Evidence map›Paper›PMID 33300162›Full record

ArticleMedical physics2021

Deep convolutional neural networks for multiplanar lung nodule detection: Improvement in small nodule identification.

Sunyi Zheng, Ludo J Cornelissen, Xiaonan Cui, Xueping Jing, Raymond N J Veldhuis, Matthijs Oudkerk, Peter M A van Ooijen

Open access · hybridAbstract read
In one paragraph

Article in Medical physics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.4field-weighted citation impact, top 6% 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, 48 citations in OpenAlex.

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  11. Artificial intelligence in lung cancer: Application and future thinking.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022
    Article
  12. Article
  13. Review
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  15. Article
  16. Computational approaches to detect small lesions inJournal of applied clinical medical physics · 2021
    Article
  17. Article
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

7 authors at 4 institutions in 2 countries.

Sunyi ZhengDepartment of Radiation Oncology, University Medical Center Groningen, University of Groningen, 9713 AV, Groningen, The Netherlands.
Ludo J CornelissenDepartment of Radiation Oncology, University Medical Center Groningen, University of Groningen, 9713 AV, Groningen, The Netherlands.
Xiaonan CuiDepartment of Radiology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Centre of Cancer, 300060, Tianjin, China.
Xueping JingDepartment of Radiation Oncology, University Medical Center Groningen, University of Groningen, 9713 AV, Groningen, The Netherlands.
Raymond N J VeldhuisFaculty of Electrical Engineering, University of Twente, 7500 AE, Enschede, The Netherlands.
Matthijs OudkerkFaculty of Medical Science, University of Groningen, 9713 AV, Groningen, The Netherlands.
Peter M A van OoijenDepartment of Radiation Oncology, University Medical Center Groningen, University of Groningen, 9713 AV, Groningen, The Netherlands.
University of Groningen · NLTianjin Medical University Cancer Institute and Hospital · CNUniversity Medical Center Groningen · NLUniversity of Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEarly detection of lung cancer is of importance since it can increase patients' chances of survival. To detect nodules accurately during screening, radiologists would commonly take the axial, coronal, and sagittal planes into account, rather than solely the axial plane in clinical evaluation. Inspired by clinical work, the paper aims to develop an accurate deep learning framework for nodule detection by a combination of multiple planes.

methodsThe nodule detection system is designed in two stages, multiplanar nodule candidate detection, multiscale false positive (FP) reduction. At the first stage, a deeply supervised encoder-decoder network is trained by axial, coronal, and sagittal slices for the candidate detection task. All possible nodule candidates from the three different planes are merged. To further refine results, a three-dimensional multiscale dense convolutional neural network that extracts multiscale contextual information is applied to remove non-nodules. In the public LIDC-IDRI dataset, 888 computed tomography scans with 1186 nodules accepted by at least three of four radiologists are selected to train and evaluate our proposed system via a tenfold cross-validation scheme. The free-response receiver operating characteristic curve is used for performance assessment.

resultsThe proposed system achieves a sensitivity of 94.2% with 1.0 FP/scan and a sensitivity of 96.0% with 2.0 FPs/scan. Although it is difficult to detect small nodules (i.e., <6 mm), our designed CAD system reaches a sensitivity of 93.4% (95.0%) of these small nodules at an overall FP rate of 1.0 (2.0) FPs/scan. At the nodule candidate detection stage, results show that the system with a multiplanar method is capable to detect more nodules compared to using a single plane.

conclusionOur approach achieves good performance not only for small nodules but also for large lesions on this dataset. This demonstrates the effectiveness of our developed CAD system for lung nodule detection.

Indexed as

Lung NeoplasmsSolitary Pulmonary NoduleHumansLungNeural Networks, ComputerRadiographic Image Interpretation, Computer-AssistedTomography, X-Ray Computedcomputed tomographycomputer-aided detectionconvolutional neural networkdeep learningpulmonary nodule detection

Identifiers

PMID33300162
PMCPMC7986069
OpenAlexW3112485719

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Registered trials

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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.