Evidence map›Paper›PMID 38610993›Full record

ArticleCancers2024

Detection and Classification of Hysteroscopic Images Using Deep Learning.

Diego Raimondo, Antonio Raffone, Paolo Salucci, Ivano Raimondo, Giampiero Capobianco, Federico Andrea Galatolo, Mario Giovanni Cosimo Antonio Cimino, Antonio Travaglino, Manuela Maletta, Stefano Ferla and 4 more

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 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.

Diego RaimondoDivision of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.ORCID 0000-0002-3235-4378
Antonio RaffoneDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, 40127 Bologna, Italy.
Paolo SalucciDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, 40127 Bologna, Italy.
Ivano RaimondoDepartment of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy.
Giampiero CapobiancoGynecologic and Obstetric Unit, Department of Medical, Surgical and Experimental Sciences, University of Sassari, 07100 Sassari, Italy.ORCID 0000-0002-5523-8943
Federico Andrea GalatoloDepartment of Information Engineering, University of Pisa, 56100 Pisa, Italy.
Mario Giovanni Cosimo Antonio CiminoDepartment of Information Engineering, University of Pisa, 56100 Pisa, Italy.ORCID 0000-0002-1031-1959
Antonio TravaglinoUnit of Pathology, Department of Medicine and Technological Innovation, University of Insubria, 21100 Varese, Italy.
Manuela MalettaDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, 40127 Bologna, Italy.
Stefano FerlaDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, 40127 Bologna, Italy.ORCID 0000-0001-7166-6238
Agnese VirgilioDepartment of Medical and Surgical Sciences (DIMEC), University of Bologna, 40127 Bologna, Italy.ORCID 0000-0003-0155-8084
Daniele NeolaDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, 80131 Naples, Italy.
Paolo CasadioDivision of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.ORCID 0000-0001-7706-5580
Renato SeracchioliDivision of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.ORCID 0000-0001-7487-1333

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough hysteroscopy with endometrial biopsy is the gold standard in the diagnosis of endometrial pathology, the gynecologist experience is crucial for a correct diagnosis. Deep learning (DL), as an artificial intelligence method, might help to overcome this limitation. Unfortunately, only preliminary findings are available, with the absence of studies evaluating the performance of DL models in identifying intrauterine lesions and the possible aid related to the inclusion of clinical factors in the model.

aimTo develop a DL model as an automated tool for detecting and classifying endometrial pathologies from hysteroscopic images.

methodsA monocentric observational retrospective cohort study was performed by reviewing clinical records, electronic databases, and stored videos of hysteroscopies from consecutive patients with pathologically confirmed intrauterine lesions at our Center from January 2021 to May 2021. Retrieved hysteroscopic images were used to build a DL model for the classification and identification of intracavitary uterine lesions with or without the aid of clinical factors. Study outcomes were DL model diagnostic metrics in the classification and identification of intracavitary uterine lesions with and without the aid of clinical factors.

resultsWe reviewed 1500 images from 266 patients: 186 patients had benign focal lesions, 25 benign diffuse lesions, and 55 preneoplastic/neoplastic lesions. For both the classification and identification tasks, the best performance was achieved with the aid of clinical factors, with an overall precision of 80.11%, recall of 80.11%, specificity of 90.06%, F1 score of 80.11%, and accuracy of 86.74 for the classification task, and overall detection of 85.82%, precision of 93.12%, recall of 91.63%, and an F1 score of 92.37% for the identification task.

conclusionOur DL model achieved a low diagnostic performance in the detection and classification of intracavitary uterine lesions from hysteroscopic images. Although the best diagnostic performance was obtained with the aid of clinical data, such an improvement was slight.

Indexed as

carcinomaendometrial cancerendometrial hyperplasiaendometriumendoscopyfibroidsmalignancyminimally invasiveneoplasiapolypsuterus

Identifiers

PMID38610993
PMCPMC11011142

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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.