Evidence map›Paper›PMID 32524219›Full record

ArticleEuropean radiology2020

Deep learning analysis using FDG-PET to predict treatment outcome in patients with oral cavity squamous cell carcinoma.

Noriyuki Fujima, V Carlota Andreu-Arasa, Sara K Meibom, Gustavo A Mercier, Andrew R Salama, Minh Tam Truong, Osamu Sakai

Abstract read
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In one paragraph

Article in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Deep Learning in Otolaryngology: A Narrative Review.JAMA otolaryngology-- head & neck surgery · 2026
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  8. Artificial Intelligence in Head and Neck Surgery.Otolaryngologic clinics of North America · 2024
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  11. Role ofCancers · 2024
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  12. Article
  13. Review
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  15. Article
  16. The transformational potential of molecular radiomics.Journal of medical radiation sciences · 2023
    Review
  17. Machine Learning in Dentistry: A Scoping Review.Journal of clinical medicine · 2023
    Article
  18. The Efficacy of PretreatmentClinical Medicine Insights. Oncology · 2023
    Article
  19. Article
  20. A Survey on Deep Learning for Precision Oncology.Diagnostics (Basel, Switzerland) · 2022
    Review
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

7 authors at 1 institution in 2 countries.

Noriyuki FujimaDepartment of Radiology, Boston Medical Center, Boston University School of Medicine, FGH Building, 3rd Floor, 820 Harrison Avenue, Boston, MA, 02118, USA.
V Carlota Andreu-ArasaDepartment of Radiology, Boston Medical Center, Boston University School of Medicine, FGH Building, 3rd Floor, 820 Harrison Avenue, Boston, MA, 02118, USA.
Sara K MeibomDepartment of Radiology, Boston Medical Center, Boston University School of Medicine, FGH Building, 3rd Floor, 820 Harrison Avenue, Boston, MA, 02118, USA.
Gustavo A MercierDepartment of Radiology, Boston Medical Center, Boston University School of Medicine, FGH Building, 3rd Floor, 820 Harrison Avenue, Boston, MA, 02118, USA.
Andrew R SalamaDepartment of Otolaryngology - Head and Neck Surgery, Boston Medical Center, Boston University School of Medicine, Boston, USA.
Minh Tam TruongDepartment of Radiation Oncology, Boston Medical Center, Boston University School of Medicine, Boston, USA.
Osamu SakaiDepartment of Radiology, Boston Medical Center, Boston University School of Medicine, FGH Building, 3rd Floor, 820 Harrison Avenue, Boston, MA, 02118, USA. Osamu.Sakai@bmc.org.ORCID http://orcid.org/0000-0003-3462-5116
Boston University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the utility of deep learning analysis using

methodsOne hundred thirteen patients with OCSCC who received pretreatment FDG-PET/CT were included. They were divided into training (83 patients) and test (30 patients) sets. The diagnosis of treatment control/failure and the DFS rate were obtained from patients' medical records. In deep learning analyses, three planes of axial, coronal, and sagittal FDG-PET images were assessed by ResNet-101 architecture. In the training set, image analysis was performed for the diagnostic model creation. The test data set was subsequently analyzed for confirmation of diagnostic accuracy. T-stage, clinical stage, and conventional FDG-PET parameters (the maximum and mean standardized uptake value (SUVmax and SUVmean), heterogeneity index, metabolic tumor volume (MTV), and total lesion glycolysis (TLG) were also assessed with determining the optimal cutoff from training dataset and then validated their diagnostic ability from test dataset.

resultsIn dividing into patients with treatment control and failure, the highest diagnostic accuracy of 0.8 was obtained using deep learning classification, with a sensitivity of 0.8, specificity of 0.8, positive predictive value of 0.89, and negative predictive value of 0.67. In the Kaplan-Meier analysis, the DFS rate was significantly different only with the analysis of deep learning-based classification (p < .01).

conclusionsDeep learning-based diagnosis with FDG-PET images may predict treatment outcome in patients with OCSCC. KEY POINTS: • Deep learning-based diagnosis of FDG-PET images showed the highest diagnostic accuracy to predict the treatment outcome in patients with oral cavity squamous cell carcinoma. • Deep learning-based diagnosis was shown to differentiate patients between good and poor disease-free survival more clearly than conventional T-stage, clinical stage, and conventional FDG-PET-based parameters.

Indexed as

Deep LearningPositron Emission Tomography Computed TomographyAdultAgedAged, 80 and overAlgorithmsDiagnosis, Computer-AssistedDisease-Free SurvivalFemaleFluorodeoxyglucose F18GlycolysisHumansKaplan-Meier EstimateMaleMiddle AgedMouth NeoplasmsFluorodeoxyglucose F18Deep learningDisease-free survivalFluorodeoxyglucose F18Positron emission tomographySquamous cell carcinoma of head and neck

Identifiers

PMID32524219
OpenAlexW3033870587

What OpenQuestion holds

Textmetadata
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.