Evidence map›Paper›PMID 32957650›Full record

ArticleCancers2020

Analysis of Bone Scans in Various Tumor Entities Using a Deep-Learning-Based Artificial Neural Network Algorithm-Evaluation of Diagnostic Performance.

Jan Wuestemann, Sebastian Hupfeld, Dennis Kupitz, Philipp Genseke, Simone Schenke, Maciej Pech, Michael C Kreissl, Oliver S Grosser

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Application of SPECT and PET / CT with computer-aided diagnosis in bone metastasis of prostate cancer: a review.Cancer imaging : the official publication of the International Cancer Imaging Society · 2022
    Review
  9. Article
  10. Progress in diagnosis of bone metastasis of prostate cancer.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021
    Article
  11. Review
  12. Article
  13. Article
  14. 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 1 institution in 1 country.

Jan WuestemannDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Street 44, 39120 Magdeburg, Germany.
Sebastian HupfeldDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Street 44, 39120 Magdeburg, Germany.
Dennis KupitzDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Street 44, 39120 Magdeburg, Germany.
Philipp GensekeDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Street 44, 39120 Magdeburg, Germany.
Simone SchenkeDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Street 44, 39120 Magdeburg, Germany.
Maciej PechDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Street 44, 39120 Magdeburg, Germany.
Michael C KreisslDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Street 44, 39120 Magdeburg, Germany.ORCID 0000-0001-5905-6015
Oliver S GrosserDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Street 44, 39120 Magdeburg, Germany.ORCID 0000-0002-0826-0734
University Hospital Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The bone scan index (BSI), initially introduced for metastatic prostate cancer, quantifies the osseous tumor load from planar bone scans. Following the basic idea of radiomics, this method incorporates specific deep-learning techniques (artificial neural network) in its development to provide automatic calculation, feature extraction, and diagnostic support. As its performance in tumor entities, not including prostate cancer, remains unclear, our aim was to obtain more data about this aspect. The results of BSI evaluation of bone scans from 951 consecutive patients with different tumors were retrospectively compared to clinical reports (bone metastases, yes/no). Statistical analysis included entity-specific receiver operating characteristics to determine optimized BSI cut-off values. In addition to prostate cancer (cut-off = 0.27%, sensitivity (SN) = 87%, specificity (SP) = 99%), the algorithm used provided comparable results for breast cancer (cut-off 0.18%, SN = 83%, SP = 87%) and colorectal cancer (cut-off = 0.10%, SN = 100%, SP = 90%). Worse performance was observed for lung cancer (cut-off = 0.06%, SN = 63%, SP = 70%) and renal cell carcinoma (cut-off = 0.30%, SN = 75%, SP = 84%). The algorithm did not perform satisfactorily in melanoma (SN = 60%). For most entities, a high negative predictive value (NPV ≥ 87.5%, melanoma 80%) was determined, whereas positive predictive value (PPV) was clinically not applicable. Automatically determined BSI showed good sensitivity and specificity in prostate cancer and various other entities. Particularly, the high NPV encourages applying BSI as a tool for computer-aided diagnostic in various tumor entities.

Indexed as

bone metastasesbone scanbone scan indexdeep learningradiomics

Identifiers

PMID32957650
PMCPMC7565494
OpenAlexW3086635828

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.