Evidence map›Paper›PMID 36672655›Full record

ArticleBiomedicines2023

Artificial Intelligence Assisted Computational Tomographic Detection of Lung Nodules for Prognostic Cancer Examination: A Large-Scale Clinical Trial.

Heng-Sheng Chao, Chiao-Yun Tsai, Chung-Wei Chou, Tsu-Hui Shiao, Hsu-Chih Huang, Kun-Chieh Chen, Hao-Hung Tsai, Chin-Yu Lin, Yuh-Min Chen

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.4field-weighted citation impact, top 5% 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, 17 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

9 authors at 5 institutions in 1 country.

Heng-Sheng ChaoDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.ORCID 0000-0002-0309-0983
Chiao-Yun TsaiDivision of Thoracic Surgery, Department of Surgery, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.ORCID 0000-0001-8466-7627
Chung-Wei ChouDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.
Tsu-Hui ShiaoDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.
Hsu-Chih HuangDivision of Thoracic Surgery, Department of Surgery, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.
Kun-Chieh ChenDivision of Pulmonary Medicine, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.ORCID 0000-0001-8216-927X
Hao-Hung TsaiInstitute of Medicine, College of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.
Chin-Yu LinInstitute of New Drug Development, College of Medicine, China Medical University, Taichung 40402, Taiwan.ORCID 0000-0003-2304-7381
Yuh-Min ChenDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan.ORCID 0000-0003-0585-8463
Chung Shan Medical University Hospital · TWNational Yang Ming Chiao Tung University · TWChina Medical University · TWNational Chi Nan University · TWTaipei Veterans General Hospital · TW

Funding

V5 Technologies Co. Ltd C2114400
6 · The paper itself

Abstract

Low-dose computed tomography (LDCT) has emerged as a standard method for detecting early-stage lung cancer. However, the tedious computer tomography (CT) slide reading, patient-by-patient check, and lack of standard criteria to determine the vague but possible nodule leads to variable outcomes of CT slide interpretation. To determine the artificial intelligence (AI)-assisted CT examination, AI algorithm-assisted CT screening was embedded in the hospital picture archiving and communication system, and a 200 person-scaled clinical trial was conducted at two medical centers. With AI algorithm-assisted CT screening, the sensitivity of detecting nodules sized 4−5 mm, 6~10 mm, 11~20 mm, and >20 mm increased by 41%, 11.2%, 10.3%, and 18.7%, respectively. Remarkably, the overall sensitivity of detecting varied nodules increased by 20.7% from 67.7% to 88.4%. Furthermore, the sensitivity increased by 18.5% from 72.5% to 91% for detecting ground glass nodules (GGN), which is challenging for radiologists and physicians. The free-response operating characteristic (FROC) AI score was ≥0.4, and the AI algorithm standalone CT screening sensitivity reached >95% with an area under the localization receiver operating characteristic curve (LROC-AUC) of >0.88. Our study demonstrates that AI algorithm-embedded CT screening significantly ameliorates tedious LDCT practices for doctors.

Indexed as

artificial intelligencecomputed tomographycomputer-assisted detectionlung nodule

Identifiers

PMID36672655
PMCPMC9856020
OpenAlexW4313825711

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.