Evidence map›Paper›PMID 32251997›Full record

ArticleEBioMedicine2020

Precise pulmonary scanning and reducing medical radiation exposure by developing a clinically applicable intelligent CT system: Toward improving patient care.

Yang Wang, Xiaofan Lu, Yingwei Zhang, Xin Zhang, Kun Wang, Jiani Liu, Xin Li, Renfang Hu, Xiaolin Meng, Shidan Dou and 9 more

Erratum issuedAbstract read
In one paragraph

Article in EBioMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Yang WangDepartment of Radiology, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, PR China.
Xiaofan LuState Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, PR China; Research Center of Biostatistics and Computational Pharmacy, China Pharmaceutical University, Nanjing 210009, PR China.
Yingwei ZhangDepartment of Respiratory, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, PR China.
Xin ZhangDepartment of Radiology, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, PR China.
Kun WangDepartment of Radiology, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, PR China.
Jiani LiuDepartment of Radiology, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, PR China.
Xin LiDepartment of Radiology, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, PR China.
Renfang HuDepartment of Research Center of CT BU, Shanghai United Imaging Healthcare Co., Ltd., 2258 Chengbei Rd., Jiading District, Shanghai 201800, PR China.
Xiaolin MengDepartment of Research Center of CT BU, Shanghai United Imaging Healthcare Co., Ltd., 2258 Chengbei Rd., Jiading District, Shanghai 201800, PR China.
Shidan DouDepartment of Research Center of CT BU, Shanghai United Imaging Healthcare Co., Ltd., 2258 Chengbei Rd., Jiading District, Shanghai 201800, PR China.
Huayin HaoDepartment of Research Center of CT BU, Shanghai United Imaging Healthcare Co., Ltd., 2258 Chengbei Rd., Jiading District, Shanghai 201800, PR China.
Xiaofen ZhaoDepartment of Research Center of CT BU, Shanghai United Imaging Healthcare Co., Ltd., 2258 Chengbei Rd., Jiading District, Shanghai 201800, PR China.
Wei HuDepartment of Research Center of CT BU, Shanghai United Imaging Healthcare Co., Ltd., 2258 Chengbei Rd., Jiading District, Shanghai 201800, PR China.
Cheng LiDepartment of Research Center of CT BU, Shanghai United Imaging Healthcare Co., Ltd., 2258 Chengbei Rd., Jiading District, Shanghai 201800, PR China.
Yaozong GaoDepartment of Research Center of CT BU, Shanghai United Imaging Healthcare Co., Ltd., 2258 Chengbei Rd., Jiading District, Shanghai 201800, PR China.
Zhishun WangDepartment of Psychiatry and Translational Imaging, Vagelos College of Physicians and Surgeons, Columbia University, New York 10032, United States.
Guangming LuDepartment of Medical Imaging, Jinling Hospital, School of Medicine, Nanjing University, Nanjing 210002, PR China.
Fangrong YanState Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, PR China; Research Center of Biostatistics and Computational Pharmacy, China Pharmaceutical University, Nanjing 210009, PR China. Electronic address: f.r.yan@163.com.
Bing ZhangDepartment of Radiology, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, PR China. Electronic address: zhangbing_nanjing@nju.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterstitial lung disease requires frequent re-examination, which directly causes excessive cumulative radiation exposure. To date, AI has not been applied to CT for enhancing clinical care; thus, we hypothesize AI may empower CT with intelligence to realize automatic and accurate pulmonary scanning, thus dramatically decrease medical radiation exposure without compromising patient care.

methodsFacial boundary detection was realized by recognizing adjacent jaw position through training and testing a region proposal network (RPN) on 76,882 human faces using a preinstalled 2-dimensional camera; the lung-fields was then segmented by V-Net on another training set with 314 subjects and calculated the moving distance of the scanning couch based on a pre-generated calibration table. A multi-cohort study, including 1,186 patients was used for validation and radiation dose quantification under three clinical scenarios.

findingsA U-HAPPY (United imaging Human Automatic Planbox for PulmonarY) scanning CT was designed. Error distance of RPN was 4·46±0·02 pixels with a success rate of 98·7% in training set and 2·23±0·10 pixels with 100% success rate in testing set. Average Dice's coefficient was 0·99 in training set and 0·96 in testing set. A calibration table with 1,344,000 matches was generated to support the linkage between camera and scanner. This real-time automation makes an accurate plan-box to cover exact location and area needed to scan, thus reducing amounts of radiation exposures significantly (all, P<0·001).

interpretationU-HAPPY CT designed for pulmonary imaging acquisition standardization is promising for reducing patient risk and optimizing public health expenditures.

fundingThe National Natural Science Foundation of China.

Indexed as

Machine LearningFemaleHumansImage Processing, Computer-AssistedLung Diseases, InterstitialMaleMiddle AgedPatient-Specific ModelingRadiation ExposureTomography, X-Ray ComputedArtificial intelligenceAutomatic pulmonary scanningComputed tomographyInterstitial lung diseaseRadiation exposure

Identifiers

PMID32251997
PMCPMC7132170

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.