Evidence map›Paper›PMID 38326351›Full record

ArticleNature communications2024

A multicenter clinical AI system study for detection and diagnosis of focal liver lesions.

Hanning Ying, Xiaoqing Liu, Min Zhang, Yiyue Ren, Shihui Zhen, Xiaojie Wang, Bo Liu, Peng Hu, Lian Duan, Mingzhi Cai and 32 more

2 registry-linked trialsOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
17.7field-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.

NCT07153783 nacompletednot on this mapstarted 2025, after this paper: background citation

AI-human Collaborative Diagnosis of Liver Tumors Using CE-CT

TypeinterventionalSponsorShengjing HospitalRan2025 to 2025Enrolled10,333ConditionsHepatocellular Carcinoma (HCC), Intrahepatic Cholangiocarcinoma (Icc), Hepatic Metastasis, Hepatic HemangiomaArmsAI-human collaboration for CE-CTs diagnosis
NCT07768085 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Multicenter Randomized Controlled Trial of AI-Assisted Reading Compared With Standard Radiology Interpretation for Malignant Hepatic Lesions on Contrast-Enhanced CT: Diagnostic, Clinical and Workflow Outcomes

TypeinterventionalSponsorShengjing HospitalRan2026 to 2027Enrolled40,000ConditionsHepatocellular Carcinoma (HCC), Intrahepatic Cholangiocarcinoma (Icc), Hepatic Metastasis, Hepatic HemangiomaArmsAI-assisted abdominal CE-CT reporting, Standard abdominal CE-CT reporting without AI assistance
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

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  11. Evaluation of the performance of radiologists assisted by AI in detecting colorectal liver metastases on contrast-enhanced CT.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
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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

42 authors at 20 institutions in 4 countries.

Hanning Ying *Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Xiaoqing Liu *Deepwise Artificial Intelligence Laboratory, Beijing, China.ORCID 0000-0002-9878-088X
Min Zhang *College of Computer Science and Technology, Zhejiang University, Hangzhou, China.
Yiyue Ren *School of Medicine, Zhejiang University, Hangzhou, China.
Shihui Zhen *School of Medicine, Zhejiang University, Hangzhou, China.
Xiaojie Wang *School of Medicine, Zhejiang University, Hangzhou, China.
Bo Liu *Deepwise Artificial Intelligence Laboratory, Beijing, China.
Peng HuDepartment of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Lian DuanDepartment of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Mingzhi CaiZhangzhou Municipal Hospital of Fujian Province, Zhangzhou, China.
Ming JiangQuzhou People's Hospital, Quzhou, China.
Xiangdong ChengCancer Hospital of the University of Chinese Academy of Sciences (ZheJiang Cancer Hospital), Hangzhou, China.ORCID 0000-0003-1470-2831
Xiangyang GongZhejiang Provincial People's Hospital, Hangzhou, China.ORCID 0000-0002-2785-3308
Haitao JiangCancer Hospital of the University of Chinese Academy of Sciences (ZheJiang Cancer Hospital), Hangzhou, China.
Jianshuai JiangDepartment of Hepatopancreatobiliary Surgery, Ningbo First Hospital, Ningbo, China.
Jianjun ZhengHwa Mei Hospital, University of Chinese Academy of Sciences (Ningbo No.2 Hospital), Ningbo, China.
Kelei ZhuDepartment of Hepatopancreatobiliary Surgery, Yinzhou People's Hospital, Ningbo, China.
Wei ZhouDepartment of Radiology, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou, China.
Baochun LuShaoxing People's Hospital, Shaoxing, China.
Hongkun ZhouThe First Hospital of Jiaxing Affiliated Hospital of Jiaxing University, Jiaxing, China.
Yiyu ShenThe Second Hospital of Jiaxing Affiliated Hospital of Jiaxing University, Jiaxing, China.
Jinlin DuJinhua Municipal Central Hospital, Jinhua, China.
Mingliang YingJinhua Municipal Central Hospital, Jinhua, China.
Qiang HongJinhua GuangFU Hospital, Jinhua, China.
Jingang MoTaizhou Municipal Central Hospital, Taizhou, China.
Jianfeng LiThe First People's Hospital of Wenling, Taizhou, China.
Guanxiong YeLishui People's Hospital, Lishui, China.
Shizheng ZhangDepartment of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Hongjie HuDepartment of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Jihong SunDepartment of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Hui LiuCentral Laboratory of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Yiming LiDeepwise Artificial Intelligence Laboratory, Beijing, China.
Xingxin XuDeepwise Artificial Intelligence Laboratory, Beijing, China.
Huiping BaiDeepwise Artificial Intelligence Laboratory, Beijing, China.ORCID 0000-0002-0842-7370
Shuxin WangDeepwise Artificial Intelligence Laboratory, Beijing, China.
Xin ChengXiamen University, Xiamen, China.
Xiaoyin XuBrigham and Women' Hospital, Harvard Medical School, Boston, MA, USA. xxu@bwh.harvard.edu.
Long JiaoFaculty of Medicine, Imperial College London, London, UK. l.jiao@imperial.ac.uk.
Risheng YuDepartment of Radiology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. risheng-yu@zju.edu.cn.
Wan Yee LauFaculty of Medicine, the Chinese University of Hong Kong, Hong Kong, China. josephlau@cuhk.edu.hk.
Yizhou YuDepartment of Computer Science, The University of Hong Kong, Hong Kong, China. yizhouy@acm.org.ORCID 0000-0002-0470-5548
Xiujun CaiDepartment of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China. srrsh_cxj@zju.edu.cn.ORCID 0000-0002-6457-0577
Sir Run Run Shaw Hospital · CNBeijing Academy of Artificial Intelligence · CNZhejiang University · CNBrigham and Women's Hospital · USJiaxing University · CNJinhua Central Hospital · CNNingbo No. 2 Hospital · CNXiamen University · CNChinese University of Hong Kong · HKGuang Fu Hospital · CNHuzhou University · CNLishui City People's Hospital · CNNIHR Imperial Biomedical Research Centre · GBNingbo First Hospital · CNQuzhou City People's Hospital · CNSecond Affiliated Hospital of Zhejiang University · CNShaoxing People's Hospital · CNTaizhou Municipal Hospital · CNThe First People's Hospital of Wenling · CNUniversity of Chinese Academy of Sciences · CN

Funding

Natural Science Foundation of Zhejiang Province (Zhejiang Provincial Natural Science Foundation) LQ20H160033
6 · The paper itself

Abstract

Early and accurate diagnosis of focal liver lesions is crucial for effective treatment and prognosis. We developed and validated a fully automated diagnostic system named Liver Artificial Intelligence Diagnosis System (LiAIDS) based on a diverse sample of 12,610 patients from 18 hospitals, both retrospectively and prospectively. In this study, LiAIDS achieved an F1-score of 0.940 for benign and 0.692 for malignant lesions, outperforming junior radiologists (benign: 0.830-0.890, malignant: 0.230-0.360) and being on par with senior radiologists (benign: 0.920-0.950, malignant: 0.550-0.650). Furthermore, with the assistance of LiAIDS, the diagnostic accuracy of all radiologists improved. For benign and malignant lesions, junior radiologists' F1-scores improved to 0.936-0.946 and 0.667-0.680 respectively, while seniors improved to 0.950-0.961 and 0.679-0.753. Additionally, in a triage study of 13,192 consecutive patients, LiAIDS automatically classified 76.46% of patients as low risk with a high NPV of 99.0%. The evidence suggests that LiAIDS can serve as a routine diagnostic tool and enhance the diagnostic capabilities of radiologists for liver lesions.

Indexed as

Artificial IntelligenceLiver NeoplasmsHumansRadiologistsRetrospective Studies

Identifiers

PMID38326351
PMCPMC10850133
OpenAlexW4391610004

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.