Evidence map›Paper›PMID 34112790›Full record

ArticleNature communications2021

Hybrid AI-assistive diagnostic model permits rapid TBS classification of cervical liquid-based thin-layer cell smears.

Xiaohui Zhu, Xiaoming Li, Kokhaur Ong, Wenli Zhang, Wencai Li, Longjie Li, David Young, Yongjian Su, Bin Shang, Linggan Peng and 24 more

Abstract readMulticenter Study
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 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  9. Cytological Classification Diagnosis for Thyroid Nodules via Multimodal Model Deep Learning.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
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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

34 authors.

Xiaohui Zhu *Department of Pathology, Nanfang Hospital and Basic Medical College, Southern Medical University, Guangzhou, Guangdong Province, PR China.
Xiaoming Li *Department of Pathology, Shenzhen Bao'an People's Hospital (group), Shenzhen, Guangdong Province, PR China.
Kokhaur Ong *Institute of Molecular and Cell Biology, A*STAR, Singapore, Singapore.
Wenli Zhang *Department of Pathology, Nanfang Hospital and Basic Medical College, Southern Medical University, Guangzhou, Guangdong Province, PR China.
Wencai Li *The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, PR China.
Longjie LiInstitute of Molecular and Cell Biology, A*STAR, Singapore, Singapore.
David YoungInstitute of Molecular and Cell Biology, A*STAR, Singapore, Singapore.
Yongjian SuGuangzhou F.Q.PATHOTECH Co., Ltd, Guangzhou, Guangdong Province, PR China.
Bin ShangGuangzhou F.Q.PATHOTECH Co., Ltd, Guangzhou, Guangdong Province, PR China.
Linggan PengGuangzhou F.Q.PATHOTECH Co., Ltd, Guangzhou, Guangdong Province, PR China.
Wei XiongGuangzhou Kaipu Biotechnology Co., Ltd, Guangzhou, Guangdong Province, PR China.
Yunke LiuLaboratory Department, Guangzhou Tianhe District Maternal and Child Health Care Hospital, Guangzhou, Guangdong Province, PR China.
Wenting LiaoState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong Province, PR China.
Jingjing XuThe First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, PR China.
Feifei WangDepartment of Pathology, Nanfang Hospital and Basic Medical College, Southern Medical University, Guangzhou, Guangdong Province, PR China.
Qing LiaoDepartment of Pathology, Nanfang Hospital and Basic Medical College, Southern Medical University, Guangzhou, Guangdong Province, PR China.
Shengnan LiGuangzhou F.Q.PATHOTECH Co., Ltd, Guangzhou, Guangdong Province, PR China.
Minmin LiaoDepartment of Pathology, Nanfang Hospital and Basic Medical College, Southern Medical University, Guangzhou, Guangdong Province, PR China.
Yu LiDepartment of Pathology, Nanfang Hospital and Basic Medical College, Southern Medical University, Guangzhou, Guangdong Province, PR China.
Linshang RaoGuangzhou F.Q.PATHOTECH Co., Ltd, Guangzhou, Guangdong Province, PR China.
Jinquan LinGuangzhou F.Q.PATHOTECH Co., Ltd, Guangzhou, Guangdong Province, PR China.
Jianyuan ShiGuangzhou F.Q.PATHOTECH Co., Ltd, Guangzhou, Guangdong Province, PR China.
Zejun YouGuangzhou F.Q.PATHOTECH Co., Ltd, Guangzhou, Guangdong Province, PR China.
Wenlong ZhongGuangzhou Huayin medical inspection center Co., Ltd, Guangzhou, Guangdong Province, PR China.
Xinrong LiangGuangzhou Huayin medical inspection center Co., Ltd, Guangzhou, Guangdong Province, PR China.
Hao HanInstitute of Molecular and Cell Biology, A*STAR, Singapore, Singapore.
Yan ZhangDepartment of Pathology, Nanfang Hospital and Basic Medical College, Southern Medical University, Guangzhou, Guangdong Province, PR China.
Na TangDepartment of Pathology, Shenzhen First People's Hospital, Shenzhen, Guangdong Province, PR China.
Aixia HuDepartment of Pathology, Henan Provincial People's Hospital, Zhengzhou, Henan Province, PR China.
Hongyi GaoDepartment of Pathology, Guangdong Provincial Women's and Children's Dispensary, Shenzhen, Guangdong Province, PR China.
Zhiqiang ChengDepartment of Pathology, Shenzhen First People's Hospital, Shenzhen, Guangdong Province, PR China. chengzhiqiang2004@aliyun.com.
Li LiangDepartment of Pathology, Nanfang Hospital and Basic Medical College, Southern Medical University, Guangzhou, Guangdong Province, PR China. lli@fimmu.com.
Weimiao YuInstitute of Molecular and Cell Biology, A*STAR, Singapore, Singapore. yu_weimiao@bii.a-star.edu.sg.
Yanqing DingDepartment of Pathology, Nanfang Hospital and Basic Medical College, Southern Medical University, Guangzhou, Guangdong Province, PR China. dyqgz@126.com.ORCID http://orcid.org/0000-0003-1775-6923

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Technical advancements significantly improve earlier diagnosis of cervical cancer, but accurate diagnosis is still difficult due to various factors. We develop an artificial intelligence assistive diagnostic solution, AIATBS, to improve cervical liquid-based thin-layer cell smear diagnosis according to clinical TBS criteria. We train AIATBS with >81,000 retrospective samples. It integrates YOLOv3 for target detection, Xception and Patch-based models to boost target classification, and U-net for nucleus segmentation. We integrate XGBoost and a logical decision tree with these models to optimize the parameters given by the learning process, and we develop a complete cervical liquid-based cytology smear TBS diagnostic system which also includes a quality control solution. We validate the optimized system with >34,000 multicenter prospective samples and achieve better sensitivity compared to senior cytologists, yet retain high specificity while achieving a speed of <180s/slide. Our system is adaptive to sample preparation using different standards, staining protocols and scanners.

Indexed as

Artificial IntelligenceComputer SimulationDeep LearningEarly Detection of CancerFemaleHumansImage Processing, Computer-AssistedProspective StudiesRetrospective StudiesSpecimen HandlingUterine Cervical NeoplasmsVaginal Smears

Identifiers

PMID34112790
PMCPMC8192526

What OpenQuestion holds

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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.