Evidence map›Paper›PMID 38270726›Full record

ArticleInsights into imaging2024

Convolutional neural networks for the differentiation between benign and malignant renal tumors with a multicenter international computed tomography dataset.

Michail E Klontzas, Georgios Kalarakis, Emmanouil Koltsakis, Thomas Papathomas, Apostolos H Karantanas, Antonios Tzortzakakis

Abstract read
In one paragraph

Article in Insights into imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–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

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3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  9. An interpretable machine learning model for preoperative prediction of renal mass malignancy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Michail E KlontzasDepartment of Medical Imaging, University Hospital of Heraklion, Heraklion, Crete, Greece.
Georgios KalarakisDepartment of Diagnostic Radiology, Karolinska University Hospital, Stockholm, Sweden.
Emmanouil KoltsakisDepartment of Diagnostic Radiology, Karolinska University Hospital, Stockholm, Sweden.
Thomas PapathomasInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.
Apostolos H KarantanasDepartment of Medical Imaging, University Hospital of Heraklion, Heraklion, Crete, Greece.
Antonios TzortzakakisDivision of Radiology, Department for Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden. antonios.tzortzakakis@ki.se.ORCID http://orcid.org/0000-0001-7563-732X

Funding

VINNOVA 2015-0180
6 · The paper itself

Abstract

objectivesTo use convolutional neural networks (CNNs) for the differentiation between benign and malignant renal tumors using contrast-enhanced CT images of a multi-institutional, multi-vendor, and multicenter CT dataset.

methodsA total of 264 histologically confirmed renal tumors were included, from US and Swedish centers. Images were augmented and divided randomly 70%:30% for algorithm training and testing. Three CNNs (InceptionV3, Inception-ResNetV2, VGG-16) were pretrained with transfer learning and fine-tuned with our dataset to distinguish between malignant and benign tumors. The ensemble consensus decision of the three networks was also recorded. Performance of each network was assessed with receiver operating characteristics (ROC) curves and their area under the curve (AUC-ROC). Saliency maps were created to demonstrate the attention of the highest performing CNN.

resultsInception-ResNetV2 achieved the highest AUC of 0.918 (95% CI 0.873-0.963), whereas VGG-16 achieved an AUC of 0.813 (95% CI 0.752-0.874). InceptionV3 and ensemble achieved the same performance with an AUC of 0.894 (95% CI 0.844-0.943). Saliency maps indicated that Inception-ResNetV2 decisions are based on the characteristics of the tumor while in most tumors considering the characteristics of the interface between the tumor and the surrounding renal parenchyma.

conclusionDeep learning based on a diverse multicenter international dataset can enable accurate differentiation between benign and malignant renal tumors. CRITICAL RELEVANCE STATEMENT: Convolutional neural networks trained on a diverse CT dataset can accurately differentiate between benign and malignant renal tumors. KEY POINTS: • Differentiation between benign and malignant tumors based on CT is extremely challenging. • Inception-ResNetV2 trained on a diverse dataset achieved excellent differentiation between tumor types. • Deep learning can be used to distinguish between benign and malignant renal tumors.

Indexed as

Artificial intelligenceCT scan (Spiral)Deep learningKidney neoplasmsRenal cell carcinoma

Identifiers

PMID38270726
PMCPMC10811309

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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.