Evidence map›Paper›PMID 35562532›Full record

ArticleScientific reports2022

Automated machine learning for differentiation of hepatocellular carcinoma from intrahepatic cholangiocarcinoma on multiphasic MRI.

Rong Hu, Huizhou Li, Hannah Horng, Nicole M Thomasian, Zhicheng Jiao, Chengzhang Zhu, Beiji Zou, Harrison X Bai

Abstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Applications of artificial intelligence in biliary tract cancers.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
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  15. Article
  16. Application of AI on cholangiocarcinoma.Frontiers in oncology · 2024
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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.

Rong Hu *Department of Radiology, Xiangya Hospital, Central South University, Changsha, China.
Huizhou Li *Department of Radiology, The Second Xiangya Hospital, Central South University, Changsha, China.
Hannah HorngDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, USA.
Nicole M ThomasianWarren Alpert Medical School of Brown University, Providence, RI, USA.
Zhicheng JiaoWarren Alpert Medical School of Brown University, Providence, RI, USA.
Chengzhang ZhuSchool of Computer Science and Engineering, Central South University, Changsha, China.
Beiji ZouSchool of Computer Science and Engineering, Central South University, Changsha, China.
Harrison X BaiDepartment of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, 601 N Caroline St, Baltimore, MD, 21205, USA. hbai7@jhu.edu.

Funding

Training Program in Biomedical Imaging and Information SciencesT32EB009384 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI GEE, JAMES C, IVES, ZACHARY · 2009 to 2023
$4.0M
NIBIB NIH HHS T32 EB009384
6 · The paper itself

Abstract

With modern management of primary liver cancer shifting towards non-invasive diagnostics, accurate tumor classification on medical imaging is increasingly critical for disease surveillance and appropriate targeting of therapy. Recent advancements in machine learning raise the possibility of automated tools that can accelerate workflow, enhance performance, and increase the accessibility of artificial intelligence to clinical researchers. We explore the use of an automated Tree-Based Optimization Tool that leverages a genetic programming algorithm for differentiation of the two common primary liver cancers on multiphasic MRI. Manual and automated analyses were performed to select an optimal machine learning model, with an accuracy of 73-75% (95% CI 0.59-0.85), sensitivity of 70-75% (95% CI 0.48-0.89), and specificity of 71-79% (95% CI 0.52-0.90) on manual optimization, and an accuracy of 73-75% (95% CI 0.59-0.85), sensitivity of 65-75% (95% CI 0.43-0.89) and specificity of 75-79% (95% CI 0.56-0.90) for automated machine learning. We found that automated machine learning performance was similar to that of manual optimization, and it could classify hepatocellular carcinoma and intrahepatic cholangiocarcinoma with an sensitivity and specificity comparable to that of radiologists. However, automated machine learning performance was poor on a subset of scans that met LI-RADS criteria for LR-M. Exploration of additional feature selection and classifier methods with automated machine learning to improve performance on LR-M cases as well as prospective validation in the clinical setting are needed prior to implementation.

Indexed as

Bile Duct NeoplasmsCarcinoma, HepatocellularCholangiocarcinomaLiver NeoplasmsArtificial IntelligenceBile Ducts, IntrahepaticContrast MediaHumansMachine LearningMagnetic Resonance ImagingRetrospective StudiesSensitivity and SpecificityContrast Media

Identifiers

PMID35562532
PMCPMC9106680

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Registered trials

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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.