartment of Radiology, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Cheng LiDepartment of Radiology, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Liang JinDepartment of Radiology, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Pan GaoDepartment of Radiology, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Peijun WangDepartment of Radiology, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China.
Yanqing HuaDepartment of Radiology, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Ming LiDepartment of Radiology, Huadong Hospital Affiliated to Fudan University, Shanghai, China.ORCID 0000-0002-9242-7735

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To develop a deep learning system based on 3D convolutional neural networks (CNNs), and to automatically predict EGFR-mutant pulmonary adenocarcinoma in CT images. A dataset of 579 nodules with EGFR mutation status labels of mutant (Mut) or wild-type (WT) was retrospectively analyzed. A deep learning system, namely 3D DenseNets, was developed to process 3D patches of nodules from CT data, and learn strong representations with supervised end-to-end training. The 3D DenseNets were trained with a training subset of 348 nodules and tuned with a development subset of 116 nodules. A strong data augmentation technique, mixup, was used for better generalization. We evaluated our model on a holdout subset of 115 nodules. An independent public dataset of 37 nodules from the cancer imaging archive (TCIA) was also used to test the generalization of our method. Conventional radiomics analysis was also performed for comparison. Our method achieved promising performance on predicting EGFR mutation status, with AUCs of 75.8% and 75.0% for our holdout test set and public test set, respectively. Moreover, strong relations were found between deep learning feature and conventional radiomics, while deep learning worked through an enhanced radiomics manner, that is, deep learned radiomics (DLR), in terms of robustness, compactness and expressiveness. The proposed deep learning system predicts EGFR-mutant of lung adenocarcinomas in CT images noninvasively and automatically, indicating its potential to help clinical decision-making by identifying eligible patients of pulmonary adenocarcinoma for EGFR-targeted therapy.

Indexed as

Deep LearningMutationAdenocarcinoma of LungAlgorithmsComputational BiologyData CurationErbB ReceptorsFemaleHumansImage Processing, Computer-AssistedMaleNeoplasm StagingNeural Networks, ComputerReproducibility of ResultsROC CurveTomography, X-Ray ComputedEGFR protein, humanErbB Receptorsconvolutional neural networksdeep learningEGFRmixup training techniqueradiomics

Identifiers

PMID31074592
PMCPMC6601587

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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.