Evidence map›Paper›PMID 34028577›Full record

ArticleInternational urogynecology journal2022

Artificial intelligence models derived from 2D transperineal ultrasound images in the clinical diagnosis of stress urinary incontinence.

Man Zhang, Xin Lin, Zhijuan Zheng, Ying Chen, Yong Ren, Xinling Zhang

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Article in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Man Zhang *Department of Ultrasound, The Third Affiliated Hospital of Sun Yat-Sen University, NO.600 Tianhe Road, Guangzhou, 510630, Guangdong Province, China.
Xin Lin *Department of Ultrasound, The Third Affiliated Hospital of Sun Yat-Sen University, NO.600 Tianhe Road, Guangzhou, 510630, Guangdong Province, China.
Zhijuan ZhengDepartment of Ultrasound, The Third Affiliated Hospital of Sun Yat-Sen University, NO.600 Tianhe Road, Guangzhou, 510630, Guangdong Province, China.
Ying ChenDepartment of Ultrasound, The Third Affiliated Hospital of Sun Yat-Sen University, NO.600 Tianhe Road, Guangzhou, 510630, Guangdong Province, China.
Yong RenArtificial Intelligence Innovation Center, Research Institute of Tsinghua, Pearl River Delta; No. 98 Xiangxue 8th Road, Guangzhou, 510530, Guangdong Province, China. koalary@qq.com.
Xinling ZhangDepartment of Ultrasound, The Third Affiliated Hospital of Sun Yat-Sen University, NO.600 Tianhe Road, Guangzhou, 510630, Guangdong Province, China. zhxinl@mail.sysu.edu.cn.
Third Affiliated Hospital of Sun Yat-sen University · CNSun Yat-sen University · CNBeijing Academy of Artificial Intelligence · CN

Funding

Major Research Plan 91859115
6 · The paper itself

Abstract

introduction and hypothesisThe aim of the study was to develop artificial intelligence (AI) algorithms using 2D transperineal ultrasound (TPUS) static images to simplify the clinical process of diagnosing stress urinary incontinence (SUI) in practice.

methodsThe study involved 400 patients in total, including 265 SUI patients and 135 non-SUI patients who underwent a routine clinical evaluation process by urologists and TPUS. They were classified into different groups based on the International Consultation on Incontinence Questionnaire (ICIQ) to assess the impact of inconvenience on patients' lives. Four AI models were developed by 2D TPUS images: Model A (a single-mode model based on Valsalva maneuver images to classify G-0, G-1, and G-2); Model B (a dual-mode model based on Valsalva maneuver and resting state images to classify G-0, G-1, and G-2); Model C (a single-mode model based on Valsalva maneuver images to classify G-2 and G-01); Model D (a dual-mode model based on Valsalva maneuver and resting state images to classify G-2 and G-01). The performance of the four models was evaluated by confusion matrices and the area under the receiver-operating characteristic curve (AUC).

resultsThe dual-mode model based on the Valsalva maneuver and resting-state images (Model D) had a higher accuracy of 86.3% and an AUC of 0.922, which was significantly higher than the AUCs of the other three models: 0.771, 0.862, and 0.827.

conclusionsThe AI algorithm using 2D TPUS static images of the Valsalva maneuver and resting state may be a promising tool in the diagnosis of SUI patients in to relieve clinical processes in practice given its ease of use in clinical applications.

Indexed as

Urinary IncontinenceUrinary Incontinence, StressArtificial IntelligenceHumansUltrasonographyValsalva ManeuverArtificial intelligence (AI) algorithmStress urinary incontinence (SUI)Transperineal ultrasound (TPUS)

Identifiers

PMID34028577
OpenAlexW3165106627

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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.