Evidence map›Paper›PMID 37611969›Full record

ArticleThe American journal of pathology2023

Deep-Learning-Based Screening and Ancillary Testing for Thyroid Cytopathology.

David Dov, Danielle Elliott Range, Jonathan Cohen, Jonathan Bell, Daniel J Rocke, Russel R Kahmke, Ahuva Weiss-Meilik, Walter T Lee, Ricardo Henao, Lawrence Carin and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of pathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Study on the Transformation Process of Thyroid Fine-Needle Aspiration Liquid-Based Cytology to Whole-Slide Image.Cytopathology : official journal of the British Society for Clinical Cytology · 2025
    Article
  8. 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

11 authors at 6 institutions in 3 countries.

David DovI-Medata AI Center, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel; Department of Pathology, Duke University Medical Center, Durham, North Carolina. Electronic address: daviddov@tlvmc.gov.il.
Danielle Elliott RangeDepartment of Pathology, Duke University Medical Center, Durham, North Carolina.
Jonathan CohenDepartment of Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel.
Jonathan BellDepartment of Pathology, Duke University Medical Center, Durham, North Carolina.
Daniel J RockeDepartment of Head and Neck Surgery & Communication Sciences, Duke University Medical Center, Durham, North Carolina.
Russel R KahmkeDepartment of Head and Neck Surgery & Communication Sciences, Duke University Medical Center, Durham, North Carolina.
Ahuva Weiss-MeilikI-Medata AI Center, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel.
Walter T LeeDepartment of Head and Neck Surgery & Communication Sciences, Duke University Medical Center, Durham, North Carolina.
Ricardo HenaoBiological, Environmental Sciences and Engineering Division, King Abdullah University of Science and Technology, Thuwal, Kingdom of Saudi Arabia; Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina.
Lawrence CarinComputer Science Program, Computer, Electrical and Mathematical Sciences and Engineering (CEMSE) Division, King Abdullah University of Science and Technology, Thuwal, Kingdom of Saudi Arabia.
Shahar Z KovalskyDepartment of Mathematics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Duke Medical Center · USTel Aviv Sourasky Medical Center · ILDuke University · USKaplan Medical Center · ILKing Abdullah University of Science and Technology · SAUniversity of North Carolina at Chapel Hill · US

Funding

Adapting a machine learning algorithm to predict thyroid cytopathologyin LMICR21CA268428 · NCI · DUKE UNIVERSITY · PI LEE, WALTER TSONG · 2021 to 2022
$390k
NCI NIH HHS R21 CA268428
6 · The paper itself

Abstract

Thyroid cancer is the most common malignant endocrine tumor. The key test to assess preoperative risk of malignancy is cytologic evaluation of fine-needle aspiration biopsies (FNABs). The evaluation findings can often be indeterminate, leading to unnecessary surgery for benign post-surgical diagnoses. We have developed a deep-learning algorithm to analyze thyroid FNAB whole-slide images (WSIs). We show, on the largest reported data set of thyroid FNAB WSIs, clinical-grade performance in the screening of determinate cases and indications for its use as an ancillary test to disambiguate indeterminate cases. The algorithm screened and definitively classified 45.1% (130/288) of the WSIs as either benign or malignant with risk of malignancy rates of 2.7% and 94.7%, respectively. It reduced the number of indeterminate cases (N = 108) by reclassifying 21.3% (N = 23) as benign with a resultant risk of malignancy rate of 1.8%. Similar results were reproduced using a data set of consecutive FNABs collected during an entire calendar year, achieving clinically acceptable margins of error for thyroid FNAB classification.

Indexed as

Deep LearningThyroid NeoplasmsAlgorithmsCytodiagnosisHumans

Identifiers

PMID37611969
PMCPMC10477952
OpenAlexW4386042377

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.