Evidence map›Paper›PMID 35900608›Full record

ArticleInsights into imaging2022

Deep learning based on ultrasound images assists breast lesion diagnosis in China: a multicenter diagnostic study.

Yang Gu, Wen Xu, Bin Lin, Xing An, Jiawei Tian, Haitao Ran, Weidong Ren, Cai Chang, Jianjun Yuan, Chunsong Kang and 19 more

Open access · goldAbstract read
In one paragraph

Article in Insights into imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  13. Whole-lesion-aware network based on freehand ultrasound video for breast cancer assessment: a prospective multicenter study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Article
  14. Hierarchical diagnosis of breast phyllodes tumors enabled by deep learning of ultrasound images: a retrospective multi-center study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Article
  15. Article
  16. Breast Cancer Detection on Dual-View Sonography via Data-Centric Deep Learning.IEEE open journal of engineering in medicine and biology · 2025
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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

29 authors at 19 institutions in 1 country.

Yang GuDepartment of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, China.
Wen XuDepartment of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, China.
Bin LinDepartment of Medical Imaging Advanced Research, Beijing Research Institute, Shenzhen Mindray Bio-Medical Electronics Co., Ltd., Beijing, China.
Xing AnDepartment of Medical Imaging Advanced Research, Beijing Research Institute, Shenzhen Mindray Bio-Medical Electronics Co., Ltd., Beijing, China.
Jiawei TianDepartment of Ultrasound, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Haitao RanDepartment of Ultrasound, The Second Affiliated Hospital of Chongqing Medical University and Chongqing Key Laboratory of Ultrasound Molecular Imaging, Chongqing, China.
Weidong RenDepartment of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China.
Cai ChangDepartment of Medical Ultrasound, Fudan University Shanghai Cancer Center, Shanghai, China.
Jianjun YuanDepartment of Ultrasonography, Henan Provincial People's Hospital, Zhengzhou, China.
Chunsong KangDepartment of Ultrasound, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan, China.
Youbin DengDepartment of Medical Ultrasound, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
Hui WangDepartment of Ultrasound, China-Japan Union Hospital of Jilin University, Changchun, China.
Baoming LuoDepartment of Ultrasound, The Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
Shenglan GuoDepartment of Ultrasonography, First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Qi ZhouDepartment of Medical Ultrasound, The Second Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, China.
Ensheng XueDepartment of Ultrasound, Union Hospital of Fujian Medical University, Fujian Institute of Ultrasound Medicine, Fuzhou, China.
Weiwei ZhanDepartment of Ultrasound, Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, China.
Qing ZhouDepartment of Ultrasonography, Renmin Hospital of Wuhan University, Wuhan, China.
Jie LiDepartment of Ultrasound, Qilu Hospital, Shandong University, Jinan, 250012, China.
Ping ZhouDepartment of Ultrasound, The Third Xiangya Hospital of Central South University, Changsha, China.
Man ChenDepartment of Ultrasound Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Ying GuDepartment of Ultrasonography, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Wu ChenDepartment of Ultrasound, The First Hospital of Shanxi Medical University, Taiyuan, China.
Yuhong ZhangDepartment of Ultrasound, The Second Hospital of Dalian Medical University, Dalian, China.
Jianchu LiDepartment of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, China.
Longfei CongDepartment of Medical Imaging Advanced Research, Beijing Research Institute, Shenzhen Mindray Bio-Medical Electronics Co., Ltd., Beijing, China.
Lei ZhuDepartment of Medical Imaging Advanced Research, Shenzhen Mindray Bio-Medical Electronics Co., Ltd., Shenzhen, China.
Hongyan Wang *Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, China. whychina@126.com.ORCID http://orcid.org/0000-0003-2710-8698
Yuxin Jiang *Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, China. jiangyuxinxh@163.com.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNMindray (China) · CNDalian Medical University · CNGuiyang Medical University · CNUnion Hospital · CNWuhan University · CNCentral South University · CNChina Medical University · CNFudan University Shanghai Cancer Center · CNFujian Medical University · CNGuangxi Medical University · CNHarbin Medical University · CNHenan Provincial People's Hospital · CNRuijin Hospital · CNShanghai Jiao Tong University · CNShanxi Academy of Medical Sciences · CNShanxi Medical University · CNSun Yat-sen University · CNTongji Hospital · CN

Funding

International Health Exchange and Cooperation Center ihecc2018C0032-2Natural Science Foundation of Beijing Municipality 7202156Peking Union Medical College Hospital 10023201900113
6 · The paper itself

Abstract

backgroundStudies on deep learning (DL)-based models in breast ultrasound (US) remain at the early stage due to a lack of large datasets for training and independent test sets for verification. We aimed to develop a DL model for differentiating benign from malignant breast lesions on US using a large multicenter dataset and explore the model's ability to assist the radiologists.

methodsA total of 14,043 US images from 5012 women were prospectively collected from 32 hospitals. To develop the DL model, the patients from 30 hospitals were randomly divided into a training cohort (n = 4149) and an internal test cohort (n = 466). The remaining 2 hospitals (n = 397) were used as the external test cohorts (ETC). We compared the model with the prospective Breast Imaging Reporting and Data System assessment and five radiologists. We also explored the model's ability to assist the radiologists using two different methods.

resultsThe model demonstrated excellent diagnostic performance with the ETC, with a high area under the receiver operating characteristic curve (AUC, 0.913), sensitivity (88.84%), specificity (83.77%), and accuracy (86.40%). In the comparison set, the AUC was similar to that of the expert (p = 0.5629) and one experienced radiologist (p = 0.2112) and significantly higher than that of three inexperienced radiologists (p < 0.01). After model assistance, the accuracies and specificities of the radiologists were substantially improved without loss in sensitivities.

conclusionsThe DL model yielded satisfactory predictions in distinguishing benign from malignant breast lesions. The model showed the potential value in improving the diagnosis of breast lesions by radiologists.

Indexed as

Artificial intelligenceBreast neoplasmsDeep learningDiagnosisUltrasonography

Identifiers

PMID35900608
PMCPMC9334487
OpenAlexW4288084450

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.