Evidence map›Paper›PMID 37864054›Full record

ArticleSurgery today2024

Prediction of visceral pleural invasion of clinical stage I lung adenocarcinoma using thoracoscopic images and deep learning.

Yoshifumi Shimada, Toshihiro Ojima, Yutaka Takaoka, Aki Sugano, Yoshiaki Someya, Kenichi Hirabayashi, Takahiro Homma, Naoya Kitamura, Yushi Akemoto, Keitaro Tanabe and 3 more

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Article in Surgery today, 2024. 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
–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

6 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

13 authors.

Yoshifumi ShimadaDepartment of Thoracic Surgery, University of Toyama, 2630 Sugitani, Toyama, Japan.
Toshihiro OjimaDepartment of Thoracic Surgery, University of Toyama, 2630 Sugitani, Toyama, Japan.
Yutaka TakaokaData Science Center for Medicine and Hospital Management, Toyama University Hospital, 2630 Sugitani, Toyama, Japan.
Aki SuganoData Science Center for Medicine and Hospital Management, Toyama University Hospital, 2630 Sugitani, Toyama, Japan.
Yoshiaki SomeyaCenter for Data Science and Artificial Intelligence Research Promotion, Toyama University Hospital, 2630 Sugitani, Toyama, Japan.
Kenichi HirabayashiDepartment of Diagnostic Pathology, University of Toyama, 2630 Sugitani, Toyama, Japan.
Takahiro HommaDepartment of Thoracic Surgery, University of Toyama, 2630 Sugitani, Toyama, Japan.
Naoya KitamuraDepartment of Thoracic Surgery, University of Toyama, 2630 Sugitani, Toyama, Japan.
Yushi AkemotoDepartment of Thoracic Surgery, University of Toyama, 2630 Sugitani, Toyama, Japan.
Keitaro TanabeDepartment of Thoracic Surgery, University of Toyama, 2630 Sugitani, Toyama, Japan.
Fumitaka SatoDepartment of Thoracic Surgery, University of Toyama, 2630 Sugitani, Toyama, Japan.
Naoki YoshimuraDepartment of Cardiovascular Surgery, University of Toyama, 2630 Sugitani, Toyama, Japan.
Tomoshi TsuchiyaDepartment of Thoracic Surgery, University of Toyama, 2630 Sugitani, Toyama, Japan. tsuchiya@med.u-toyama.ac.jp.

Funding

Japan Society for the Promotion of Science JP23K08309
6 · The paper itself

Abstract

purposeTo develop deep learning models using thoracoscopic images to identify visceral pleural invasion (VPI) in patients with clinical stage I lung adenocarcinoma, and to verify if these models can be applied clinically.

methodsTwo deep learning models, one based on a convolutional neural network (CNN) and the other based on a vision transformer (ViT), were applied and trained via 463 images (VPI negative: 269 images, VPI positive: 194 images) captured from surgical videos of 81 patients. Model performances were validated via an independent test dataset containing 46 images (VPI negative: 28 images, VPI positive: 18 images) from 46 test patients.

resultsThe areas under the receiver operating characteristic curves of the CNN-based and ViT-based models were 0.77 and 0.84 (p = 0.304), respectively. The accuracy, sensitivity, specificity, and positive and negative predictive values were 73.91, 83.33, 67.86, 62.50, and 86.36% for the CNN-based model and 78.26, 77.78, 78.57, 70.00, and 84.62% for the ViT-based model, respectively. These models' diagnostic abilities were comparable to those of board-certified thoracic surgeons and tended to be superior to those of non-board-certified thoracic surgeons.

conclusionThe deep learning model systems can be utilized in clinical applications via data expansion.

Indexed as

Adenocarcinoma of LungDeep LearningLung NeoplasmsNeoplasm InvasivenessNeoplasm StagingPleuraThoracoscopyAgedFemaleHumansMaleMiddle AgedNeural Networks, ComputerPredictive Value of TestsROC CurveSensitivity and SpecificityClinical diagnosisDeep learningLung adenocarcinomaThoracoscopic surgeryVisceral pleural invasion

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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.