Evidence map›Paper›PMID 36923854›Full record

ArticleHeliyon2023

Artificial intelligence-based computer-aided diagnosis system supports diagnosis of lymph node metastasis in esophageal squamous cell carcinoma: A multicenter study.

Shuai-Tong Zhang, Si-Yun Wang, Jie Zhang, Di Dong, Wei Mu, Xue-Er Xia, Fang-Fang Fu, Ya-Nan Lu, Shuo Wang, Zhen-Chao Tang and 5 more

Open access · goldAbstract read
In one paragraph

Article in Heliyon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.5field-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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
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

15 authors at 8 institutions in 1 country.

Shuai-Tong ZhangSchool of Medical Technology, Beijing Institute of Technology, Beijing, China.
Si-Yun WangDepartment of PET Center, Guangdong Provincial People's Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Jie ZhangDepartment of Radiology, Zhuhai City People's Hospital/Zhuhai Hospital Affiliated to Jinan University, Zhuhai, Guangdong, China.
Di DongCAS Key Laboratory of Molecular Imaging, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China.
Wei MuBeijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Engineering Medicine, Beihang University, Beijing, China.
Xue-Er XiaDepartment of Gastrointestinal Surgery, General Surgery Center, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Fang-Fang FuDepartment of Medical Imaging, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Ya-Nan LuDepartment of Radiology, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, Henan, China.
Shuo WangBeijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Engineering Medicine, Beihang University, Beijing, China.
Zhen-Chao TangBeijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Engineering Medicine, Beihang University, Beijing, China.
Peng LiDepartment of PET Center, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, Henan, China.
Jin-Rong QuDepartment of Radiology, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, Henan, China.
Mei-Yun WangDepartment of Medical Imaging, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Jie TianBeijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Engineering Medicine, Beihang University, Beijing, China.
Jian-Hua LiuDepartment of Oncology, Guangdong Provincial People's Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Guangdong Provincial People's Hospital · CNZhengzhou University · CNBeihang University · CNChinese Academy of Sciences · CNHenan Provincial People's Hospital · CNBeijing Institute of Technology · CNJinan University · CNZhujiang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to develop an artificial intelligence-based computer-aided diagnosis system (AI-CAD) emulating the diagnostic logic of radiologists for lymph node metastasis (LNM) in esophageal squamous cell carcinoma (ESCC) patients, which contributed to clinical treatment decision-making. Methods: A total of 689 ESCC patients with PET/CT images were enrolled from three hospitals and divided into a training cohort and two external validation cohorts. 452 CT images from three publicly available datasets were also included for pretraining the model. Anatomic information from CT images was first obtained automatically using a U-Net-based multi-organ segmentation model, and metabolic information from PET images was subsequently extracted using a gradient-based approach. AI-CAD was developed in the training cohort and externally validated in two validation cohorts. Results: The AI-CAD achieved an accuracy of 0.744 for predicting pathological LNM in the external cohort and a good agreement with a human expert in two external validation cohorts (kappa = 0.674 and 0.587, Conclusions: The AI-CAD could aid in preoperative diagnosis of LNM in ESCC patients and thereby support clinical treatment decision-making.

Indexed as

18F-FDG PET/CT, 18-fluorine-fluorodeoxyglucose positron-emission tomography/computed tomographyAI, Artificial intelligenceAI-CAD, Artificial intelligence-based computer-aided diagnosisArtificial intelligenceCI, Confidence intervalcN, Clinical N stageCT, Computed tomographyESCC, Esophageal squamous cell carcinomaEsophageal squamous cell carcinomaLNM, Lymph node metastasisLymph node metastasisnCRT, Neoadjuvant chemoradiotherapyOS, Overall survivalPET/CTPFS, Progression-free survivalpN, Pathological N stageSD, Standard deviationSLR, Ratio of the SUV value to liver uptakeSUV, Standardized uptake value

Identifiers

PMID36923854
PMCPMC10009687
OpenAlexW4321768971

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.