Evidence map›Paper›PMID 33627641›Full record

ArticleNature communications2021

Ensembled deep learning model outperforms human experts in diagnosing biliary atresia from sonographic gallbladder images.

Wenying Zhou, Yang Yang, Cheng Yu, Juxian Liu, Xingxing Duan, Zongjie Weng, Dan Chen, Qianhong Liang, Qin Fang, Jiaojiao Zhou and 7 more

Abstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

63 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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3 more citing papers are in PubMed but not listed here.

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

17 authors.

Wenying Zhou *Department of Medical Ultrasonics, Institute for Diagnostic and Interventional Ultrasound, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, P. R. China.ORCID 0000-0002-5440-8218
Yang Yang *School of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, P. R. China.ORCID 0000-0001-7795-7204
Cheng Yu *Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.ORCID 0000-0002-9897-7244
Juxian Liu *Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, P. R. China.ORCID 0000-0002-5315-5482
Xingxing DuanDepartment of Ultrasound, Hunan Children's Hospital, Changsha, P. R. China.ORCID 0000-0002-4094-5127
Zongjie WengDepartment of Medical Ultrasonics, Fujian Provincial Maternity and Children's Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou City, P. R. China.
Dan ChenDepartment of Ultrasound, Guangdong Women and Children' Hospital, Guangzhou, P. R. China.ORCID 0000-0002-6011-315X
Qianhong LiangDepartment of Ultrasound, Hexian Memorial Affiliated Hospital of Southern Medical University, Guangzhou, P. R. China.
Qin FangDepartment of Ultrasound, The First People's Hospital of Foshan, Foshan City, P. R. China.ORCID 0000-0003-2334-0967
Jiaojiao ZhouDepartment of Ultrasound, West China Hospital, Sichuan University, Chengdu, P. R. China.ORCID 0000-0002-0642-6112
Hao JuDepartment of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, P. R. China.ORCID 0000-0002-0800-1919
Zhenhua LuoInstitute of Precision Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, P. R. China.ORCID 0000-0002-6516-8555
Weihao GuoDepartment of Medical Ultrasonics, Institute for Diagnostic and Interventional Ultrasound, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, P. R. China.
Xiaoyan MaDepartment of Ultrasound, Guangdong Women and Children' Hospital, Guangzhou, P. R. China.
Xiaoyan XieDepartment of Medical Ultrasonics, Institute for Diagnostic and Interventional Ultrasound, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, P. R. China. xiexyan@mail.sysu.edu.cn.ORCID 0000-0002-9761-9525
Ruixuan WangSchool of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, P. R. China. wangruix5@mail.sysu.edu.cn.ORCID 0000-0002-8714-0369
Luyao ZhouDepartment of Medical Ultrasonics, Institute for Diagnostic and Interventional Ultrasound, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, P. R. China. zhouly6@mail.sysu.edu.cn.ORCID 0000-0002-1828-0878

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is still challenging to make accurate diagnosis of biliary atresia (BA) with sonographic gallbladder images particularly in rural area without relevant expertise. To help diagnose BA based on sonographic gallbladder images, an ensembled deep learning model is developed. The model yields a patient-level sensitivity 93.1% and specificity 93.9% [with areas under the receiver operating characteristic curve of 0.956 (95% confidence interval: 0.928-0.977)] on the multi-center external validation dataset, superior to that of human experts. With the help of the model, the performances of human experts with various levels are improved. Moreover, the diagnosis based on smartphone photos of sonographic gallbladder images through a smartphone app and based on video sequences by the model still yields expert-level performances. The ensembled deep learning model in this study provides a solution to help radiologists improve the diagnosis of BA in various clinical application scenarios, particularly in rural and undeveloped regions with limited expertise.

Indexed as

Deep LearningBiliary AtresiaGallbladderHumansROC CurveUltrasonography

Identifiers

PMID33627641
PMCPMC7904842

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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.