Evidence map›Paper›PMID 36658559›Full record

ArticleBMC infectious diseases2023

Distinguishing nontuberculous mycobacterial lung disease and Mycobacterium tuberculosis lung disease on X-ray images using deep transfer learning.

Minwoo Park, Youjin Lee, Sangil Kim, Young-Jin Kim, Shin Young Kim, Yeongsic Kim, Hyun-Min Kim

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 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

7 authors at 3 institutions in 1 country.

Minwoo ParkDepartment of Laboratory Medicine, St. Vincent's Hospital, The Catholic University of Korea, 93, Jungbu-Daero, Paldal-Gu, Suwon-Si, Gyeonggi-Do, 16247, Republic of Korea.
Youjin LeeDepartment of Mathematics, Pusan National University, 2, Busandaehak-Ro 63Beon-Gil, Geumjeong-Gu, Busan, 46241, Republic of Korea. youjin.lee@pusan.ac.kr.
Sangil KimDepartment of Mathematics, Pusan National University, 2, Busandaehak-Ro 63Beon-Gil, Geumjeong-Gu, Busan, 46241, Republic of Korea. sangil.kim@pusan.ac.kr.
Young-Jin KimH.A.S. Inc., 24, Yeonje-Ro, Yeonje-Gu, Busan, 47605, Republic of Korea.
Shin Young KimDepartment of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea, 93, Jungbu-Daero, Paldal-Gu, Suwon-Si, Gyeonggi-Do, 16247, Republic of Korea.
Yeongsic KimDepartment of Laboratory Medicine, St. Vincent's Hospital, The Catholic University of Korea, 93, Jungbu-Daero, Paldal-Gu, Suwon-Si, Gyeonggi-Do, 16247, Republic of Korea.
Hyun-Min KimNational Institute for Mathematical Sciences, 70, Yuseong-Daero 1689 Beon-Gil, Yuseong-Gu, Daejeon, 34047, Republic of Korea.
Pusan National University · KRSt. Vincent's Hospital · KRNational Institute for Mathematical Sciences · KR

Funding

National Research Foundation of Korea 2021R1A2B5B03087097
6 · The paper itself

Abstract

backgroundNontuberculous mycobacterial lung disease (NTM-LD) and Mycobacterium tuberculosis lung disease (MTB-LD) have similar clinical characteristics. Therefore, NTM-LD is sometimes incorrectly diagnosed with MTB-LD and treated incorrectly. To solve these difficulties, we aimed to distinguish the two diseases in chest X-ray images using deep learning technology, which has been used in various fields recently.

methodsWe retrospectively collected chest X-ray images from 3314 patients infected with Mycobacterium tuberculosis (MTB) or nontuberculosis mycobacterium (NTM). After selecting the data according to the diagnostic criteria, various experiments were conducted to create the optimal deep learning model. A performance comparison was performed with the radiologist. Additionally, the model performance was verified using newly collected MTB-LD and NTM-LD patient data.

resultsAmong the implemented deep learning models, the ensemble model combining EfficientNet B4 and ResNet 50 performed the best in the test data. Also, the ensemble model outperformed the radiologist on all evaluation metrics. In addition, the accuracy of the ensemble model was 0.85 for MTB-LD and 0.78 for NTM-LD on an additional validation dataset consisting of newly collected patients.

conclusionsIn previous studies, it was known that it was difficult to distinguish between MTB-LD and NTM-LD in chest X-ray images, but we have successfully distinguished the two diseases using deep learning methods. This study has the potential to aid clinical decisions if the two diseases need to be differentiated.

Indexed as

Lung DiseasesMycobacterium Infections, NontuberculousMycobacterium tuberculosisPneumoniaHumansMachine LearningNontuberculous MycobacteriaRetrospective StudiesX-RaysChest X-ray imageDeep learningIntersection over detected bounding-boxMycobacterium tuberculosis lung diseaseNontuberculous mycobacterial lung disease

Identifiers

PMID36658559
PMCPMC9854086
OpenAlexW4317434830

What OpenQuestion holds

Textmetadata
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.