Evidence map›Paper›PMID 38704465›Full record

ReviewNPJ digital medicine2024

Artificial intelligence in digital pathology: a systematic review and meta-analysis of diagnostic test accuracy.

Clare McGenity, Emily L Clarke, Charlotte Jennings, Gillian Matthews, Caroline Cartlidge, Henschel Freduah-Agyemang, Deborah D Stocken, Darren Treanor

Abstract readReview
In one paragraph

Review in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 132 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed, 1 pooled it
–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

132 citing papers in PubMed, 1 synthesis or guideline pooled it.

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72 more citing papers are in PubMed but not listed here.

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.

Clare McGenityUniversity of Leeds, Leeds, UK. c.m.mcgenity@leeds.ac.uk.ORCID http://orcid.org/0000-0002-0224-2340
Emily L ClarkeUniversity of Leeds, Leeds, UK.
Charlotte JenningsUniversity of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0003-1584-4057
Gillian MatthewsLeeds Teaching Hospitals NHS Trust, Leeds, UK.ORCID http://orcid.org/0000-0001-6754-0333
Caroline CartlidgeUniversity of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0002-8366-4528
Henschel Freduah-AgyemangUniversity of Leeds, Leeds, UK.ORCID http://orcid.org/0009-0007-4910-5013
Deborah D StockenUniversity of Leeds, Leeds, UK.
Darren TreanorUniversity of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0002-4579-484X

Funding

RCUK | Medical Research Council (MRC) MR/S001530/1
6 · The paper itself

Abstract

Ensuring diagnostic performance of artificial intelligence (AI) before introduction into clinical practice is essential. Growing numbers of studies using AI for digital pathology have been reported over recent years. The aim of this work is to examine the diagnostic accuracy of AI in digital pathology images for any disease. This systematic review and meta-analysis included diagnostic accuracy studies using any type of AI applied to whole slide images (WSIs) for any disease. The reference standard was diagnosis by histopathological assessment and/or immunohistochemistry. Searches were conducted in PubMed, EMBASE and CENTRAL in June 2022. Risk of bias and concerns of applicability were assessed using the QUADAS-2 tool. Data extraction was conducted by two investigators and meta-analysis was performed using a bivariate random effects model, with additional subgroup analyses also performed. Of 2976 identified studies, 100 were included in the review and 48 in the meta-analysis. Studies were from a range of countries, including over 152,000 whole slide images (WSIs), representing many diseases. These studies reported a mean sensitivity of 96.3% (CI 94.1-97.7) and mean specificity of 93.3% (CI 90.5-95.4). There was heterogeneity in study design and 99% of studies identified for inclusion had at least one area at high or unclear risk of bias or applicability concerns. Details on selection of cases, division of model development and validation data and raw performance data were frequently ambiguous or missing. AI is reported as having high diagnostic accuracy in the reported areas but requires more rigorous evaluation of its performance.

Identifiers

PMID38704465
PMCPMC11069583

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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.