Evidence map›Paper›PMID 36721408›Full record

ArticleRadiology. Artificial intelligence2023

Generalizability of Machine Learning Models: Quantitative Evaluation of Three Methodological Pitfalls.

Farhad Maleki, Katie Ovens, Rajiv Gupta, Caroline Reinhold, Alan Spatz, Reza Forghani

Open access · hybridAbstract read
In one paragraph

Article in Radiology. Artificial intelligence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 6 pooled it
15.0field-weighted citation impact, top 1% 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

60 citing papers in PubMed, 6 syntheses or guidelines pooled it, 115 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

6 authors at 3 institutions in 2 countries.

Farhad Maleki *Department of Computer Science, University of Calgary, Calgary, Canada (F.M., K.O.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (R.G.); Augmented Intelligence & Precision Health Laboratory (AIPHL), Department of Radiology and the Research Institute of the McGill University Health Centre, McGill University, Montreal, Canada (C.R., R.F.); Montreal Imaging Experts, Montreal, Canada (C.R., R.F.); Division of Pathology, Jewish General Hospital, Montreal, Canada (A.S.); and Radiomics and Augmented Intelligence Laboratory (RAIL), Department of Radiology and the Norman Fixel Institute for Neurologic Diseases, University of Florida College of Medicine, UF Health Shands Hospital, 1600 SW Archer Rd, Gainesville, FL 32610-0374 (R.F.).ORCID https://orcid.org/0000-0002-5673-8210
Katie Ovens *Department of Computer Science, University of Calgary, Calgary, Canada (F.M., K.O.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (R.G.); Augmented Intelligence & Precision Health Laboratory (AIPHL), Department of Radiology and the Research Institute of the McGill University Health Centre, McGill University, Montreal, Canada (C.R., R.F.); Montreal Imaging Experts, Montreal, Canada (C.R., R.F.); Division of Pathology, Jewish General Hospital, Montreal, Canada (A.S.); and Radiomics and Augmented Intelligence Laboratory (RAIL), Department of Radiology and the Norman Fixel Institute for Neurologic Diseases, University of Florida College of Medicine, UF Health Shands Hospital, 1600 SW Archer Rd, Gainesville, FL 32610-0374 (R.F.).ORCID 0000-0001-5956-7739
Rajiv GuptaDepartment of Computer Science, University of Calgary, Calgary, Canada (F.M., K.O.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (R.G.); Augmented Intelligence & Precision Health Laboratory (AIPHL), Department of Radiology and the Research Institute of the McGill University Health Centre, McGill University, Montreal, Canada (C.R., R.F.); Montreal Imaging Experts, Montreal, Canada (C.R., R.F.); Division of Pathology, Jewish General Hospital, Montreal, Canada (A.S.); and Radiomics and Augmented Intelligence Laboratory (RAIL), Department of Radiology and the Norman Fixel Institute for Neurologic Diseases, University of Florida College of Medicine, UF Health Shands Hospital, 1600 SW Archer Rd, Gainesville, FL 32610-0374 (R.F.).ORCID https://orcid.org/0000-0002-5882-960X
Caroline ReinholdDepartment of Computer Science, University of Calgary, Calgary, Canada (F.M., K.O.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (R.G.); Augmented Intelligence & Precision Health Laboratory (AIPHL), Department of Radiology and the Research Institute of the McGill University Health Centre, McGill University, Montreal, Canada (C.R., R.F.); Montreal Imaging Experts, Montreal, Canada (C.R., R.F.); Division of Pathology, Jewish General Hospital, Montreal, Canada (A.S.); and Radiomics and Augmented Intelligence Laboratory (RAIL), Department of Radiology and the Norman Fixel Institute for Neurologic Diseases, University of Florida College of Medicine, UF Health Shands Hospital, 1600 SW Archer Rd, Gainesville, FL 32610-0374 (R.F.).ORCID 0000-0002-8852-3273
Alan SpatzDepartment of Computer Science, University of Calgary, Calgary, Canada (F.M., K.O.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (R.G.); Augmented Intelligence & Precision Health Laboratory (AIPHL), Department of Radiology and the Research Institute of the McGill University Health Centre, McGill University, Montreal, Canada (C.R., R.F.); Montreal Imaging Experts, Montreal, Canada (C.R., R.F.); Division of Pathology, Jewish General Hospital, Montreal, Canada (A.S.); and Radiomics and Augmented Intelligence Laboratory (RAIL), Department of Radiology and the Norman Fixel Institute for Neurologic Diseases, University of Florida College of Medicine, UF Health Shands Hospital, 1600 SW Archer Rd, Gainesville, FL 32610-0374 (R.F.).ORCID 0000-0003-3020-1420
Reza ForghaniDepartment of Computer Science, University of Calgary, Calgary, Canada (F.M., K.O.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (R.G.); Augmented Intelligence & Precision Health Laboratory (AIPHL), Department of Radiology and the Research Institute of the McGill University Health Centre, McGill University, Montreal, Canada (C.R., R.F.); Montreal Imaging Experts, Montreal, Canada (C.R., R.F.); Division of Pathology, Jewish General Hospital, Montreal, Canada (A.S.); and Radiomics and Augmented Intelligence Laboratory (RAIL), Department of Radiology and the Norman Fixel Institute for Neurologic Diseases, University of Florida College of Medicine, UF Health Shands Hospital, 1600 SW Archer Rd, Gainesville, FL 32610-0374 (R.F.).ORCID https://orcid.org/0000-0002-8572-1864
Montreal General Hospital · CAUniversity of Calgary · CAUF Health Shands Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate the impact of the following three methodological pitfalls on model generalizability: ( Materials and Methods: The authors used retrospective CT, histopathologic analysis, and radiography datasets to develop machine learning models with and without the three methodological pitfalls to quantitatively illustrate their effect on model performance and generalizability. F1 score was used to measure performance, and differences in performance between models developed with and without errors were assessed using the Wilcoxon rank sum test when applicable. Results: Violation of the independence assumption by applying oversampling, feature selection, and data augmentation before splitting data into training, validation, and test sets seemingly improved model F1 scores by 71.2% for predicting local recurrence and 5.0% for predicting 3-year overall survival in head and neck cancer and by 46.0% for distinguishing histopathologic patterns in lung cancer. Randomly distributing data points for a patient across datasets superficially improved the F1 score by 21.8%. High model performance metrics did not indicate high-quality lung segmentation. In the presence of a batch effect, a model built for pneumonia detection had an F1 score of 98.7% but correctly classified only 3.86% of samples from a new dataset of healthy patients. Conclusion: Machine learning models developed with these methodological pitfalls, which are undetectable during internal evaluation, produce inaccurate predictions; thus, understanding and avoiding these pitfalls is necessary for developing generalizable models.

Indexed as

Convolutional Neural Network (CNN)Deep LearningDiagnosisGeneralizabilityMachine LearningMedical Image AnalysisModel EvaluationPrognosisRandom Forest

Identifiers

PMID36721408
PMCPMC9885377
OpenAlexW4309321702

What OpenQuestion holds

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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.