Evidence map›Paper›PMID 32866413›Full record

ArticleAnnals of internal medicine2020

Deep Learning Using Chest Radiographs to Identify High-Risk Smokers for Lung Cancer Screening Computed Tomography: Development and Validation of a Prediction Model.

Michael T Lu, Vineet K Raghu, Thomas Mayrhofer, Hugo J W L Aerts, Udo Hoffmann

Registry-linked trialOpen access · greenAbstract readValidation Study
In one paragraph

Article in Annals of internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06910956 (Deep Learning Using Routine Chest X-Rays and Electronic Medical Record Data to Identify High Risk Patients for Lung Cancer Screening CT), which is not on this map. Cited by 67 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 3 pooled it
9.0field-weighted citation impact, top 2% 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.

NCT06910956 narecruitingnot on this mapstarted 2025, after this paper: background citation

Deep Learning Using Routine Chest X-Rays and Electronic Medical Record Data to Identify High Risk Patients for Lung Cancer Screening CT

TypeinterventionalSponsorMassachusetts General HospitalRan2025 to 2027Enrolled1,500ConditionsLung Cancer, Health Screening, Early Cancer Detection, Deep LearningArmsCXR-LC
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 3 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Risk prediction for lung cancer screening: a systematic review and meta-regression.European respiratory review : an official journal of the European Respiratory Society · 2026
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  6. [Expert Consensus on Precision Management of Pulmonary Nodules (2026 Version)].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2026
    Article
  7. Current trends and future directions of artificial intelligence in lung cancer diagnosis.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2026
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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Michael T LuMassachusetts General Hospital Cardiovascular Imaging Research Center, Brigham and Women's Hospital Program for Artificial Intelligence in Medicine, and Harvard Medical School, Boston, Massachusetts (M.T.L., V.K.R., U.H.).ORCID 0000-0003-4696-9610
Vineet K RaghuMassachusetts General Hospital Cardiovascular Imaging Research Center, Brigham and Women's Hospital Program for Artificial Intelligence in Medicine, and Harvard Medical School, Boston, Massachusetts (M.T.L., V.K.R., U.H.).ORCID 0000-0003-3524-3945
Thomas MayrhoferHarvard Medical School, Boston, Massachusetts,and Stralsund University of Applied Sciences, Stralsund, Germany (T.M.).ORCID 0000-0001-6287-5185
Hugo J W L AertsBrigham and Women's Hospital Program for Artificial Intelligence in Medicine, Massachusetts General Hospital Cardiovascular Imaging Research Center, and Harvard Medical School, Boston, Massachusetts (H.J.A.).ORCID 0000-0002-2122-2003
Udo HoffmannMassachusetts General Hospital Cardiovascular Imaging Research Center, Brigham and Women's Hospital Program for Artificial Intelligence in Medicine, and Harvard Medical School, Boston, Massachusetts (M.T.L., V.K.R., U.H.).
Brigham and Women's Hospital · USHarvard University · US

Funding

Cardiac MR and CT ResearchT32HL076136 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NEILAN, TOMAS G · 2004 to 2019
$4.9M
NHLBI NIH HHS T32 HL076136
6 · The paper itself

Abstract

backgroundLung cancer screening with chest computed tomography (CT) reduces lung cancer death. Centers for Medicare & Medicaid Services (CMS) eligibility criteria for lung cancer screening with CT require detailed smoking information and miss many incident lung cancers. An automated deep-learning approach based on chest radiograph images may identify more smokers at high risk for lung cancer who could benefit from screening with CT.

objectiveTo develop and validate a convolutional neural network (CXR-LC) that predicts long-term incident lung cancer using data commonly available in the electronic medical record (EMR) (chest radiograph, age, sex, and whether currently smoking).

designRisk prediction study.

settingU.S. lung cancer screening trials.

participantsThe CXR-LC model was developed in the PLCO (Prostate, Lung, Colorectal, and Ovarian) Cancer Screening Trial ( MEASUREMENTS: Up to 12-year lung cancer incidence predicted by CXR-LC.

resultsThe CXR-LC model had better discrimination (area under the receiver-operating characteristic curve [AUC]) for incident lung cancer than CMS eligibility (PLCO AUC, 0.755 vs. 0.634; LIMITATION: Validation in lung cancer screening trials and not a clinical setting.

conclusionThe CXR-LC model identified smokers at high risk for incident lung cancer, beyond CMS eligibility and using information commonly available in the EMR. PRIMARY FUNDING SOURCE: None.

Indexed as

Deep LearningTomography, X-Ray ComputedAgedDecision Support TechniquesEarly Detection of CancerFemaleHumansLungLung NeoplasmsMaleMiddle AgedRisk AssessmentRisk FactorsSensitivity and SpecificitySmoking

Identifiers

PMID32866413
PMCPMC9200444
OpenAlexW3082622980

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.