Evidence map›Paper›PMID 32140566›Full record

ArticleNPJ digital medicine2020

Impact of a deep learning assistant on the histopathologic classification of liver cancer.

Amirhossein Kiani, Bora Uyumazturk, Pranav Rajpurkar, Alex Wang, Rebecca Gao, Erik Jones, Yifan Yu, Curtis P Langlotz, Robyn L Ball, Thomas J Montine and 11 more

Open access · goldAbstract read
In one paragraph

Article in NPJ digital medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 135 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 5 pooled it
22.8field-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

135 citing papers in PubMed, 5 syntheses or guidelines pooled it, 295 citations in OpenAlex.

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75 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

21 authors at 3 institutions in 2 countries.

Amirhossein Kiani *1Department of Computer Science, Stanford University, Stanford, CA USA.ORCID 0000-0003-4471-477X
Bora Uyumazturk *1Department of Computer Science, Stanford University, Stanford, CA USA.
Pranav Rajpurkar *1Department of Computer Science, Stanford University, Stanford, CA USA.
Alex Wang1Department of Computer Science, Stanford University, Stanford, CA USA.
Rebecca Gao2Stanford University School of Medicine, Stanford, CA USA.
Erik Jones1Department of Computer Science, Stanford University, Stanford, CA USA.
Yifan Yu1Department of Computer Science, Stanford University, Stanford, CA USA.
Curtis P Langlotz3Center for Artificial Intelligence in Medicine & Imaging, Stanford University, Stanford, CA USA.ORCID 0000-0002-8972-8051
Robyn L Ball3Center for Artificial Intelligence in Medicine & Imaging, Stanford University, Stanford, CA USA.ORCID 0000-0002-7335-3339
Thomas J Montine3Center for Artificial Intelligence in Medicine & Imaging, Stanford University, Stanford, CA USA.
Brock A Martin5Department of Pathology, Stanford University, Stanford, CA USA.ORCID 0000-0001-8539-9556
Gerald J Berry5Department of Pathology, Stanford University, Stanford, CA USA.
Michael G Ozawa5Department of Pathology, Stanford University, Stanford, CA USA.
Florette K Hazard5Department of Pathology, Stanford University, Stanford, CA USA.
Ryanne A Brown5Department of Pathology, Stanford University, Stanford, CA USA.
Simon B Chen5Department of Pathology, Stanford University, Stanford, CA USA.ORCID 0000-0003-0409-5978
Mona Wood5Department of Pathology, Stanford University, Stanford, CA USA.
Libby S Allard5Department of Pathology, Stanford University, Stanford, CA USA.
Lourdes Ylagan5Department of Pathology, Stanford University, Stanford, CA USA.
Andrew Y Ng1Department of Computer Science, Stanford University, Stanford, CA USA.
Jeanne Shen3Center for Artificial Intelligence in Medicine & Imaging, Stanford University, Stanford, CA USA.ORCID 0000-0002-1519-0308
Stanford University · USIntel (United States) · USArtificial Intelligence in Medicine (Canada) · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Artificial intelligence (AI) algorithms continue to rival human performance on a variety of clinical tasks, while their actual impact on human diagnosticians, when incorporated into clinical workflows, remains relatively unexplored. In this study, we developed a deep learning-based assistant to help pathologists differentiate between two subtypes of primary liver cancer, hepatocellular carcinoma and cholangiocarcinoma, on hematoxylin and eosin-stained whole-slide images (WSI), and evaluated its effect on the diagnostic performance of 11 pathologists with varying levels of expertise. Our model achieved accuracies of 0.885 on a validation set of 26 WSI, and 0.842 on an independent test set of 80 WSI. Although use of the assistant did not change the mean accuracy of the 11 pathologists (

Indexed as

Liver cancerMachine learningPathology

Identifiers

PMID32140566
PMCPMC7044422
OpenAlexW3007464329

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.