Evidence map›Paper›PMID 37291378›Full record

SynthesisAdvances in therapy2023

Artificial Intelligence in Head and Neck Cancer: A Systematic Review of Systematic Reviews.

Antti A Mäkitie, Rasheed Omobolaji Alabi, Sweet Ping Ng, Robert P Takes, K Thomas Robbins, Ohad Ronen, Ashok R Shaha, Patrick J Bradley, Nabil F Saba, Sandra Nuyts and 4 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Advances in therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Machine learning based prediction of recurrence in oral tongue cancer: a systematic review with quantitative synthesis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Pooled it
  2. Pooled it
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  16. Evaluating AI Performance in Systematic Literature Reviews for HEOR: A Case Study.Journal of health economics and outcomes research · 2026
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  19. Observational
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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

14 authors.

Antti A MäkitieDepartment of Otorhinolaryngology-Head and Neck Surgery, Helsinki University Hospital, University of Helsinki, P.O. Box 263, 00029, HUS, Helsinki, Finland. antti.makitie@helsinki.fi.ORCID http://orcid.org/0000-0002-0451-2404
Rasheed Omobolaji AlabiResearch Program in Systems Oncology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0000-0001-7655-5924
Sweet Ping NgDepartment of Radiation Oncology, Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Melbourne, Australia.
Robert P TakesDepartment of Otolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
K Thomas RobbinsDepartment of Otolaryngology Head Neck Surgery, SIU School of Medicine, Southern Illinois University, Springfield, IL, USA.
Ohad RonenDepartment of Otolaryngology-Head and Neck Surgery, Galilee Medical Center Affiliated with Azrieil Faculty of Medicine, Bar Ilan University, Safed, Israel.
Ashok R ShahaHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Patrick J BradleyThe University of Nottingham, Department of ORLHNS, Queens Medical Centre Campus, Nottingham University Hospital, Derby Road, Nottingham, NG7 2UH, UK.ORCID https://orcid.org/0000-0003-2810-5704
Nabil F SabaDepartment of Hematology and Medical Oncology, The Winship Cancer Institute, Emory University, Atlanta, GA, USA.
Sandra NuytsLaboratory of Experimental Radiotherapy, Department of Oncology, KU Leuven, 3000, Leuven, Belgium.
Asterios TriantafyllouDepartment of Pathology, Liverpool Clinical Laboratories, School of Dentistry, University of Liverpool, Liverpool, UK.
Cesare PiazzaUnit of Otorhinolaryngology-Head and Neck Surgery, ASST Spedali Civili of Brescia, Brescia, Italy.
Alessandra RinaldoENT Unit, Policlinico Città di Udine, 33100, Udine, Italy.ORCID https://orcid.org/0000-0001-7956-6709
Alfio FerlitoCoordinator of the International Head and Neck Scientific Group, Padua, Italy.ORCID http://orcid.org/0000-0002-8247-8002

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

introductionSeveral studies have emphasized the potential of artificial intelligence (AI) and its subfields, such as machine learning (ML), as emerging and feasible approaches to optimize patient care in oncology. As a result, clinicians and decision-makers are faced with a plethora of reviews regarding the state of the art of applications of AI for head and neck cancer (HNC) management. This article provides an analysis of systematic reviews on the current status, and of the limitations of the application of AI/ML as adjunctive decision-making tools in HNC management.

methodsElectronic databases (PubMed, Medline via Ovid, Scopus, and Web of Science) were searched from inception until November 30, 2022. The study selection, searching and screening processes, inclusion, and exclusion criteria followed the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. A risk of bias assessment was conducted using a tailored and modified version of the Assessment of Systematic Review (AMSTAR-2) tool and quality assessment using the Risk of Bias in Systematic Reviews (ROBIS) guidelines.

resultsOf the 137 search hits retrieved, 17 fulfilled the inclusion criteria. This analysis of systematic reviews revealed that the application of AI/ML as a decision aid in HNC management can be thematized as follows: (1) detection of precancerous and cancerous lesions within histopathologic slides; (2) prediction of the histopathologic nature of a given lesion from various sources of medical imaging; (3) prognostication; (4) extraction of pathological findings from imaging; and (5) different applications in radiation oncology. In addition, the challenges in implementation of AI/ML models for clinical evaluations include the lack of standardized methodological guidelines for the collection of clinical images, development of these models, reporting of their performance, external validation procedures, and regulatory frameworks.

conclusionAt present, there is a paucity of evidence to suggest the adoption of these models in clinical practice due to the aforementioned limitations. Therefore, this manuscript highlights the need for development of standardized guidelines to facilitate the adoption and implementation of these models in the daily clinical practice. In addition, adequately powered, prospective, randomized controlled trials are urgently needed to further assess the potential of AI/ML models in real-world clinical settings for the management of HNC.

Indexed as

Artificial IntelligenceHead and Neck NeoplasmsHumansMachine LearningProspective StudiesResearch DesignArtificial intelligenceHead and neck cancerMachine learningSystematic review

Identifiers

PMID37291378
PMCPMC10329964

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.