Evidence map›Paper›PMID 37419921›Full record

ArticleNature communications2023

Opportunistic detection of type 2 diabetes using deep learning from frontal chest radiographs.

Ayis Pyrros, Stephen M Borstelmann, Ramana Mantravadi, Zachary Zaiman, Kaesha Thomas, Brandon Price, Eugene Greenstein, Nasir Siddiqui, Melinda Willis, Ihar Shulhan and 15 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
11.9field-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

31 citing papers in PubMed, 52 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 13 institutions in 1 country.

Ayis Pyrros *Duly Health and Care, Department of Radiology, Downers Grove, IL, USA. ayis@uic.edu.
Stephen M Borstelmann *Department of Radiology, University of Central Florida, Orlando, FL, USA.
Ramana MantravadiBrainnet, Inc., West Harrison, NY, USA.
Zachary ZaimanDepartment of Radiology, Emory University, Atlanta, GA, USA.
Kaesha ThomasDepartment of Radiology, Emory University, Atlanta, GA, USA.
Brandon PriceDepartment of Radiology, Florida State University, Tallahassee, FL, USA.ORCID http://orcid.org/0000-0002-1445-2521
Eugene GreensteinDepartment of Cardiology, Duly Health and Care, Downers Grove, IL, USA.
Nasir SiddiquiDuly Health and Care, Department of Radiology, Downers Grove, IL, USA.
Melinda WillisDuly Health and Care, Department of Radiology, Downers Grove, IL, USA.
Ihar ShulhanEPAM, Inc, Newtown, PA, USA.ORCID http://orcid.org/0009-0006-9369-1876
John Hines-ShahDuly Health and Care, Department of Radiology, Downers Grove, IL, USA.
Jeanne M HorowitzDepartment of Radiology, Northwestern University, Chicago, IL, USA.
Paul NikolaidisDepartment of Radiology, Northwestern University, Chicago, IL, USA.
Matthew P LungrenDepartment of Biomedical and Health Information Sciences, UCSF, San Francisco, CA, USA.
Jorge Mario Rodríguez-FernándezDepartment of Neurology, The University of Texas Medical Branch, Galveston, TX, USA.ORCID http://orcid.org/0000-0003-4888-2041
Judy Wawira GichoyaDepartment of Radiology, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-1097-316X
Sanmi KoyejoDepartment of Computer Science, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-4023-419X
Adam E FlandersDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Nishith KhandwalaBunkerhill, Palo Alto, CA, USA.
Amit GuptaDepartment of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
John W GarrettDepartment of Radiology, University of Wisconsin, Madison, WI, USA.ORCID http://orcid.org/0000-0002-8152-736X
Joseph Paul CohenCenter for Artificial Intelligence in Medicine, Stanford University, Stanford, CA, USA.
Brian T LaydenDepartment of Medicine, University of Illinois Chicago, Chicago, IL, USA.
Perry J PickhardtDepartment of Radiology, University of Wisconsin, Madison, WI, USA.
William GalanterDepartment of Medicine, University of Illinois Chicago, Chicago, IL, USA.
Emory University · USUniversity of Illinois Chicago · USNorthwestern University · USUniversity of Wisconsin–Madison · USFlorida State University · USIntel (United States) · USMicrosoft (United States) · USOhio Environmental Protection Agency · USStanford University · USThe University of Texas Medical Branch at Galveston · USThomas Jefferson University · USUniversity Hospitals of Cleveland · USUniversity of Central Florida · US

Funding

Pilot and Feasibility ProgramP30DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI GRAEME I BELL · 2013 to 2026
$20.9M
The function and regulation of the novel pregnancy-specific hexokinase HKDC1R01DK104927 · NIDDK · UNIVERSITY OF ILLINOIS AT CHICAGO · PI LAYDEN, BRIAN THOMAS, REDDY, TIMOTHY E · 2015 to 2024
$7.2M
RADX TECH - CERES NANOSCIENCE INC NANOTRAP PARTICLE MANUFACTURING75N92020C00021 · NHLBI · CERES NANOSCIENCES, LLLP · PI DUNLAP, ROSS · 2021 to 2021
$4.0M
Can machines be trusted? Robustification of deep learning for medical imagingR01LM013151 · NLM · UNIVERSITY OF WISCONSIN-MADISON · PI GARRETT, JOHN WILLIAM, MCMILLAN, ALAN BLAIR · 2020 to 2023
$1.3M
PPAR gamma Agonists for Lung Cancer ChemopreventionI01BX000382 · VA · VA EASTERN COLORADO HEALTH CARE SYSTEM · PI KEITH, ROBERT · 2011 to 2020
–
BLRD VA I01 BX000382NHLBI NIH HHS 75N92020C00008NHLBI NIH HHS 75N92020C00021NIDDK NIH HHS P30 DK020595NIDDK NIH HHS R01 DK104927NLM NIH HHS R01 LM013151
6 · The paper itself

Abstract

Deep learning (DL) models can harness electronic health records (EHRs) to predict diseases and extract radiologic findings for diagnosis. With ambulatory chest radiographs (CXRs) frequently ordered, we investigated detecting type 2 diabetes (T2D) by combining radiographic and EHR data using a DL model. Our model, developed from 271,065 CXRs and 160,244 patients, was tested on a prospective dataset of 9,943 CXRs. Here we show the model effectively detected T2D with a ROC AUC of 0.84 and a 16% prevalence. The algorithm flagged 1,381 cases (14%) as suspicious for T2D. External validation at a distinct institution yielded a ROC AUC of 0.77, with 5% of patients subsequently diagnosed with T2D. Explainable AI techniques revealed correlations between specific adiposity measures and high predictivity, suggesting CXRs' potential for enhanced T2D screening.

Indexed as

Deep LearningDiabetes Mellitus, Type 2HumansProspective StudiesRadiographyRadiography, Thoracic

Identifiers

PMID37419921
PMCPMC10328953
OpenAlexW4383499581

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.