Evidence map›Paper›PMID 39105640›Full record

ArticleRadiology2024

Fully Automated Deep Learning Model to Detect Clinically Significant Prostate Cancer at MRI.

Jason C Cai, Hirotsugu Nakai, Shiba Kuanar, Adam T Froemming, Candice W Bolan, Akira Kawashima, Hiroaki Takahashi, Lance A Mynderse, Chandler D Dora, Mitchell R Humphreys and 6 more

Abstract read
In one paragraph

Article in Radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. AI for screening in healthcare: promise and challenges.Abdominal radiology (New York) · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
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

16 authors.

Jason C CaiFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0002-9190-0252
Hirotsugu NakaiFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0002-2080-5901
Shiba KuanarFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0002-8670-6957
Adam T FroemmingFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0001-7706-8060
Candice W BolanFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0002-9847-3599
Akira KawashimaFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0003-4686-8369
Hiroaki TakahashiFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0002-8731-0081
Lance A MynderseFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.
Chandler D DoraFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.
Mitchell R HumphreysFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0003-3252-9518
Panagiotis KorfiatisFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0003-2516-1751
Pouria RouzrokhFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0003-4664-0751
Alexander K BrattFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0002-2445-2357
Gian Marco ConteFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0001-5926-7517
Bradley J EricksonFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0001-7926-6095
Naoki TakahashiFrom the Departments of Radiology (J.C.C., H.N., S.K., A.T.F., H.T., P.K., P.R., A.K.B., G.M.C., B.J.E., N.T.) and Urology (L.A.M.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Massachusetts General Hospital, Boston, Mass (J.C.C.); Departments of Radiology (C.W.B.) and Urology (C.D.D.), Mayo Clinic, Jacksonville, Fla; and Departments of Radiology (A.K.) and Urology (M.R.H.), Mayo Clinic, Scottsdale, Ariz.ORCID 0000-0002-7946-6078

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Multiparametric MRI can help identify clinically significant prostate cancer (csPCa) (Gleason score ≥7) but is limited by reader experience and interobserver variability. In contrast, deep learning (DL) produces deterministic outputs. Purpose To develop a DL model to predict the presence of csPCa by using patient-level labels without information about tumor location and to compare its performance with that of radiologists. Materials and Methods Data from patients without known csPCa who underwent MRI from January 2017 to December 2019 at one of multiple sites of a single academic institution were retrospectively reviewed. A convolutional neural network was trained to predict csPCa from T2-weighted images, diffusion-weighted images, apparent diffusion coefficient maps, and T1-weighted contrast-enhanced images. The reference standard was pathologic diagnosis. Radiologist performance was evaluated as follows: Radiology reports were used for the internal test set, and four radiologists' PI-RADS ratings were used for the external (ProstateX) test set. The performance was compared using areas under the receiver operating characteristic curves (AUCs) and the DeLong test. Gradient-weighted class activation maps (Grad-CAMs) were used to show tumor localization. Results Among 5735 examinations in 5215 patients (mean age, 66 years ± 8 [SD]; all male), 1514 examinations (1454 patients) showed csPCa. In the internal test set (400 examinations), the AUC was 0.89 and 0.89 for the DL classifier and radiologists, respectively (

Indexed as

Deep LearningMagnetic Resonance ImagingProstatic NeoplasmsAgedHumansImage Interpretation, Computer-AssistedMaleMiddle AgedMultiparametric Magnetic Resonance ImagingProstateRetrospective Studies

Identifiers

PMID39105640
PMCPMC11366675

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.