Evidence map›Paper›PMID 39223133›Full record

ArticleNature communications2024

An international study presenting a federated learning AI platform for pediatric brain tumors.

Edward H Lee, Michelle Han, Jason Wright, Michael Kuwabara, Jacob Mevorach, Gang Fu, Olivia Choudhury, Ujjwal Ratan, Michael Zhang, Matthias W Wagner and 34 more

Abstract readMulticenter 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 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

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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

44 authors.

Edward H LeeDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA. edward.heesung.lee@gmail.com.ORCID 0000-0003-2802-0786
Michelle HanDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0003-2812-6193
Jason WrightDepartment of Radiology, Seattle Children's Hospital, Seattle, WA, USA.
Michael KuwabaraDepartment of Radiology, Phoenix Children's Hospital, Phoenix, AZ, USA.
Jacob MevorachAmazon Web Services, Seattle, WA, USA.
Gang FuAmazon Web Services, Seattle, WA, USA.
Olivia ChoudhuryAmazon Web Services, Seattle, WA, USA.
Ujjwal RatanAmazon Web Services, Seattle, WA, USA.ORCID 0000-0002-5147-4754
Michael ZhangDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
Matthias W WagnerDepartment of Diagnostic and Interventional Neuroradiology, University Hospital Augsburg, Augsburg, Germany.
Robert GoettiDepartment of Medical Imaging, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Sebastian ToescuGreat Ormond Street Hospital for Children, London, UK.
Sebastien PerreaultDivision of Child Neurology, Department of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montreal, QC, Canada.
Hakan DoganDepartment of Radiology, Koç University School of Medicine, Istanbul, Turkey.
Emre AltinmakasDepartment of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Maryam MohammadzadehDepartment of Radiology, Tehran University of Medical Sciences, Tehran, Iran.
Kathryn A SzymanskiDepartment of Radiology, Phoenix Children's Hospital, Phoenix, AZ, USA.
Cynthia J CampenDepartment of Neurology, Lucile Packard Children's Hospital, Stanford University Medical School, Palo Alto, CA, USA.
Hollie LaiDepartment of Radiology, Children's Hospital of Orange County, Orange, CA, USA.ORCID 0000-0001-6747-7338
Azam EghbalDepartment of Radiology, Children's Hospital of Orange County, Orange, CA, USA.
Alireza RadmaneshDepartment of Radiology, New York University Grossman School of Medicine, New York, NY, USA.
Kshitij MankadGreat Ormond Street Hospital for Children, London, UK.
Kristian AquilinaGreat Ormond Street Hospital for Children, London, UK.ORCID 0000-0001-7015-5196
Mourad SaidRadiology Department, Centre International Carthage Médicale, Monastir, Tunisia.
Arastoo VossoughDepartment of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Ozgur OztekinDepartment of Neuroradiology, Tepecik Education and Research Hospital, Izmir, Turkey.
Birgit Ertl-WagnerDepartment of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, ON, Canada.
Tina PoussaintDepartment of Radiology, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0002-0814-0791
Eric M ThompsonDepartment of Neurosurgery, Duke Children's Hospital & Health Center, Durham, NC, USA.
Chang Y HoDepartment of Radiology & Imaging Sciences, Riley Children's Hospital, Indianapolis, IN, USA.
Alok JajuDepartment of Radiology, Phoenix Children's Hospital, Phoenix, AZ, USA.
John CurranDepartment of Radiology, Phoenix Children's Hospital, Phoenix, AZ, USA.
Vijay RamaswamyDivision of Haematology/Oncology, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0002-6557-895X
Samuel H CheshierDepartment of Neurosurgery, University of Utah School of Medicine, Salt Lake City, UT, USA.
Gerald A GrantDepartment of Neurosurgery, Duke Children's Hospital & Health Center, Durham, NC, USA.
S Simon WongDepartment of Electrical Engineering, Stanford University, Stanford, CA, USA.ORCID 0000-0003-4361-1744
Michael E MoseleyDepartment of Radiology, Lucas Center, Stanford University, Stanford, CA, USA.
Robert M LoberDivision of Neurosurgery, Dayton Children's Hospital, Dayton, OH, USA.
Mattias WilmsDepartments of Pediatrics, Community Health Sciences, and Radiology, University of Calgary, Calgary, AB, Canada.ORCID 0000-0001-8845-360X
Nils D ForkertHotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.ORCID 0000-0003-2556-3224
Nicholas A VitanzaBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, WA, USA.ORCID 0000-0002-3966-4985
Jeffrey H MillerDepartment of Radiology, Phoenix Children's Hospital, Phoenix, AZ, USA.
Laura M ProloDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA. lmprolo@stanford.edu.ORCID 0000-0001-7737-8675
Kristen W YeomDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA. kyeom@stanford.edu.ORCID 0000-0001-9860-3368

Funding

STANFORD CANCER IMAGING TRAINING (SCIT) PROGRAMT32CA009695 · NCI · STANFORD UNIVERSITY · PI BRUCE L DANIEL, Jeremy Dahl · 1993 to 2026
$7.7M
Canadian Institutes of Health ResearchNCI NIH HHS T32 CA009695
6 · The paper itself

Abstract

While multiple factors impact disease, artificial intelligence (AI) studies in medicine often use small, non-diverse patient cohorts due to data sharing and privacy issues. Federated learning (FL) has emerged as a solution, enabling training across hospitals without direct data sharing. Here, we present FL-PedBrain, an FL platform for pediatric posterior fossa brain tumors, and evaluate its performance on a diverse, realistic, multi-center cohort. Pediatric brain tumors were targeted due to the scarcity of such datasets, even in tertiary care hospitals. Our platform orchestrates federated training for joint tumor classification and segmentation across 19 international sites. FL-PedBrain exhibits less than a 1.5% decrease in classification and a 3% reduction in segmentation performance compared to centralized data training. FL boosts segmentation performance by 20 to 30% on three external, out-of-network sites. Finally, we explore the sources of data heterogeneity and examine FL robustness in real-world scenarios with data imbalances.

Indexed as

Artificial IntelligenceBrain NeoplasmsAdolescentChildChild, PreschoolFemaleHumansInformation DisseminationMale

Identifiers

PMID39223133
PMCPMC11368946

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.