Evidence map›Paper›PMID 38386116›Full record

ArticleWorld journal of urology2024

Highly accurate and effective deep neural networks in pathological diagnosis of prostate cancer.

Chengwei Zhang, Xiubin Gao, Bo Fan, Suhan Guo, Xiaoyu Lyu, Jiong Shi, Yao Fu, Qing Zhang, Peng Liu, Hongqian Guo

Abstract read
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In one paragraph

Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Review
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4 · The record

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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

10 authors.

Chengwei Zhang *Department of Urology, Drum Tower Hospital, Medical School of Nanjing University, Institute of Urology, Nanjing University, No. 321 Zhongshan Road, Nanjing, 210008, Jiangsu, China.
Xiubin Gao *Nanjing Innovative Data Technologies, Inc., Nanjing, 210014, Jiangsu, China.
Bo Fan *Department of Urology, The First People's Hospital of Changshu, The Changshu Hospital Affiliated to Soochow University, Changshu, 215500, China.
Suhan GuoCollege of Global Public Health, New York University, NY, 10012, USA.
Xiaoyu LyuDepartment of Urology, Drum Tower Hospital, Medical School of Nanjing University, Institute of Urology, Nanjing University, No. 321 Zhongshan Road, Nanjing, 210008, Jiangsu, China.
Jiong ShiDepartment of Pathology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, 210008, Jiangsu, China.
Yao FuDepartment of Pathology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, 210008, Jiangsu, China.
Qing ZhangDepartment of Urology, Drum Tower Hospital, Medical School of Nanjing University, Institute of Urology, Nanjing University, No. 321 Zhongshan Road, Nanjing, 210008, Jiangsu, China. drzhangq@163.com.
Peng LiuNanjing Innovative Data Technologies, Inc., Nanjing, 210014, Jiangsu, China. gloud@126.com.
Hongqian GuoDepartment of Urology, Drum Tower Hospital, Medical School of Nanjing University, Institute of Urology, Nanjing University, No. 321 Zhongshan Road, Nanjing, 210008, Jiangsu, China. dr.ghq@nju.edu.cn.

Funding

Chinesisch-Deutsche Zentrum für Wissenschaftsförderung M-0670National Natural Science Foundation of China 81572519National Natural Science Foundation of China 81772710National Natural Science Foundation of China 81902581Natural Science Foundation of Jiangsu Province BK20190117Postdoctoral Research Foundation of China 2019M660111
6 · The paper itself

Abstract

purposeTo established an AI system to make the pathological diagnosis of prostate cancer.

methodsProstate histopathological whole mount (WM) sections from patients underwent robot-assisted laparoscopic prostatectomy were prepared. All the prostate WM pathological sections were converted to digital image data and marked with different colors on the basis of the ISUP Gleason grade group. The image was then fed into a segmentation algorithm. We chose modified U-Net as our fundamental network architecture.

results172 patients were involved in this study. 896 pieces of prostate WM pathological sections from 160 patients, in which 826 pieces of WM sections from 148 patients were assigned to the training set randomly. After image segmentation there were totally 2,138,895 patches, of which 1,646,535 patches were valid for training. The other WM section was arranged for testing. Based on the whole image testing, AI and pathologists presented the same answers among 21 of 22 pieces of sections. To evaluate the diagnostic results at the pixel level, we anticipated correct cancer or non-cancer diagnose from this AI system. The area under the ROC curve as 96.8%. The value of pixel accuracy of three methods (binary analysis, clinically oriented analysis and analysis for different ISUP Gleason grade) were 96.93%, 95.43% and 93.88%, respectively. The value of frequency weighted IoU were 94.32%, 92.13% and 90.21%, respectively.

conclusionsThis AI system is able to assist pathologists to make a final diagnosis, indicating the great potential and a wide-range of applications of AI in the medical field.

Indexed as

LaparoscopyProstatic NeoplasmsAlgorithmsHumansMaleNeural Networks, ComputerProstateArtificial intelligenceDeep neural networkImage segmentationProstate cancerWhole mount section

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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.