Evidence map›Paper›PMID 39205556›Full record

SynthesisAsian Pacific journal of cancer prevention : APJCP2024

Diagnostic Accuracy of Artificial Intelligence Compared to Biopsy in Detecting Early Oral Squamous Cell Carcinoma: A Systematic Review and Meta Analysis.

Mehak Malhotra, Amar Kumar Shaw, Smita R Priyadarshini, Samruddhi Swapnil Metha, Pradyumna Kumar Sahoo, Arti Gachake

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Asian Pacific journal of cancer prevention : APJCP, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 5 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

10 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  6. Article
  7. Review
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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

6 authors.

Mehak MalhotraBDS, Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Pune, Maharashtra, India.ORCID 0009-0003-0577-5702
Amar Kumar ShawAssistant Professor, Department of Public Health Dentistry Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Pune, Maharashtra, India.ORCID 0000-0002-7785-9644
Smita R PriyadarshiniBDS, Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Pune, Maharashtra, India.
Samruddhi Swapnil MethaProfessor, Department of Oral Medicine and Radiology, Institute of Dental sciences, Siksha O Anusandhan University, Bhubaneswar, Odisha, India.
Pradyumna Kumar SahooAssistant Professor, Department of Oral Medicine and Radiology Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Sangli, Maharashtra, India.
Arti GachakeProfessor, Department of Prosthodontics, Institute of Dental Sciences, Siksha O Anusandhan University, Bhubaneshwar, Odisha, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo summarize and compare the existing evidence on diagnostic accuracy of artificial intelligence (AI) models in detecting early oral squamous cell carcinoma (OSCC).

methodReview was performed in accordance to Preferred Reporting Items for Systematic Reviews and Meta-Analysis - Diagnostic Test Accuracy (PRISMA- DTA) checklist and the review protocol is registered under PROSPERO(CRD42023456355). PubMed, Google Scholar, EBSCOhost were searched from January 2000 to November 2023 to identify the diagnostic potential of AI based tools and models. True-positive, false-positive, true-negative, false-negative, sensitivity, specificity values were extracted or calculated if not present for each study. Quality of selected studies was evaluated based on QUADAS (Quality assessment of diagnostic accuracy studies)- 2 tool. Meta-analysis was performed in Meta-Disc 1.4 software and Review Manager 5.3 RevMan using a bivariate model parameter for the sensitivity and specificity and summary points, summary receiver operating curve (SROC), diagnostic odds ratio (DOR) confidence region, and area under curve (AUC) were calculated.

resultsFourteen studies were included for qualitative synthesis and for meta-analysis. Included studies had presence of low to moderate risk of bias. Pooled sensitivity and specificity of 0.43 (CI 0.18- 0.71) and 0.50 (CI 0.20- 0.80) was observed with a pooled positive likelihood ratio of (PLR) 0.86 (0.43 - 1.71) and negative likelihood ratio (NLR) of 1.04 (0.42 - 1.68) was observed with DOR of 0.78 (0.12 - 5.18) and overall accuracy (AUC) being 0.45 respectively.

conclusionAI based tools has poor to moderate overall diagnostic accuracy. However, to validate our study findings further more standardized diagnostic accuracy studies should be conducted with proper reporting through QUADAS-2 tool. Thus, we can conclude AI based based tool for secondary level of prevention for early OSCC under early diagnosis and prompt treatment.

Indexed as

Artificial IntelligenceCarcinoma, Squamous CellMouth NeoplasmsBiopsyEarly Detection of CancerHumansSensitivity and SpecificityaccuracyArtificial intelligenceDiagnosisMeta-analysisoral cancer

Identifiers

PMID39205556
PMCPMC11495466

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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.