Evidence map›Paper›PMID 33875703›Full record

ArticleScientific reports2021

A deep learning model to detect pancreatic ductal adenocarcinoma on endoscopic ultrasound-guided fine-needle biopsy.

Yoshiki Naito, Masayuki Tsuneki, Noriyoshi Fukushima, Yutaka Koga, Michiyo Higashi, Kenji Notohara, Shinichi Aishima, Nobuyuki Ohike, Takuma Tajiri, Hiroshi Yamaguchi and 18 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 3% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Artificial Intelligence in Pancreatic Imaging: A Systematic Review.United European gastroenterology journal · 2025
    Pooled it
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  5. Article
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  8. Data privacy-aware machine learning approach in pancreatic cancer diagnosis.BMC medical informatics and decision making · 2024
    Article
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  13. Tissue Contamination Challenges the Credibility of Machine Learning Models in Real World Digital Pathology.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2024
    Article
  14. Role of Artificial Intelligence in Endoscopic Intervention: A Clinical Review.Journal of community hospital internal medicine perspectives · 2024
    Review
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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

28 authors at 16 institutions in 1 country.

Yoshiki NaitoDepartment of Pathology, Kurume University School of Medicine, Kurume, 830-0011, Japan. nyoshiki@med.kurume-u.ac.jp.
Masayuki TsunekiMedmain Research, Medmain Inc, Fukuoka, 810-0042, Japan. tsuneki@medmain.com.
Noriyoshi FukushimaDepartment of Pathology, Jichi Medical University, Shimotsuke, Tochigi, 329-0498, Japan.
Yutaka KogaDepartment of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan.
Michiyo HigashiDepartment of Pathology, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Sakuragoaka, 890-8544, Japan.
Kenji NotoharaDepartment of Anatomic Pathology, Kurashiki Central Hospital, Kurashiki, 710-8602, Japan.
Shinichi AishimaDepartment of Pathology and Microbiology, Saga University, Saga, 849-8501, Japan.
Nobuyuki OhikeDepartment of Pathology, Shizuoka Cancer Center, Shizuoka, 411-8777, Japan.
Takuma TajiriDepartment of Pathology, Tokai University Hachioji Hospital, Tokyo, 192-0032, Japan.
Hiroshi YamaguchiDepartment of Pathology, Saitama Medical University, Saitama, 350-0495, Japan.
Yuki FukumuraDepartment of Human Pathology, School of Medicine, Juntendo University, Tokyo, 113-8421, Japan.
Motohiro KojimaDivision of Pathology, Exploratory Oncology Research and Clinical Trial Center, National Cancer Center, Kashiwa, 277-8577, Japan.
Kenichi HirabayashiDepartment of Pathology, Tokai University School of Medicine, Isehara, 259-1193, Japan.
Yoshihiro HamadaDepartment of Pathology, Faculty of Medicine, Fukuoka University, Fukuoka, 814-0180, Japan.
Tomoko NoroseDepartment of Pathology, Shizuoka Cancer Center, Shizuoka, 411-8777, Japan.
Keita KaiDepartment of Pathology, Saga University Hospital, Saga, 849-8501, Japan.
Yuko OmoriDepartment of Investigative Pathology, Tohoku University Graduate School of Medicine, Sendai, 980-8575, Japan.
Aoi SukedaDepartment of Anatomic Pathology, Tokyo Medical University, Tokyo, 160-0023, Japan.
Hirotsugu NoguchiDepartment of Pathology, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Sakuragoaka, 890-8544, Japan.
Kaori UchinoDepartment of Anatomic Pathology, Kurashiki Central Hospital, Kurashiki, 710-8602, Japan.
Junya ItakuraDepartment of Anatomic Pathology, Kurashiki Central Hospital, Kurashiki, 710-8602, Japan.
Yoshinobu OkabeDivision of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, 830-0011, Japan.
Yuichi YamadaDepartment of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan.
Jun AkibaDepartment of Diagnostic Pathology, Kurume University Hospital, Kurume, 830-0011, Japan.
Fahdi KanavatiMedmain Research, Medmain Inc, Fukuoka, 810-0042, Japan.
Yoshinao OdaDepartment of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan.
Toru FurukawaDepartment of Investigative Pathology, Tohoku University Graduate School of Medicine, Sendai, 980-8575, Japan.
Hirohisa YanoDepartment of Pathology, Kurume University School of Medicine, Kurume, 830-0011, Japan.
Kurashiki Central Hospital · JPKurume University · JPKyushu University · JPKagoshima University · JPSaga University · JPShizuoka Cancer Center · JPTohoku University · JPFukuoka University · JPJichi Medical University · JPJuntendo University · JPKurume University Hospital · JPNational Cancer Center Hospital East · JPSaitama Medical University · JPTokai University · JPTokai University Hachioji Hospital · JPTokyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Histopathological diagnosis of pancreatic ductal adenocarcinoma (PDAC) on endoscopic ultrasonography-guided fine-needle biopsy (EUS-FNB) specimens has become the mainstay of preoperative pathological diagnosis. However, on EUS-FNB specimens, accurate histopathological evaluation is difficult due to low specimen volume with isolated cancer cells and high contamination of blood, inflammatory and digestive tract cells. In this study, we performed annotations for training sets by expert pancreatic pathologists and trained a deep learning model to assess PDAC on EUS-FNB of the pancreas in histopathological whole-slide images. We obtained a high receiver operator curve area under the curve of 0.984, accuracy of 0.9417, sensitivity of 0.9302 and specificity of 0.9706. Our model was able to accurately detect difficult cases of isolated and low volume cancer cells. If adopted as a supportive system in routine diagnosis of pancreatic EUS-FNB specimens, our model has the potential to aid pathologists diagnose difficult cases.

Indexed as

Deep LearningAdenocarcinomaCarcinoma, Pancreatic DuctalEndoscopic Ultrasound-Guided Fine Needle AspirationHumansImage-Guided BiopsyPancreatic NeoplasmsRetrospective Studies

Identifiers

PMID33875703
PMCPMC8055968
OpenAlexW3153942604

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.