Evidence map›Paper›PMID 34672139›Full record

Trial reportYonsei medical journal2021

A Deep Learning Model with High Standalone Performance for Diagnosis of Unruptured Intracranial Aneurysm.

Bio Joo, Hyun Seok Choi, Sung Soo Ahn, Jihoon Cha, So Yeon Won, Beomseok Sohn, Hwiyoung Kim, Kyunghwa Han, Hwa Pyung Kim, Jong Mun Choi and 3 more

Abstract readClinical Trial
In one paragraph

Trial report in Yonsei medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 5 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

15 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Application of convolutional network models in detection of intracranial aneurysms: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Pooled it
  5. Systematic Review of Radiomics and Artificial Intelligence in Intracranial Aneurysm Management.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    Pooled it
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
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.

Bio JooDepartment of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-7460-1421
Hyun Seok ChoiDepartment of Radiology, Seoul Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0003-4999-8513
Sung Soo AhnDepartment of Radiology, Research Institute of Radiological Science and Center for Clinical Image Data Science, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0503-5558
Jihoon ChaDepartment of Radiology, Research Institute of Radiological Science and Center for Clinical Image Data Science, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-1662-8041
So Yeon WonDepartment of Radiology, Research Institute of Radiological Science and Center for Clinical Image Data Science, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-0570-3365
Beomseok SohnDepartment of Radiology, Research Institute of Radiological Science and Center for Clinical Image Data Science, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-6765-8056
Hwiyoung KimDepartment of Radiology, Research Institute of Radiological Science and Center for Clinical Image Data Science, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-7778-8973
Kyunghwa HanDepartment of Radiology, Research Institute of Radiological Science and Center for Clinical Image Data Science, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5687-7237
Hwa Pyung KimDEEPNOID, Seoul, Korea.ORCID https://orcid.org/0000-0003-0103-6200
Jong Mun ChoiDEEPNOID, Seoul, Korea.ORCID https://orcid.org/0000-0002-3267-8989
Sang Min LeeDEEPNOID, Seoul, Korea.ORCID https://orcid.org/0000-0001-5954-9442
Tae Gyu KimDEEPNOID, Seoul, Korea.ORCID https://orcid.org/0000-0003-1260-9369
Seung-Koo LeeDepartment of Radiology, Research Institute of Radiological Science and Center for Clinical Image Data Science, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5646-4072

Funding

Institute for Information and communications Technology Promotion IITP-2020-2020-0-01461
6 · The paper itself

Abstract

purposeThis study aimed to investigate whether a deep learning model for automated detection of unruptured intracranial aneurysms on time-of-flight (TOF) magnetic resonance angiography (MRA) can achieve a target diagnostic performance comparable to that of human radiologists for approval from the Korean Ministry of Food and Drug Safety as an artificial intelligence-applied software. MATERIALS AND

methodsIn this single-center, retrospective, confirmatory clinical trial, the diagnostic performance of the model was evaluated in a predetermined test set. After sample size estimation, the test set consisted of 135 aneurysm-containing examinations with 168 intracranial aneurysms and 197 aneurysm-free examinations. The target sensitivity and specificity were set as 87% and 92%, respectively. The patient-wise sensitivity and specificity of the model were analyzed. Moreover, the lesion-wise sensitivity and false-positive detection rate per case were also investigated.

resultsThe sensitivity and specificity of the model were 91.11% [95% confidence interval (CI): 84.99, 95.32] and 93.91% (95% CI: 89.60, 96.81), respectively, which met the target performance values. The lesion-wise sensitivity was 92.26%. The overall false-positive detection rate per case was 0.123. Of the 168 aneurysms, 13 aneurysms from 12 examinations were missed by the model.

conclusionThe present deep learning model for automated detection of unruptured intracranial aneurysms on TOF MRA achieved the target diagnostic performance comparable to that of human radiologists. With high standalone performance, this model may be useful for accurate and efficient diagnosis of intracranial aneurysm.

Indexed as

Deep LearningIntracranial AneurysmArtificial IntelligenceHumansMagnetic Resonance AngiographyRetrospective StudiesArtificial intelligencedeep learningintracranial aneurysmmagnetic resonance angiography

Identifiers

PMID34672139
PMCPMC8542476

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.