Evidence map›Paper›PMID 36790570›Full record

ReviewInsights into imaging2023

Analysis of computer-aided diagnostics in the preoperative diagnosis of ovarian cancer: a systematic review.

Anna H Koch, Lara S Jeelof, Caroline L P Muntinga, T A Gootzen, Nienke M A van de Kruis, Joost Nederend, Tim Boers, Fons van der Sommen, Jurgen M J Piek

Open access · goldAbstract readReview
In one paragraph

Review in Insights into imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
6.0field-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

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Diagnostic accuracy of ultrasound models for assessment of ovarian tumors: systematic review and meta-analysis.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
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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 2 institutions in 1 country.

Anna H KochDepartment of Gynaecology and Obstetrics and Catharina Cancer Institute, Catharina Hospital, 5623 EJ, Eindhoven, Noord-Brabant, The Netherlands. anna.koch@catharinaziekenhuis.nl.ORCID http://orcid.org/0000-0003-4947-3514
Lara S JeelofDepartment of Gynaecology and Obstetrics and Catharina Cancer Institute, Catharina Hospital, 5623 EJ, Eindhoven, Noord-Brabant, The Netherlands.
Caroline L P MuntingaDepartment of Gynaecology and Obstetrics and Catharina Cancer Institute, Catharina Hospital, 5623 EJ, Eindhoven, Noord-Brabant, The Netherlands.
T A GootzenDepartment of Gynaecology and Obstetrics and Catharina Cancer Institute, Catharina Hospital, 5623 EJ, Eindhoven, Noord-Brabant, The Netherlands.
Nienke M A van de KruisDepartment of Gynaecology and Obstetrics and Catharina Cancer Institute, Catharina Hospital, 5623 EJ, Eindhoven, Noord-Brabant, The Netherlands.
Joost NederendDepartment of Radiology, Catharina Hospital, 5623 EJ, Eindhoven, Noord-Brabant, The Netherlands.
Tim BoersDepartment of Electrical Engineering, VCA Group, University of Technology Eindhoven, 5600 MB, Eindhoven, Noord-Brabant, The Netherlands.
Fons van der SommenDepartment of Electrical Engineering, VCA Group, University of Technology Eindhoven, 5600 MB, Eindhoven, Noord-Brabant, The Netherlands.
Jurgen M J PiekDepartment of Gynaecology and Obstetrics and Catharina Cancer Institute, Catharina Hospital, 5623 EJ, Eindhoven, Noord-Brabant, The Netherlands.
Radboud University Nijmegen · NLEindhoven University of Technology · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDifferent noninvasive imaging methods to predict the chance of malignancy of ovarian tumors are available. However, their predictive value is limited due to subjectivity of the reviewer. Therefore, more objective prediction models are needed. Computer-aided diagnostics (CAD) could be such a model, since it lacks bias that comes with currently used models. In this study, we evaluated the available data on CAD in predicting the chance of malignancy of ovarian tumors.

methodsWe searched for all published studies investigating diagnostic accuracy of CAD based on ultrasound, CT and MRI in pre-surgical patients with an ovarian tumor compared to reference standards.

resultsIn thirty-one included studies, extracted features from three different imaging techniques were used in different mathematical models. All studies assessed CAD based on machine learning on ultrasound, CT scan and MRI scan images. Per imaging method, subsequently ultrasound, CT and MRI, sensitivities ranged from 40.3 to 100%; 84.6-100% and 66.7-100% and specificities ranged from 76.3-100%; 69-100% and 77.8-100%. Results could not be pooled, due to broad heterogeneity. Although the majority of studies report high performances, they are at considerable risk of overfitting due to the absence of an independent test set.

conclusionBased on this literature review, different CAD for ultrasound, CT scans and MRI scans seem promising to aid physicians in assessing ovarian tumors through their objective and potentially cost-effective character. However, performance should be evaluated per imaging technique. Prospective and larger datasets with external validation are desired to make their results generalizable.

Indexed as

Computer-assistedDiagnosisMachine learningOvarian neoplasms

Identifiers

PMID36790570
PMCPMC9931983
OpenAlexW4320856194

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.