Evidence map›Paper›PMID 32445770›Full record

ArticleUrology2020

Multi-instance Deep Learning of Ultrasound Imaging Data for Pattern Classification of Congenital Abnormalities of the Kidney and Urinary Tract in Children.

Shi Yin, Qinmu Peng, Hongming Li, Zhengqiang Zhang, Xinge You, Katherine Fischer, Susan L Furth, Yong Fan, Gregory E Tasian

Open access · greenAbstract read
In one paragraph

Article in Urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.5field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 37 citations in OpenAlex.

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  8. Enhancing Whole Slide Image Classification with Discriminative and Contrastive Learning.Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention · 2024
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  11. [Automatic classification of immune-mediated glomerular diseases based on multi-modal multi-instance learning].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2024
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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 2 countries.

Shi YinSchool of Electronic Information and Communications, Huazhong University of Science and Technology, Wuhan, China; Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Qinmu PengSchool of Electronic Information and Communications, Huazhong University of Science and Technology, Wuhan, China.
Hongming LiDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Zhengqiang ZhangSchool of Electronic Information and Communications, Huazhong University of Science and Technology, Wuhan, China.
Xinge YouSchool of Electronic Information and Communications, Huazhong University of Science and Technology, Wuhan, China.
Katherine FischerDepartment of Surgery, Division of Pediatric Urology, The Children's Hospital of Philadelphia, Philadelphia, PA; Center for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia, Philadelphia, PA.
Susan L FurthDepartment of Pediatrics, Division of Pediatric Nephrology, The Children's Hospital of Philadelphia, Philadelphia, PA.
Yong FanDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Electronic address: yong.fan@uphs.upenn.edu.
Gregory E TasianDepartment of Surgery, Division of Pediatric Urology, The Children's Hospital of Philadelphia, Philadelphia, PA; Center for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia, Philadelphia, PA; Department of Biostatistics, Epidemiology, and Informatics, The University of Pennsylvania, Philadelphia, PA.
University of Pennsylvania · USHuazhong University of Science and Technology · CNChildren's Hospital of Philadelphia · US

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Research Project Core 2P50DK114786 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI Michelle Denburg, SUSAN L. FURTH · 2017 to 2026
$9.6M
Biomedical Image Computing and Informatics ClusterS10OD023495 · OD · UNIVERSITY OF PENNSYLVANIA · PI DAVATZIKOS, CHRISTOS · 2017 to 2017
$1.9M
Identifying and Mitigating Risk Factors for Dehydration-Mediated Nephrolithiasis in AdolescentsK23DK106428 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI TASIAN, GREGORY EDWARD · 2015 to 2019
$836k
Anatomic biomarkers of chronic kidney disease progression among childrenR21DK117297 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI FAN, YONG, TASIAN, GREGORY EDWARD · 2019 to 2020
$469k
NCATS NIH HHS UL1 TR001878NIDDK NIH HHS K23 DK106428NIDDK NIH HHS P50 DK114786NIDDK NIH HHS R21 DK117297NIH HHS S10 OD023495
6 · The paper itself

Abstract

objectiveTo reliably and quickly diagnose children with posterior urethral valves (PUV), we developed a multi-instance deep learning method to automate image analysis.

methodsWe built a robust pattern classifier to distinguish 86 children with PUV from 71 children with mild unilateral hydronephrosis based on ultrasound images (3504 in sagittal view and 2558 in transverse view) obtained during routine clinical care.

resultsThe multi-instance deep learning classifier performed better than classifiers built on either single sagittal images or single transverse images. Particularly, the deep learning classifiers built on single images in the sagittal view and single images in the transverse view obtained area under the receiver operating characteristic curve (AUC) values of 0.796 ± 0.064 and 0.815 ± 0.071, respectively. AUC values of the multi-instance deep learning classifiers built on images in the sagittal and transverse views with mean pooling operation were 0.949 ± 0.035 and 0.954 ± 0.033, respectively. The multi-instance deep learning classifiers built on images in both the sagittal and transverse views with a mean pooling operation obtained an AUC of 0.961 ± 0.026 with a classification rate of 0.925 ± 0.060, specificity of 0.986 ± 0.032, and sensitivity of 0.873 ± 0.120, respectively. Discriminative regions of the kidney located using classification activation mapping demonstrated that the deep learning techniques could identify meaningful anatomical features from ultrasound images.

conclusionThe multi-instance deep learning method provides an automatic and accurate means to extract informative features from ultrasound images and discriminate infants with PUV from male children with unilateral hydronephrosis.

Indexed as

Deep LearningCase-Control StudiesDiagnosis, DifferentialFeasibility StudiesFemaleHumansHydronephrosisImage Interpretation, Computer-AssistedInfantInfant, NewbornKidneyMaleReproducibility of ResultsROC CurveUltrasonographyUrethra

Identifiers

PMID32445770
PMCPMC7387180
OpenAlexW3028398590

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.