Evidence map›Paper›PMID 38297303›Full record

SynthesisWorld journal of surgical oncology2024

The value of machine learning approaches in the diagnosis of early gastric cancer: a systematic review and meta-analysis.

Yiheng Shi, Haohan Fan, Li Li, Yaqi Hou, Feifei Qian, Mengting Zhuang, Bei Miao, Sujuan Fei

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in World journal of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
11.3field-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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Review
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  5. Article
  6. Article
  7. Review
  8. Article
  9. Role of artificial intelligence in gastric diseases.World journal of gastroenterology · 2025
    Review
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  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Risk Prediction Models for Gastric Cancer: A Scoping Review.Journal of multidisciplinary healthcare · 2024
    Article
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  18. Article
  19. 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

8 authors at 2 institutions in 1 country.

Yiheng Shi *Department of Gastroenterology, The Affiliated Hospital of Xuzhou Medical University, 99 West Huaihai Road, Jiangsu Province, 221002, Xuzhou, China.
Haohan Fan *First Clinical Medical College, Xuzhou Medical University, Jiangsu Province, 221002, Xuzhou, China.
Li Li *Department of Gastroenterology, The Affiliated Hospital of Xuzhou Medical University, 99 West Huaihai Road, Jiangsu Province, 221002, Xuzhou, China.
Yaqi HouCollege of Nursing, Yangzhou University, Yangzhou, 225009, China.
Feifei QianDepartment of Gastroenterology, The Affiliated Hospital of Xuzhou Medical University, 99 West Huaihai Road, Jiangsu Province, 221002, Xuzhou, China.
Mengting ZhuangDepartment of Gastroenterology, The Affiliated Hospital of Xuzhou Medical University, 99 West Huaihai Road, Jiangsu Province, 221002, Xuzhou, China.
Bei MiaoDepartment of Gastroenterology, The Affiliated Hospital of Xuzhou Medical University, 99 West Huaihai Road, Jiangsu Province, 221002, Xuzhou, China. miaobei@xzhmu.edu.cn.
Sujuan FeiDepartment of Gastroenterology, The Affiliated Hospital of Xuzhou Medical University, 99 West Huaihai Road, Jiangsu Province, 221002, Xuzhou, China. xyfyfeisj99@163.com.
Xuzhou Medical College · CNYangzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe application of machine learning (ML) for identifying early gastric cancer (EGC) has drawn increasing attention. However, there lacks evidence-based support for its specific diagnostic performance. Hence, this systematic review and meta-analysis was implemented to assess the performance of image-based ML in EGC diagnosis.

methodsWe performed a comprehensive electronic search in PubMed, Embase, Cochrane Library, and Web of Science up to September 25, 2022. QUADAS-2 was selected to judge the risk of bias of included articles. We did the meta-analysis using a bivariant mixed-effect model. Sensitivity analysis and heterogeneity test were performed.

resultsTwenty-one articles were enrolled. The sensitivity (SEN), specificity (SPE), and SROC of ML-based models were 0.91 (95% CI: 0.87-0.94), 0.85 (95% CI: 0.81-0.89), and 0.94 (95% CI: 0.39-1.00) in the training set and 0.90 (95% CI: 0.86-0.93), 0.90 (95% CI: 0.86-0.92), and 0.96 (95% CI: 0.19-1.00) in the validation set. The SEN, SPE, and SROC of EGC diagnosis by non-specialist clinicians were 0.64 (95% CI: 0.56-0.71), 0.84 (95% CI: 0.77-0.89), and 0.80 (95% CI: 0.29-0.97), and those by specialist clinicians were 0.80 (95% CI: 0.74-0.85), 0.88 (95% CI: 0.85-0.91), and 0.91 (95% CI: 0.37-0.99). With the assistance of ML models, the SEN of non-specialist physicians in the diagnosis of EGC was significantly improved (0.76 vs 0.64).

conclusionML-based diagnostic models have greater performance in the identification of EGC. The diagnostic accuracy of non-specialist clinicians can be improved to the level of the specialists with the assistance of ML models. The results suggest that ML models can better assist less experienced clinicians in diagnosing EGC under endoscopy and have broad clinical application value.

Indexed as

Stomach NeoplasmsEndoscopyHumansMachine LearningArtificial intelligenceEndoscopyGastric cancerMachine learningNeural networks

Identifiers

PMID38297303
PMCPMC10832162
OpenAlexW4391445420

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.