Evidence map›Paper›PMID 38849439›Full record

ArticleScientific reports2024

Artificial intelligence-based radiographic extent analysis to predict tuberculosis treatment outcomes: a multicenter cohort study.

Hyung-Jun Kim, Nakwon Kwak, Soon Ho Yoon, Nanhee Park, Young Ran Kim, Jae Ho Lee, Ji Yeon Lee, Youngmok Park, Young Ae Kang, Saerom Kim and 5 more

Abstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Machine Learning-based Prediction of Active Tuberculosis in People With HIV Using Clinical Data.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Review
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

15 authors.

Hyung-Jun KimDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Nakwon KwakDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Soon Ho YoonDepartment of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Nanhee ParkMedical Research Collaborating Center, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Young Ran KimDivision of Clinical Research, International Tuberculosis Research Center, Seoul, Republic of Korea.
Jae Ho LeeDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Ji Yeon LeeDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul, Republic of Korea.
Youngmok ParkDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Young Ae KangDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Saerom KimDivision of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Jeongha MokDivision of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Joong-Yub KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Doosoo JeonDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Jung-Kyu LeeDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Jae-Joon YimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. yimjj@snu.ac.kr.

Funding

Korea National Institute of Health 2020-ER5201-02
6 · The paper itself

Abstract

Predicting outcomes in pulmonary tuberculosis is challenging despite effective treatments. This study aimed to identify factors influencing treatment success and culture conversion, focusing on artificial intelligence (AI)-based chest X-ray analysis and Xpert MTB/RIF assay cycle threshold (Ct) values. In this retrospective study across six South Korean referral centers (January 1 to December 31, 2019), we included adults with rifampicin-susceptible pulmonary tuberculosis confirmed by Xpert assay from sputum samples. We analyzed patient characteristics, AI-based tuberculosis extent scores from chest X-rays, and Xpert Ct values. Of 230 patients, 206 (89.6%) achieved treatment success. The median age was 61 years, predominantly male (76.1%). AI-based radiographic tuberculosis extent scores (median 7.5) significantly correlated with treatment success (odds ratio [OR] 0.938, 95% confidence interval [CI] 0.895-0.983) and culture conversion at 8 weeks (liquid medium: OR 0.911, 95% CI 0.853-0.973; solid medium: OR 0.910, 95% CI 0.850-0.973). Sputum smear positivity was 49.6%, with a median Ct of 26.2. However, Ct values did not significantly correlate with major treatment outcomes. AI-based radiographic scoring at diagnosis is a significant predictor of treatment success and culture conversion in pulmonary tuberculosis, underscoring its potential in personalized patient management.

Indexed as

Artificial IntelligenceSputumTuberculosis, PulmonaryAdultAgedAntitubercular AgentsFemaleHumansMaleMiddle AgedMycobacterium tuberculosisRadiography, ThoracicRepublic of KoreaRetrospective StudiesRifampinTomography, X-Ray ComputedAntitubercular AgentsRifampinArtificial intelligencePulmonaryRadiographyThoracicTreatment outcomeTuberculosis

Identifiers

PMID38849439
PMCPMC11161500

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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.