Evidence map›Paper›PMID 33037266›Full record

ArticleScientific reports2020

Robust deep learning classification of adamantinomatous craniopharyngioma from limited preoperative radiographic images.

Eric W Prince, Ros Whelan, David M Mirsky, Nicholas Stence, Susan Staulcup, Paul Klimo, Richard C E Anderson, Toba N Niazi, Gerald Grant, Mark Souweidane and 17 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 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
2.6field-weighted citation impact, top 10% 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, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
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  6. Review
  7. A Visual Analytics Framework for Assessing Interactive AI for Clinical Decision Support.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2025
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  8. Review
  9. Applications and Integration of Radiomics for Skull Base Oncology.Advances in experimental medicine and biology · 2024
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  10. Review
  11. Article
  12. The Iterative Design Process of an Explainable AI Application for Non-Invasive Diagnosis of CNS Tumors: A User-Centered Approach.... IEEE Workshop on Visual Analytics in Healthcare. IEEE Workshop on Visual Analytics in Healthcare · 2023
    Article
  13. Review
  14. Article
  15. Article
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  18. Artificial intelligence applications in pediatric oncology diagnosis.Exploration of targeted anti-tumor therapy · 2023
    Review
  19. Review
  20. Molecular Biology in Treatment Decision Processes-Neuro-Oncology Edition.International journal of molecular sciences · 2021
    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

27 authors at 20 institutions in 2 countries.

Eric W PrinceDivision of Pediatric Neurosurgery, Children's Hospital Colorado, Aurora, 80045, USA. Eric.Prince@CUAnschutz.edu.
Ros WhelanDepartment of Neurosurgery, University of Colorado School of Medicine, Aurora, 80045, USA.
David M MirskyDivision of Pediatric Radiology, Children's Hospital Colorado, Aurora, 80045, USA.
Nicholas StenceDivision of Pediatric Radiology, Children's Hospital Colorado, Aurora, 80045, USA.
Susan StaulcupDepartment of Neurosurgery, University of Colorado School of Medicine, Aurora, 80045, USA.
Paul KlimoDepartment of Neurosurgery, University of Tennessee Health and Sciences Center, Memphis, 38163, USA.
Richard C E AndersonNeurosurgical Associates of New Jersey, Ridgewood, NJ, 07450, USA.
Toba N NiaziDepartment of Pediatric Neurosurgery, Nicklaus Children's Hospital, Miami, 33155, USA.
Gerald GrantDepartment of Pediatric Neurosurgery, Lucile Packard Children's Hospital at Stanford University, Palo Alto, 94305, USA.
Mark SouweidaneDepartment of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, 10065, USA.
James M JohnstonDivision of Pediatric Neurosurgery, University of Alabama at Birmingham, Birmingham, 35233, USA.
Eric M JacksonDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, 21205, USA.
David D LimbrickDepartment of Pediatrics, Washington University School of Medicine, St. Louis, 63110, USA.
Amy SmithDepartment of Pediatric Hematology-Oncology, Arnold Palmer Hospital, Orlando, 32806, USA.
Annie DrapeauDivision of Pediatric Neurosurgery, Nationwide Children's Hospital, Columbus, 43205, USA.
Joshua J ChernDepartments of Pediatrics and Neurosurgery, Emory University School of Medicine, Atlanta, 30322, USA.
Lindsay KilburnChildren's National Health System, Brain Tumor Institute, Washington, DC, 20010, USA.
Kevin GinnDivision of Pediatric Hematology and Oncology, Children's Mercy Hospital, Kansas City, 64108, USA.
Robert NaftelDepartment of Neurological Surgery, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, 37212, USA.
Roy DudleyDepartment of Neurosurgery, McGill University, Montreal, H3A 2B4, Canada.
Elizabeth Tyler-KabaraDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, 15213, USA.
George JalloInstitute of Brain Protection Sciences, Johns Hopkins All Children's Hospital, St Petersburg, 33701, USA.
Michael H HandlerDivision of Pediatric Neurosurgery, Children's Hospital Colorado, Aurora, 80045, USA.
Kenneth JonesUniversity of Oklahoma Health Sciences Center, Oklahoma City, 73104, USA.
Andrew M DonsonMorgan Adams Foundation Pediatric Brain Tumor Research Program, Aurora, 80045, USA.
Nicholas K ForemanMorgan Adams Foundation Pediatric Brain Tumor Research Program, Aurora, 80045, USA.
Todd C HankinsonDivision of Pediatric Neurosurgery, Children's Hospital Colorado, Aurora, 80045, USA.
Children's Hospital Colorado · USUniversity of Colorado Denver · USArnold Palmer Hospital for Children · USChildren's Mercy Hospital · USChildren's National · USEmory University · USJohns Hopkins All Children's Hospital · USJohns Hopkins University · USMcGill University · CAMemorial Sloan Kettering Cancer Center · USMiami Children's Hospital · USNationwide Children's Hospital · USNeurological Surgery · USReproductive Medicine Associates of New Jersey · USStanford University · USUniversity of Alabama at Birmingham · USUniversity of Oklahoma Health Sciences Center · USUniversity of Pittsburgh · USUniversity of Tennessee Health Science Center · USWashington University in St. Louis · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
NCI NIH HHS P30 CA008748NIH HHS P30CA046934
6 · The paper itself

Abstract

Deep learning (DL) is a widely applied mathematical modeling technique. Classically, DL models utilize large volumes of training data, which are not available in many healthcare contexts. For patients with brain tumors, non-invasive diagnosis would represent a substantial clinical advance, potentially sparing patients from the risks associated with surgical intervention on the brain. Such an approach will depend upon highly accurate models built using the limited datasets that are available. Herein, we present a novel genetic algorithm (GA) that identifies optimal architecture parameters using feature embeddings from state-of-the-art image classification networks to identify the pediatric brain tumor, adamantinomatous craniopharyngioma (ACP). We optimized classification models for preoperative Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and combined CT and MRI datasets with demonstrated test accuracies of 85.3%, 83.3%, and 87.8%, respectively. Notably, our GA improved baseline model performance by up to 38%. This work advances DL and its applications within healthcare by identifying optimized networks in small-scale data contexts. The proposed system is easily implementable and scalable for non-invasive computer-aided diagnosis, even for uncommon diseases.

Indexed as

Deep LearningAlgorithmsBrain NeoplasmsCraniopharyngiomaDiagnosis, Computer-AssistedHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingModels, TheoreticalNeural Networks, ComputerPreoperative PeriodTomography, X-Ray Computed

Identifiers

PMID33037266
PMCPMC7547020
OpenAlexW3092415265

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.