Evidence map›Paper›PMID 35146433›Full record

ArticleRadiology. Artificial intelligence2022

Classification of Multiple Diseases on Body CT Scans Using Weakly Supervised Deep Learning.

Fakrul Islam Tushar, Vincent M D'Anniballe, Rui Hou, Maciej A Mazurowski, Wanyi Fu, Ehsan Samei, Geoffrey D Rubin, Joseph Y Lo

Abstract read
In one paragraph

Article in Radiology. Artificial intelligence, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

8 citing papers in PubMed.

  1. Learning to Diagnose Privately: DP-Powered LLMs for Radiology Report Classification.IEEE access : practical innovations, open solutions · 2026
    Article
  2. Article
  3. A Pan-Organ Vision-Language Model for Generalizable 3D CT Representations.medRxiv : the preprint server for health sciences · 2025
    Article
  4. Article
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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

8 authors.

Fakrul Islam TusharCenter for Virtual Imaging Trials, Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology and Department of Electrical and Computer Engineering, Duke University, 2424 Erwin Rd, Studio 302, Durham, NC 27705 (F.I.T., R.H., M.A.M., W.F., E.S., J.Y.L.); Department of Radiology, Duke University, Durham, NC (V.M.D.); and Department of Medical Imaging, University of Arizona, Tucson, Ariz (G.D.R.).ORCID 0000-0001-7180-563X
Vincent M D'AnniballeCenter for Virtual Imaging Trials, Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology and Department of Electrical and Computer Engineering, Duke University, 2424 Erwin Rd, Studio 302, Durham, NC 27705 (F.I.T., R.H., M.A.M., W.F., E.S., J.Y.L.); Department of Radiology, Duke University, Durham, NC (V.M.D.); and Department of Medical Imaging, University of Arizona, Tucson, Ariz (G.D.R.).ORCID 0000-0002-8536-633X
Rui HouCenter for Virtual Imaging Trials, Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology and Department of Electrical and Computer Engineering, Duke University, 2424 Erwin Rd, Studio 302, Durham, NC 27705 (F.I.T., R.H., M.A.M., W.F., E.S., J.Y.L.); Department of Radiology, Duke University, Durham, NC (V.M.D.); and Department of Medical Imaging, University of Arizona, Tucson, Ariz (G.D.R.).ORCID https://orcid.org/0000-0002-0348-8772
Maciej A MazurowskiCenter for Virtual Imaging Trials, Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology and Department of Electrical and Computer Engineering, Duke University, 2424 Erwin Rd, Studio 302, Durham, NC 27705 (F.I.T., R.H., M.A.M., W.F., E.S., J.Y.L.); Department of Radiology, Duke University, Durham, NC (V.M.D.); and Department of Medical Imaging, University of Arizona, Tucson, Ariz (G.D.R.).ORCID https://orcid.org/0000-0003-4202-8602
Wanyi FuCenter for Virtual Imaging Trials, Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology and Department of Electrical and Computer Engineering, Duke University, 2424 Erwin Rd, Studio 302, Durham, NC 27705 (F.I.T., R.H., M.A.M., W.F., E.S., J.Y.L.); Department of Radiology, Duke University, Durham, NC (V.M.D.); and Department of Medical Imaging, University of Arizona, Tucson, Ariz (G.D.R.).ORCID 0000-0002-9851-1970
Ehsan SameiCenter for Virtual Imaging Trials, Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology and Department of Electrical and Computer Engineering, Duke University, 2424 Erwin Rd, Studio 302, Durham, NC 27705 (F.I.T., R.H., M.A.M., W.F., E.S., J.Y.L.); Department of Radiology, Duke University, Durham, NC (V.M.D.); and Department of Medical Imaging, University of Arizona, Tucson, Ariz (G.D.R.).ORCID 0000-0001-7451-3309
Geoffrey D RubinCenter for Virtual Imaging Trials, Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology and Department of Electrical and Computer Engineering, Duke University, 2424 Erwin Rd, Studio 302, Durham, NC 27705 (F.I.T., R.H., M.A.M., W.F., E.S., J.Y.L.); Department of Radiology, Duke University, Durham, NC (V.M.D.); and Department of Medical Imaging, University of Arizona, Tucson, Ariz (G.D.R.).ORCID 0000-0002-3820-2500
Joseph Y LoCenter for Virtual Imaging Trials, Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology and Department of Electrical and Computer Engineering, Duke University, 2424 Erwin Rd, Studio 302, Durham, NC 27705 (F.I.T., R.H., M.A.M., W.F., E.S., J.Y.L.); Department of Radiology, Duke University, Durham, NC (V.M.D.); and Department of Medical Imaging, University of Arizona, Tucson, Ariz (G.D.R.).ORCID 0000-0002-9540-5072

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI DONNA NIEDZWIECKI · 1985 to 2026
$174.8M
TR&D Project 3: Virtual ReadersP41EB028744 · NIBIB · DUKE UNIVERSITY · PI Ehsan Samei · 2021 to 2026
$7.8M
NCI NIH HHS P30 CA014236NIBIB NIH HHS P41 EB028744
6 · The paper itself

Abstract

purposeTo design multidisease classifiers for body CT scans for three different organ systems using automatically extracted labels from radiology text reports. MATERIALS AND

methodsThis retrospective study included a total of 12 092 patients (mean age, 57 years ± 18 [standard deviation]; 6172 women) for model development and testing. Rule-based algorithms were used to extract 19 225 disease labels from 13 667 body CT scans performed between 2012 and 2017. Using a three-dimensional DenseVNet, three organ systems were segmented: lungs and pleura, liver and gallbladder, and kidneys and ureters. For each organ system, a three-dimensional convolutional neural network classified each as no apparent disease or for the presence of four common diseases, for a total of 15 different labels across all three models. Testing was performed on a subset of 2158 CT volumes relative to 2875 manually derived reference labels from 2133 patients (mean age, 58 years ± 18; 1079 women). Performance was reported as area under the receiver operating characteristic curve (AUC), with 95% CIs calculated using the DeLong method.

resultsManual validation of the extracted labels confirmed 91%-99% accuracy across the 15 different labels. AUCs for lungs and pleura labels were as follows: atelectasis, 0.77 (95% CI: 0.74, 0.81); nodule, 0.65 (95% CI: 0.61, 0.69); emphysema, 0.89 (95% CI: 0.86, 0.92); effusion, 0.97 (95% CI: 0.96, 0.98); and no apparent disease, 0.89 (95% CI: 0.87, 0.91). AUCs for liver and gallbladder were as follows: hepatobiliary calcification, 0.62 (95% CI: 0.56, 0.67); lesion, 0.73 (95% CI: 0.69, 0.77); dilation, 0.87 (95% CI: 0.84, 0.90); fatty, 0.89 (95% CI: 0.86, 0.92); and no apparent disease, 0.82 (95% CI: 0.78, 0.85). AUCs for kidneys and ureters were as follows: stone, 0.83 (95% CI: 0.79, 0.87); atrophy, 0.92 (95% CI: 0.89, 0.94); lesion, 0.68 (95% CI: 0.64, 0.72); cyst, 0.70 (95% CI: 0.66, 0.73); and no apparent disease, 0.79 (95% CI: 0.75, 0.83).

conclusionWeakly supervised deep learning models were able to classify diverse diseases in multiple organ systems from CT scans.

Indexed as

CTDiagnosis/Classification/Application DomainSemisupervised LearningWhole-Body Imaging

Identifiers

PMID35146433
PMCPMC8823458

What OpenQuestion holds

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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.