Evidence map›Paper›PMID 39206529›Full record

ArticleThoracic cancer2024

Application of artificial intelligence in lung cancer screening: A real-world study in a Chinese physical examination population.

Jiaxuan Wu, Ruicen Li, Jiadi Gan, Qian Zheng, Guoqing Wang, Wenjuan Tao, Ming Yang, Wenyu Li, Guiyi Ji, Weimin Li

Abstract read
In one paragraph

Article in Thoracic cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. [Expert Consensus on Precision Management of Pulmonary Nodules (2026 Version)].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2026
    Article
  4. Article
  5. Bangkok declarations on cancer control in Asia.The Lancet regional health. Western Pacific · 2025
    Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. 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

10 authors.

Jiaxuan WuDepartment of Pulmonary and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China.ORCID 0009-0000-9694-7212
Ruicen LiHealth Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China.
Jiadi GanDepartment of Pulmonary and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China.ORCID 0009-0005-1199-7656
Qian ZhengWest China Clinical Medical College, Sichuan University, Chengdu, China.
Guoqing WangState Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Wenjuan TaoInstitute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China.
Ming YangNational Clinical Research Center for Geriatrics (WCH), West China Hospital, Sichuan University, Chengdu, China.
Wenyu LiHealth Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China.
Guiyi JiHealth Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China.
Weimin LiDepartment of Pulmonary and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0003-0985-0311

Funding

1.3.5 project for disciplines of excellence ZYGD22009Investigator-Initiated Clinical Trial, West China Hospital, Sichuan University HXCR20001National Natural Science Foundation of China 92159302Natural Science Foundation of Sichuan Province 2023NSFSC1458Post-Doctor Research Project, West China Hospital, Sichuan University 2019HXBH085Science and Technology Project of Sichuan 2020YFS0573Sichuan Province Science and Technology Support Program 2022YFS0130the Science and Technology Project of Sichuan 2022ZDZX0018
6 · The paper itself

Abstract

backgroundWith the rapid increase of chest computed tomography (CT) images, the workload faced by radiologists has increased dramatically. It is undeniable that the use of artificial intelligence (AI) image-assisted diagnosis system in clinical treatment is a major trend in medical development. Therefore, in order to explore the value and diagnostic accuracy of the current AI system in clinical application, we aim to compare the detection and differentiation of benign and malignant pulmonary nodules between AI system and physicians, so as to provide a theoretical basis for clinical application.

methodsOur study encompassed a cohort of 23 336 patients who underwent chest low-dose spiral CT screening for lung cancer at the Health Management Center of West China Hospital. We conducted a comparative analysis between AI-assisted reading and manual interpretation, focusing on the detection and differentiation of benign and malignant pulmonary nodules.

resultsThe AI-assisted reading exhibited a significantly higher screening positive rate and probability of diagnosing malignant pulmonary nodules compared with manual interpretation (p < 0.001). Moreover, AI scanning demonstrated a markedly superior detection rate of malignant pulmonary nodules compared with manual scanning (97.2% vs. 86.4%, p < 0.001). Additionally, the lung cancer detection rate was substantially higher in the AI reading group compared with the manual reading group (98.9% vs. 90.3%, p < 0.001).

conclusionsOur findings underscore the superior screening positive rate and lung cancer detection rate achieved through AI-assisted reading compared with manual interpretation. Thus, AI exhibits considerable potential as an adjunctive tool in lung cancer screening within clinical practice settings.

Indexed as

Artificial IntelligenceEarly Detection of CancerLung NeoplasmsAdultAgedChinaEast Asian PeopleFemaleHumansMaleMiddle AgedPhysical ExaminationTomography, X-Ray Computedartificial intelligenceearly diagnosislung cancerpulmonary nodulescreening

Identifiers

PMID39206529
PMCPMC11444925

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.