Evidence map›Paper›PMID 34638237›Full record

ArticleCancers2021

Machine-Learning Assisted Discrimination of Precancerous and Cancerous from Healthy Oral Tissue Based on Multispectral Autofluorescence Lifetime Imaging Endoscopy.

Elvis Duran-Sierra, Shuna Cheng, Rodrigo Cuenca, Beena Ahmed, Jim Ji, Vladislav V Yakovlev, Mathias Martinez, Moustafa Al-Khalil, Hussain Al-Enazi, Yi-Shing Lisa Cheng and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. [Current applications and future perspectives of automation technologies and devices in oral diagnosis and treatment].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Fluorescence Lifetime Imaging Microscopy Analysis of Isolated Melanosomes.Chemphyschem : a European journal of chemical physics and physical chemistry · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review
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

13 authors at 6 institutions in 3 countries.

Elvis Duran-SierraDepartment of Biomedical Engineering, Texas A&M University, College Station, TX 77843, USA.ORCID 0000-0003-0077-8499
Shuna ChengDepartment of Biomedical Engineering, Texas A&M University, College Station, TX 77843, USA.
Rodrigo CuencaSchool of Electrical and Computer Engineering, University of Oklahoma, Norman, OK 73019, USA.
Beena AhmedSchool of Electrical Engineering and Telecommunications, University of New South Wales, Sydney 2052, Australia.
Jim JiDepartment of Electrical and Computer Engineering, Texas A&M University at Qatar, Doha 23874, Qatar.
Vladislav V YakovlevDepartment of Biomedical Engineering, Texas A&M University, College Station, TX 77843, USA.ORCID 0000-0002-4557-1013
Mathias MartinezDepartment of Cranio-Maxillofacial Surgery, Hamad Medical Corporation, Doha 3050, Qatar.
Moustafa Al-KhalilDepartment of Cranio-Maxillofacial Surgery, Hamad Medical Corporation, Doha 3050, Qatar.
Hussain Al-EnaziDepartment of Otorhinolaryngology Head and Neck Surgery, Hamad Medical Corporation, Doha 3050, Qatar.
Yi-Shing Lisa ChengCollege of Dentistry, Texas A&M University, Dallas, TX 75202, USA.
John WrightCollege of Dentistry, Texas A&M University, Dallas, TX 75202, USA.
Carlos BussoSchool of Electrical and Computer Engineering, The University of Texas at Dallas, Dallas, TX 75080, USA.ORCID 0000-0002-4075-4072
Javier A JoSchool of Electrical and Computer Engineering, University of Oklahoma, Norman, OK 73019, USA.
Texas A&M University · USHamad Medical Corporation · QAUniversity of Oklahoma · USTexas A&M University at Qatar · QAThe University of Texas at Dallas · USUNSW Sydney · AU

Funding

Endogenous fluorescence lifetime endoscopy for early detection of oral cancer and dysplasiaR01CA218739 · NCI · UNIVERSITY OF OKLAHOMA · PI JO, JAVIER ANTONIO · 2018 to 2023
$2.5M
Air Force Office of Scientific Research FA9550-15-1-0517, FA9550-20-1-0366, FA9550-20-1-0367Army Medical Research Grant W81XWH2010777Cancer Prevention and Research Institute of Texas RP180588National Science Foundation DBI-1455671, CMMI-1826078NCI NIH HHS R01 CA218739NIH HHS R01CA218739, R01GM127696, R21GM142107Qatar National Research Fund NPRP8-1606-3-322
6 · The paper itself

Abstract

Multispectral autofluorescence lifetime imaging (maFLIM) can be used to clinically image a plurality of metabolic and biochemical autofluorescence biomarkers of oral epithelial dysplasia and cancer. This study tested the hypothesis that maFLIM-derived autofluorescence biomarkers can be used in machine-learning (ML) models to discriminate dysplastic and cancerous from healthy oral tissue. Clinical widefield maFLIM endoscopy imaging of cancerous and dysplastic oral lesions was performed at two clinical centers. Endoscopic maFLIM images from 34 patients acquired at one of the clinical centers were used to optimize ML models for automated discrimination of dysplastic and cancerous from healthy oral tissue. A computer-aided detection system was developed and applied to a set of endoscopic maFLIM images from 23 patients acquired at the other clinical center, and its performance was quantified in terms of the area under the receiver operating characteristic curve (ROC-AUC). Discrimination of dysplastic and cancerous from healthy oral tissue was achieved with an ROC-AUC of 0.81. This study demonstrates the capabilities of widefield maFLIM endoscopy to clinically image autofluorescence biomarkers that can be used in ML models to discriminate dysplastic and cancerous from healthy oral tissue. Widefield maFLIM endoscopy thus holds potential for automated in situ detection of oral dysplasia and cancer.

Indexed as

autofluorescence biomarkersmachine learningmultispectral autofluorescence lifetime imaging (maFLIM)oral cancer and dysplasiapositive surgical margin detection

Identifiers

PMID34638237
PMCPMC8507537
OpenAlexW3201396996

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.