Evidence map›Paper›PMID 36419044›Full record

ArticleBMC medical imaging2022

Development and performance evaluation of a deep learning lung nodule detection system.

Shichiro Katase, Akimichi Ichinose, Mahiro Hayashi, Masanaka Watanabe, Kinka Chin, Yuhei Takeshita, Hisae Shiga, Hidekatsu Tateishi, Shiro Onozawa, Yuya Shirakawa and 6 more

Open access · goldAbstract read
In one paragraph

Article in BMC medical imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

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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

16 authors at 3 institutions in 1 country.

Shichiro KataseDepartment of Radiology, Faculty of Medicine, Kyorin University, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan. skatase@ks.kyorin-u.ac.jp.
Akimichi IchinoseImaging Technology Center, ICT Strategy Division, Fujifilm Corporation, 2-26-30, Nishi-Azabu, Minato-ku, Tokyo, Japan.
Mahiro HayashiDepartment of Radiology, Faculty of Medicine, Kyorin University, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Masanaka WatanabeDepartment of Radiology, Faculty of Medicine, Kyorin University, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Kinka ChinDepartment of Radiology, Faculty of Medicine, Kyorin University, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Yuhei TakeshitaDepartment of Radiology, Faculty of Medicine, Kyorin University, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Hisae ShigaDepartment of Radiology, Faculty of Medicine, Kyorin University, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Hidekatsu TateishiDepartment of Radiology, Faculty of Medicine, Kyorin University, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Shiro OnozawaDepartment of Radiology, Faculty of Medicine, Kyorin University, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Yuya ShirakawaDepartment of Radiology, Kyorin University Hospital, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Koji YamashitaDepartment of Radiology, Kyorin University Hospital, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Jun ShudoDepartment of Radiology, Kyorin University Hospital, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Keigo NakamuraImaging Technology Center, ICT Strategy Division, Fujifilm Corporation, 2-26-30, Nishi-Azabu, Minato-ku, Tokyo, Japan.
Akihito NakanishiDepartment of Radiology, Kyorin University Hospital, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Kazunori KurokiDepartment of Radiology, Faculty of Medicine, Kyorin University, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Kenichi YokoyamaDepartment of Radiology, Faculty of Medicine, Kyorin University, 6-20-2, Shinkawa, Mitaka-shi, Tokyo, Japan.
Kyorin University · JPKyorin University Hospital · JPFujifilm (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung cancer is the leading cause of cancer-related deaths throughout the world. Chest computed tomography (CT) is now widely used in the screening and diagnosis of lung cancer due to its effectiveness. Radiologists must identify each small nodule shadow from 3D volume images, which is very burdensome and often results in missed nodules. To address these challenges, we developed a computer-aided detection (CAD) system that automatically detects lung nodules in CT images.

methodsA total of 1997 chest CT scans were collected for algorithm development. The algorithm was designed using deep learning technology. In addition to evaluating detection performance on various public datasets, its robustness to changes in radiation dose was assessed by a phantom study. To investigate the clinical usefulness of the CAD system, a reader study was conducted with 10 doctors, including inexperienced and expert readers. This study investigated whether the use of the CAD as a second reader could prevent nodular lesions in lungs that require follow-up examinations from being overlooked. Analysis was performed using the Jackknife Free-Response Receiver-Operating Characteristic (JAFROC).

resultsThe CAD system achieved sensitivity of 0.98/0.96 at 3.1/7.25 false positives per case on two public datasets. Sensitivity did not change within the range of practical doses for a study using a phantom. A second reader study showed that the use of this system significantly improved the detection ability of nodules that could be picked up clinically (p = 0.026).

conclusionsWe developed a deep learning-based CAD system that is robust to imaging conditions. Using this system as a second reader increased detection performance.

Indexed as

Deep LearningLung NeoplasmsHumansLungPhantoms, ImagingTomography, X-Ray ComputedArtificial intelligenceComputer aided detectionDeep learningLung nodule

Identifiers

PMID36419044
PMCPMC9682774
OpenAlexW4309838309

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.