Evidence map›Paper›PMID 32651351›Full record

ArticleJournal of X-ray science and technology2020

Developing and verifying automatic detection of active pulmonary tuberculosis from multi-slice spiral CT images based on deep learning.

Luyao Ma, Yun Wang, Lin Guo, Yu Zhang, Ping Wang, Xu Pei, Lingjun Qian, Stefan Jaeger, Xiaowen Ke, Xiaoping Yin and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of X-ray science and technology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Revolutionizing diagnosis of pulmonaryFrontiers in microbiology · 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

11 authors at 4 institutions in 2 countries.

Luyao MaCT-MRI Room, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Yun WangCT-MRI Room, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Lin GuoShenzhen Zhiying Medical Imaging, Shenzhen, Guangdong, China.
Yu ZhangCT-MRI Room, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Ping WangCT-MRI Room, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Xu PeiCT-MRI Room, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Lingjun QianShenzhen Zhiying Medical Imaging, Shenzhen, Guangdong, China.
Stefan JaegerNational Library of Medicine, National Institutes of Health, Bethesda, MD, USA.
Xiaowen KeShenzhen Zhiying Medical Imaging, Shenzhen, Guangdong, China.
Xiaoping YinCT-MRI Room, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Fleming Y M LureShenzhen Zhiying Medical Imaging, Shenzhen, Guangdong, China.
Affiliated Hospital of Hebei University · CNHebei University · CNNational Institutes of Health · USSA Technologies (United States) · US

Funding

Machine learning and artificial intelligence algorithms for chest imaging diagnosticsZIALM010004 · NLM · NATIONAL LIBRARY OF MEDICINE · PI ANTANI, SAMEER · 2016 to 2020
$2.8M
Intramural NIH HHS Z99 LM999999
6 · The paper itself

Abstract

objectiveDiagnosis of tuberculosis (TB) in multi-slice spiral computed tomography (CT) images is a difficult task in many TB prevalent locations in which experienced radiologists are lacking. To address this difficulty, we develop an automated detection system based on artificial intelligence (AI) in this study to simplify the diagnostic process of active tuberculosis (ATB) and improve the diagnostic accuracy using CT images. DATA: A CT image dataset of 846 patients is retrospectively collected from a large teaching hospital. The gold standard for ATB patients is sputum smear, and the gold standard for normal and pneumonia patients is the CT report result. The dataset is divided into independent training and testing data subsets. The training data contains 337 ATB, 110 pneumonia, and 120 normal cases, while the testing data contains 139 ATB, 40 pneumonia, and 100 normal cases, respectively.

methodsA U-Net deep learning algorithm was applied for automatic detection and segmentation of ATB lesions. Image processing methods are then applied to CT layers diagnosed as ATB lesions by U-Net, which can detect potentially misdiagnosed layers, and can turn 2D ATB lesions into 3D lesions based on consecutive U-Net annotations. Finally, independent test data is used to evaluate the performance of the developed AI tool.

resultsFor an independent test, the AI tool yields an AUC value of 0.980. Accuracy, sensitivity, specificity, positive predictive value, and negative predictive value are 0.968, 0.964, 0.971, 0.971, and 0.964, respectively, which shows that the AI tool performs well for detection of ATB and differential diagnosis of non-ATB (i.e. pneumonia and normal cases).

conclusionAn AI tool for automatic detection of ATB in chest CT is successfully developed in this study. The AI tool can accurately detect ATB patients, and distinguish between ATB and non- ATB cases, which simplifies the diagnosis process and lays a solid foundation for the next step of AI in CT diagnosis of ATB in clinical application.

Indexed as

Deep LearningAdolescentAdultAgedAged, 80 and overAlgorithmsChildChild, PreschoolFemaleHumansLungMaleMiddle AgedRadiographic Image Interpretation, Computer-AssistedTomography, X-Ray ComputedTuberculosis, PulmonaryActive tuberculosis (ATB)artificial intelligence (AI)deep learning

Identifiers

PMID32651351
PMCPMC12067939
OpenAlexW3038741092

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.