Evidence map›Paper›PMID 38778014›Full record

ArticleNature communications2024

Artificial intelligence enables precision diagnosis of cervical cytology grades and cervical cancer.

Jue Wang, Yunfang Yu, Yujie Tan, Huan Wan, Nafen Zheng, Zifan He, Luhui Mao, Wei Ren, Kai Chen, Zhen Lin and 14 more

Abstract readValidation 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. Cited by 60 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 3 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

60 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  18. A Generative Foundation Model for Scalable Cytology Image Synthesis in AI-Powered Diagnostics.Clinical cancer research : an official journal of the American Association for Cancer Research · 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

24 authors.

Jue Wang *Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Yunfang Yu *Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.ORCID http://orcid.org/0000-0003-2579-6220
Yujie Tan *Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Huan Wan *Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Nafen Zheng *Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Zifan HeGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Luhui MaoGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Wei RenGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.ORCID http://orcid.org/0000-0003-1861-4724
Kai ChenGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Zhen LinCells Vision (Guangzhou) Medical Technology Inc., Guangzhou, China.ORCID http://orcid.org/0000-0002-6181-5532
Gui HeGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Yongjian ChenDermatology and Venereology Division, Department of Medicine Solna, Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden.
Ruichao ChenDepartment of Pathology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Hui XuDepartment of Pathology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Kai LiuCells Vision (Guangzhou) Medical Technology Inc., Guangzhou, China.
Qinyue YaoCells Vision (Guangzhou) Medical Technology Inc., Guangzhou, China.
Sha FuGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Yang SongGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Qingyu ChenDepartment of Health Center, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Lina ZuoDepartment of Health Center, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Liya WeiDepartment of Health Center, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Jin WangCells Vision (Guangzhou) Medical Technology Inc., Guangzhou, China. wangjin@cellsvision.com.ORCID http://orcid.org/0000-0002-6583-129X
Nengtai OuyangGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. ouynt@mail.sysu.edu.cn.
Herui YaoGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. yaoherui@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0001-5520-6469

Funding

Guangzhou Science and Technology Program key projects 2023A03J0722, 202206010078 and 202201020574National Natural Science Foundation of China (National Science Foundation of China) 82273204
6 · The paper itself

Abstract

Cervical cancer is a significant global health issue, its prevalence and prognosis highlighting the importance of early screening for effective prevention. This research aimed to create and validate an artificial intelligence cervical cancer screening (AICCS) system for grading cervical cytology. The AICCS system was trained and validated using various datasets, including retrospective, prospective, and randomized observational trial data, involving a total of 16,056 participants. It utilized two artificial intelligence (AI) models: one for detecting cells at the patch-level and another for classifying whole-slide image (WSIs). The AICCS consistently showed high accuracy in predicting cytology grades across different datasets. In the prospective assessment, it achieved an area under curve (AUC) of 0.947, a sensitivity of 0.946, a specificity of 0.890, and an accuracy of 0.892. Remarkably, the randomized observational trial revealed that the AICCS-assisted cytopathologists had a significantly higher AUC, specificity, and accuracy than cytopathologists alone, with a notable 13.3% enhancement in sensitivity. Thus, AICCS holds promise as an additional tool for accurate and efficient cervical cancer screening.

Indexed as

Artificial IntelligenceEarly Detection of CancerUterine Cervical NeoplasmsAdultArea Under CurveCervix UteriFemaleHumansMiddle AgedNeoplasm GradingProspective StudiesRetrospective StudiesSensitivity and Specificity

Identifiers

PMID38778014
PMCPMC11111770

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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.