Evidence map›Paper›PMID 37740046›Full record

ArticleAbdominal radiology (New York)2023

Artificial intelligence as diagnostic aiding tool in cases of Prostate Imaging Reporting and Data System category 3: the results of retrospective multi-center cohort study.

Kexin Wang, Zhangli Xing, Zixuan Kong, Yang Yu, Yuntian Chen, Xiangpeng Zhao, Bin Song, Xiangpeng Wang, Pengsheng Wu, Xiaoying Wang and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Abdominal radiology (New York), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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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

11 authors.

Kexin Wang *School of Basic Medical Sciences, Capital Medical University, Beijing, 100069, China.
Zhangli Xing *Department of Radiology, Fujian Medical University Union Hospital, No. 29, Xin Quan Road, Gulou District, Fuzhou, 350001, Fujian Province, China.
Zixuan KongDepartment of Radiology, The Second Affiliated Hospital of Dalian Medical University, No. 467, Zhongshan Road, Shahekou District, Dalian, 116023, Liaoning Province, China.
Yang YuDepartment of Radiology, Fujian Medical University Union Hospital, No. 29, Xin Quan Road, Gulou District, Fuzhou, 350001, Fujian Province, China.
Yuntian ChenDepartment of Radiology, West China Hospital, Sichuan University, No. 37, Guoxue Lane, Wuhou District, Chengdu, 610044, Sichuan Province, China.
Xiangpeng ZhaoDepartment of Radiology, The Second Affiliated Hospital of Dalian Medical University, No. 467, Zhongshan Road, Shahekou District, Dalian, 116023, Liaoning Province, China.
Bin SongDepartment of Radiology, West China Hospital, Sichuan University, No. 37, Guoxue Lane, Wuhou District, Chengdu, 610044, Sichuan Province, China.
Xiangpeng WangBeijing Smart Tree Medical Technology Co. Ltd., No. 97, Changping Road, Shahe Town, Changping District, Beijing, 102200, China.
Pengsheng WuBeijing Smart Tree Medical Technology Co. Ltd., No. 97, Changping Road, Shahe Town, Changping District, Beijing, 102200, China.
Xiaoying WangPeking University First Hospital, No. 8, Xishku Road, Xicheng District, Beijing, 100034, China. cjr.wangxiaoying@vip.163.com.
Yunjing XueDepartment of Radiology, Fujian Medical University Union Hospital, No. 29, Xin Quan Road, Gulou District, Fuzhou, 350001, Fujian Province, China. xueyunjing@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study the effect of artificial intelligence (AI) on the diagnostic performance of radiologists in interpreting prostate mpMRI images of the PI-RADS 3 category.

methodsIn this multicenter study, 16 radiologists were invited to interpret prostate mpMRI cases with and without AI. The study included a total of 87 cases initially diagnosed as PI-RADS 3 by radiologists without AI, with 28 cases being clinically significant cancers (csPCa) and 59 cases being non-csPCa. The study compared the diagnostic efficacy between readings without and with AI, the reading time, and confidence levels.

resultsAI changed the diagnosis in 65 out of 87 cases. Among the 59 non-csPCa cases, 41 were correctly downgraded to PI-RADS 1-2, and 9 were incorrectly upgraded to PI-RADS 4-5. For the 28 csPCa cases, 20 were correctly upgraded to PI-RADS 4-5, and 5 were incorrectly downgraded to PI-RADS 1-2. Radiologists assisted by AI achieved higher diagnostic specificity and accuracy than those without AI [0.695 vs 0.000 and 0.736 vs 0.322, both P < 0.001]. Sensitivity with AI was not significantly different from that without AI [0.821 vs 1.000, P = 1.000]. AI reduced reading time significantly compared to without AI (mean: 351 seconds, P < 0.001). The diagnostic confidence score with AI was significantly higher than that without AI (Cohen Kappa: -0.016).

conclusionWith the help of AI, there was an improvement in the diagnostic accuracy of PI-RADS category 3 cases by radiologists. There is also an increase in diagnostic efficiency and diagnostic confidence.

Indexed as

ProstateProstatic NeoplasmsArtificial IntelligenceCohort StudiesHumansMagnetic Resonance ImagingMaleRetrospective StudiesDeep learningMagnetic resonance imagingProstate Imaging Reporting and Data SystemProstatic neoplasms

Identifiers

PMID37740046

What OpenQuestion holds

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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.