Evidence map›Paper›PMID 31324579›Full record

ArticleAcademic radiology2020

Fully Automated Postlumpectomy Breast Margin Assessment Utilizing Convolutional Neural Network Based Optical Coherence Tomography Image Classification Method.

Diana Mojahed, Richard S Ha, Peter Chang, Yu Gan, Xinwen Yao, Brigid Angelini, Hanina Hibshoosh, Bret Taback, Christine P Hendon

Open access · greenAbstract read
In one paragraph

Article in Academic radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Diana MojahedDepartment of Biomedical Engineering, Columbia University, New York, New York; Department of Electrical Engineering, Columbia University, New York, New York.
Richard S HaDepartment of Radiology, Columbia University Medical Center, 622 W 168th St, PB-1-301, New York, New York 10032. Electronic address: rh2616@columbia.edu.
Peter ChangDepartment of Radiological Sciences, University of California Irvine Medical Center, Orange, California.
Yu GanDepartment of Electrical Engineering, Columbia University, New York, New York.
Xinwen YaoDepartment of Electrical Engineering, Columbia University, New York, New York.
Brigid AngeliniDepartment of Electrical Engineering, Columbia University, New York, New York.
Hanina HibshooshDepartment of Pathology and Cell Biology, Columbia University Medical Center, New York, New York.
Bret TabackDepartment of Surgery, Columbia University Medical Center, New York, New York.
Christine P HendonDepartment of Electrical Engineering, Columbia University, New York, New York.
Columbia University · USColumbia University Irving Medical Center · USUniversity of California, Irvine Medical Center · US

Funding

High resolution imaging of the myocardiumDP2HL127776 · NHLBI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI HENDON, CHRISTINE P · 2014 to 2019
$2.9M
NHLBI NIH HHS DP2 HL127776
6 · The paper itself

Abstract

backgroundThe purpose of this study was to develop a deep learning classification approach to distinguish cancerous from noncancerous regions within optical coherence tomography (OCT) images of breast tissue for potential use in an intraoperative setting for margin assessment.

methodsA custom ultrahigh-resolution OCT (UHR-OCT) system with an axial resolution of 2.7 μm and a lateral resolution of 5.5 μm was used in this study. The algorithm used an A-scan-based classification scheme and the convolutional neural network (CNN) was implemented using an 11-layer architecture consisting of serial 3 × 3 convolution kernels. Four tissue types were classified, including adipose, stroma, ductal carcinoma in situ, and invasive ductal carcinoma.

resultsThe binary classification of cancer versus noncancer with the proposed CNN achieved 94% accuracy, 96% sensitivity, and 92% specificity. The mean five-fold validation F1 score was highest for invasive ductal carcinoma (mean standard deviation, 0.89 ± 0.09) and adipose (0.79 ± 0.17), followed by stroma (0.74 ± 0.18), and ductal carcinoma in situ (0.65 ± 0.15).

conclusionIt is feasible to use CNN based algorithm to accurately distinguish cancerous regions in OCT images. This fully automated method can overcome limitations of manual interpretation including interobserver variability and speed of interpretation and may enable real-time intraoperative margin assessment.

Indexed as

Neural Networks, ComputerAlgorithmsBreastBreast NeoplasmsFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMargins of ExcisionMastectomy, SegmentalPostoperative PeriodTomography, Optical CoherenceCNNLumpectomyOCT

Identifiers

PMID31324579
PMCPMC7456393
OpenAlexW2957430851

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.