Evidence map›Paper›PMID 37303635›Full record

ArticleAmerican journal of translational research2023

Diagnostic efficiency of artificial intelligence for pulmonary nodules based on CT scans.

Wei Pan, Xutao Fang, Zhiyi Zang, Baoan Chi, Xiaodong Wei, Cui Li

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 22% 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, 5 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Artificial intelligence in automated detection of lung nodules: a narrative review.International journal of physiology, pathophysiology and pharmacology · 2025
    Review
  6. Article
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 1 institution in 1 country.

Wei PanDepartment of Cardio-Thoracic Surgery, The 904th Hospital of Joint Logistic Support Force of PLA Wuxi 214000, Jiangsu, China.
Xutao FangDepartment of Cardio-Thoracic Surgery, The 904th Hospital of Joint Logistic Support Force of PLA Wuxi 214000, Jiangsu, China.
Zhiyi ZangDepartment of Cardio-Thoracic Surgery, The 904th Hospital of Joint Logistic Support Force of PLA Wuxi 214000, Jiangsu, China.
Baoan ChiDepartment of Cardio-Thoracic Surgery, The 904th Hospital of Joint Logistic Support Force of PLA Wuxi 214000, Jiangsu, China.
Xiaodong WeiDepartment of Cardio-Thoracic Surgery, The 904th Hospital of Joint Logistic Support Force of PLA Wuxi 214000, Jiangsu, China.
Cui LiDepartment of Pharmacy, The 904th Hospital of Joint Logistic Support Force of PLA Wuxi 214000, Jiangsu, China.
81th Hospital of PLA · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore the accuracy of artificial intelligence (AI) for the diagnosis of pulmonary nodules (PNs) on computerized tomography (CT) scans.

methodsIn this study, 360 PNs (251 malignant nodules and 109 benign nodules) were retrospectively analyzed in 309 participants examined for PNs, and CT images were reviewed both by radiologists and using AI technology. With postoperative pathologic results as the gold standard, the accuracy, misdiagnosis, missed diagnosis, and true negative rates of CT results (human and AI) were calculated by using 2×2 crosstabs. Data confirmed to be normally distributed by the Shapiro-Wilk test were compared by the independent sample t-test, and the reading time of AI and human radiologists was compared.

results1) The accuracy rate of AI for diagnosing PNs was 81.94% (295/360), the missed diagnosis rate was 15.14% (38/251), the misdiagnosis rate was 24.77% (27/109), and the true negative rate was 75.23% (82/109). 2) The accuracy, missed diagnosis, misdiagnosis, and true negative rates of human radiologists in the diagnosis of PNs were 83.06% (299/360), 22.31% (56/251), 4.59% (5/109), and 95.41% (104/109), respectively. 3) The accuracy and missed diagnosis rates were comparable between AI and radiologists, but AI had a significantly higher misdiagnosis rate and a markedly lower true negative rate. 4) The image reading time required for AI (195.4±65.2 s) was statistically shorter than that required for manual examination (581.1±116.8 s). 5) The accuracy of AI for detecting low, moderately, and highly malignant PNs was 13.64% (9/66), 25.33% (19/75), and 48.61% (35/72), respectively.

conclusionsAI demonstrates favorable accuracy for CT diagnosis of lung cancer and requires a shorter time for film reading. However, its diagnostic efficiency in identifying low- and moderate-grade PNs is relatively low, indicating a need for expansion of machine learning samples to improve its accuracy in identifying lower grade cancer nodules.

Indexed as

artificial intelligenceCT of lung cancerpulmonary nodules

Identifiers

PMID37303635
PMCPMC10251019
OpenAlexW4380290629

What OpenQuestion holds

Textmetadata
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.