Evidence map›Paper›PMID 32745082›Full record

ArticlePloS one2020

Using machine learning algorithms to review computed tomography scans and assess risk for cardiovascular disease: Retrospective analysis from the National Lung Screening Trial (NLST).

Amos Stemmer, Ran Shadmi, Orna Bregman-Amitai, David Chettrit, Denitza Blagev, Mila Orlovsky, Lisa Deutsch, Eldad Elnekave

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Diagnostic performance of machine-learning algorithms for sepsis prediction: An updated meta-analysis.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
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  11. ERS/ESTS/ESTRO/ESR/ESTI/EFOMP statement on management of incidental findings from low dose CT screening for lung cancer.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2023
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  18. Opportunistic Screening at Abdominal CT: Use of Automated Body Composition Biomarkers for Added Cardiometabolic Value.Radiographics : a review publication of the Radiological Society of North America, Inc
    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

8 authors at 4 institutions in 2 countries.

Amos StemmerSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-2357-3923
Ran ShadmiZebra Medical Vision, Ltd, Shfayim, Israel.ORCID 0000-0001-5925-0176
Orna Bregman-AmitaiZebra Medical Vision, Ltd, Shfayim, Israel.ORCID 0000-0002-3197-7338
David ChettritZebra Medical Vision, Ltd, Shfayim, Israel.
Denitza BlagevPulmonary and Critical Care Division, Intermountain Medical Center, Murray, Utah, United States of America.ORCID 0000-0003-0860-1153
Mila OrlovskyZebra Medical Vision, Ltd, Shfayim, Israel.ORCID 0000-0003-4042-3166
Lisa DeutschZebra Medical Vision, Ltd, Shfayim, Israel.ORCID 0000-0002-2445-7561
Eldad ElnekaveSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Zebra Technologies (United States) · USTel Aviv University · ILMaccabi Healthcare Services · ILUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe National Lung Screening Trial (NLST) demonstrated that annual screening with low dose CT in high-risk population was associated with reduction in lung cancer mortality. Nonetheless, the leading cause of mortality in the study was from cardiovascular diseases. PURPOSE: To determine whether the used machine learning automatic algorithms assessing coronary calcium score (CCS), level of liver steatosis and emphysema percentage in the lungs are good predictors of cardiovascular disease (CVD) mortality and incidence when applied on low dose CT scans. MATERIALS AND

methodsThree fully automated machine learning algorithms were used to assess CCS, level of liver steatosis and emphysema percentage in the lung. The algorithms were used on low-dose computed tomography scans acquired from 12,332 participants in NLST.

resultsIn a multivariate analysis, association between the three algorithm scores and CVD mortality have shown an OR of 1.72 (p = 0.003), 2.62 (p < 0.0001) for CCS scores of 101-400 and above 400 respectively, and an OR of 1.12 (p = 0.044) for level of liver steatosis. Similar results were shown for the incidence of CVD, OR of 1.96 (p < 0.0001), 4.94 (p < 0.0001) for CCS scores of 101-400 and above 400 respectively. Also, emphysema percentage demonstrated an OR of 0.89 (p < 0.0001). Similar results are shown for univariate analyses of the algorithms.

conclusionThe three automated machine learning algorithms could help physicians to assess the incidence and risk of CVD mortality in this specific population. Application of these algorithms to existing LDCT scans can provide valuable health care information and assist in future research.

Indexed as

Machine LearningTomography, X-Ray ComputedCardiovascular DiseasesCigarette SmokingClinical Trials, Phase III as TopicCoronary VesselsEarly Detection of CancerEmphysemaFatty LiverFemaleHumansLiverLungLung NeoplasmsMaleMass Screening

Identifiers

PMID32745082
PMCPMC7398499
OpenAlexW3047611709

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.