Evidence map›Paper›PMID 38352223›Full record

ArticleiScience2024

Deep learning aided preoperative diagnosis of primary central nervous system lymphoma.

Paul Vincent Naser, Miriam Cindy Maurer, Maximilian Fischer, Kianush Karimian-Jazi, Chiraz Ben-Salah, Awais Akbar Bajwa, Martin Jakobs, Christine Jungk, Jessica Jesser, Martin Bendszus and 4 more

Abstract read
In one paragraph

Article in iScience, 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

14 authors.

Paul Vincent NaserHeidelberg University Hospital, Department of Neurosurgery, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Miriam Cindy MaurerGerman Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Germany, Im Neuenheimer Feld 280, 69120 Heidelberg, Germany.
Maximilian FischerHeidelberg University, Medical Faculty, Grabengasse 1, 69117 Heidelberg, Germany.
Kianush Karimian-JaziHeidelberg University, Medical Faculty, Grabengasse 1, 69117 Heidelberg, Germany.
Chiraz Ben-SalahHeidelberg University, Medical Faculty, Grabengasse 1, 69117 Heidelberg, Germany.
Awais Akbar BajwaHeidelberg University Hospital, Department of Neurosurgery, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Martin JakobsHeidelberg University Hospital, Department of Neurosurgery, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Christine JungkHeidelberg University Hospital, Department of Neurosurgery, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Jessica JesserHeidelberg University, Medical Faculty, Grabengasse 1, 69117 Heidelberg, Germany.
Martin BendszusHeidelberg University, Medical Faculty, Grabengasse 1, 69117 Heidelberg, Germany.
Klaus Maier-HeinGerman Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Germany, Im Neuenheimer Feld 280, 69120 Heidelberg, Germany.
Sandro M KriegHeidelberg University Hospital, Department of Neurosurgery, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Peter NeherGerman Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Germany, Im Neuenheimer Feld 280, 69120 Heidelberg, Germany.
Jan-Oliver NeumannHeidelberg University Hospital, Department of Neurosurgery, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The preoperative distinction between glioblastoma (GBM) and primary central nervous system lymphoma (PCNSL) can be difficult, even for experts, but is highly relevant. We aimed to develop an easy-to-use algorithm, based on a convolutional neural network (CNN) to preoperatively discern PCNSL from GBM and systematically compare its performance to experienced neurosurgeons and radiologists. To this end, a CNN-based on DenseNet169 was trained with the magnetic resonance (MR)-imaging data of 68 PCNSL and 69 GBM patients and its performance compared to six trained experts on an external test set of 10 PCNSL and 10 GBM. Our neural network predicted PCNSL with an accuracy of 80% and a negative predictive value (NPV) of 0.8, exceeding the accuracy achieved by clinicians (73%, NPV 0.77). Combining expert rating with automated diagnosis in those cases where experts dissented yielded an accuracy of 95%. Our approach has the potential to significantly augment the preoperative radiological diagnosis of PCNSL.

Indexed as

Diagnostic technique in health technologyHealth sciencesHealth technologyInternal medicineMedical specialtyMedicineOncologyRadiology

Identifiers

PMID38352223
PMCPMC10863328

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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.