Evidence map›Paper›PMID 34733239›Full record

ArticleFrontiers in endocrinology2021

Diagnosis of Pituitary Adenoma Biopsies by Ultrahigh Resolution Optical Coherence Tomography Using Neuronal Networks.

Alexander Micko, Fabian Placzek, Roger Fonollà, Michael Winklehner, Ryan Sentosa, Arno Krause, Greisa Vila, Romana Höftberger, Marco Andreana, Wolfgang Drexler and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 at 2 institutions in 2 countries.

Alexander MickoDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Fabian PlaczekCenter for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria.
Roger FonollàDepartment of Electrical Engineering, Video Coding and Architectures, Eindhoven University of Technology, Eindhoven, Netherlands.
Michael WinklehnerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Ryan SentosaCenter for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria.
Arno KrauseCenter for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria.
Greisa VilaDivision of Endocrinology and Metabolism of the Department of Internal Medicine III, Vienna, Austria.
Romana HöftbergerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Marco AndreanaCenter for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria.
Wolfgang DrexlerCenter for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria.
Rainer A LeitgebCenter for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria.
Angelika UnterhuberCenter for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria.
Stefan WolfsbergerDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATEindhoven University of Technology · NL

Funding

Austrian Science Fund FWF DOC 33
6 · The paper itself

Abstract

Objective: Despite advancements of intraoperative visualization, the difficulty to visually distinguish adenoma from adjacent pituitary gland due to textural similarities may lead to incomplete adenoma resection or impairment of pituitary function. The aim of this study was to investigate optical coherence tomography (OCT) imaging in combination with a convolutional neural network (CNN) for objectively identify pituitary adenoma tissue in an Methods: A prospective study was conducted to train and test a CNN algorithm to identify pituitary adenoma tissue in OCT images of adenoma and adjacent pituitary gland samples. From each sample, 500 slices of adjacent cross-sectional OCT images were used for CNN classification. Results: OCT data acquisition was feasible in 19/20 (95%) patients. The 16.000 OCT slices of 16/19 of cases were employed for creating a trained CNN algorithm (70% for training, 15% for validating the classifier). Thereafter, the classifier was tested on the paired samples of three patients (3.000 slices). The CNN correctly predicted adenoma in the 3 adenoma samples (98%, 100% and 84% respectively), and correctly predicted gland and transition zone in the 3 samples from the adjacent pituitary gland. Conclusion: Trained convolutional neural network computing has the potential for fast and objective identification of pituitary adenoma tissue in OCT images with high sensitivity

Indexed as

AlgorithmsNeural Networks, ComputerAdenomaAdultAgedBiopsyCross-Sectional StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPituitary NeoplasmsPrognosisProspective StudiesTomography, Optical Coherenceconvolutional neural network (CNN)Optical coherence tomographypituitary adenoma (PA)pituitary glandtransition zone (TZ)

Identifiers

PMID34733239
PMCPMC8560084
OpenAlexW3207499138

What OpenQuestion holds

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LicenceCC BY
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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.