Evidence map›Paper›PMID 34819630›Full record

ArticleLaboratory investigation; a journal of technical methods and pathology2022

Artificial intelligence modelling in differentiating core biopsies of fibroadenoma from phyllodes tumor.

Chee Leong Cheng, Nur Diyana Md Nasir, Gary Jian Zhe Ng, Kenny Wei Jie Chua, Yier Li, Joshua Rodrigues, Aye Aye Thike, Seow Ye Heng, Valerie Cui Yun Koh, Johnathan Xiande Lim and 8 more

Registry-linked trialAbstract read
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In one paragraph

Article in Laboratory investigation; a journal of technical methods and pathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06286267 (Development of an Artificial Intelligence-Based System for Precise Diagnosis and Prognosis of Breast Phyllodes Tumors), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT06286267 recruitingnot on this mapstarted 2023, after this paper: background citation

Development of an Artificial Intelligence-Based System for Precise Diagnosis and Prognosis of Breast Phyllodes Tumors

TypeobservationalSponsorSun Yat-Sen Memorial Hospital of Sun Yat-Sen UniversityRan2023 to 2027Enrolled4,000ConditionsPhyllodes Breast Tumor, Artificial Intelligence, Multiomics, Prognostic Cancer ModelArmsimaging
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. A Preliminary Investigation into Search and Matching for Tumor Discrimination in World Health Organization Breast Taxonomy Using Deep Networks.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2024
    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

18 authors.

Chee Leong Cheng *Department of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Nur Diyana Md Nasir *Department of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.ORCID http://orcid.org/0000-0003-4236-792X
Gary Jian Zhe Ng *AI Singapore, Singapore, Singapore.
Kenny Wei Jie Chua *AI Singapore, Singapore, Singapore.
Yier Li *AI Singapore, Singapore, Singapore.
Joshua Rodrigues *AI Singapore, Singapore, Singapore.
Aye Aye ThikeDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Seow Ye HengDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Valerie Cui Yun KohDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Johnathan Xiande LimDivision of Pathology, Singapore General Hospital, Singapore, Singapore.
Venice Jing Ning HiewDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Ruoyu ShiDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Benjamin Yongcheng TanDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Timothy Kwang Yong TayDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Sudha RaviAI Singapore, Singapore, Singapore.
Kim Hock NgAI Singapore, Singapore, Singapore.
Kevin Seng Loong OhAI Singapore, Singapore, Singapore.
Puay Hoon TanDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore. tan.puay.hoon@singhealth.com.sg.ORCID http://orcid.org/0000-0002-1052-8605

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast fibroepithelial lesions (FEL) are biphasic tumors which consist of benign fibroadenomas (FAs) and the rarer phyllodes tumors (PTs). FAs and PTs have overlapping features, but have different clinical management, which makes correct core biopsy diagnosis important. This study used whole-slide images (WSIs) of 187 FA and 100 PT core biopsies, to investigate the potential role of artificial intelligence (AI) in FEL diagnosis. A total of 9228 FA patches and 6443 PT patches was generated from WSIs of the training subset, with each patch being 224 × 224 pixel in size. Our model employed a two-stage architecture comprising a convolutional neural network (CNN) component for feature extraction from the patches, and a recurrent neural network (RNN) component for whole-slide classification using activation values from the global average pooling layer in the CNN model. It achieved an overall slide-level accuracy of 87.5%, with accuracies of 80% and 95% for FA and PT slides respectively. This affirms the potential role of AI in diagnostic discrimination between FA and PT on core biopsies which may be further refined for use in routine practice.

Indexed as

Artificial IntelligenceBiopsy, Large-Core NeedleBreastBreast NeoplasmsDiagnosis, DifferentialFemaleFibroadenomaHumansNeural Networks, ComputerPhyllodes TumorROC Curve

Identifiers

What OpenQuestion holds

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Registered trials

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.