Evidence map›Paper›PMID 39287522›Full record

ArticleRadiology2024

AI for Multistructure Incidental Findings and Mortality Prediction at Chest CT in Lung Cancer Screening.

Anna M Marcinkiewicz, Mikolaj Buchwald, Aakash Shanbhag, Bryan P Bednarski, Aditya Killekar, Robert J H Miller, Valerie Builoff, Mark Lemley, Daniel S Berman, Damini Dey and 1 more

Abstract readMulticenter Study
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 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Anna M MarcinkiewiczFrom the Departments of Medicine, Division of Artificial Intelligence in Medicine, Imaging, and Biomedical Sciences, Cedars-Sinai Medical Center, 6500 Wilshire Blvd, Los Angeles, CA 90048 (A.M.M., M.B., A.S., B.P.B., A.K., R.J.H.M., V.B., M.L., D.S.B., D.D., P.J.S.); Signal and Image Processing Institute, Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, Calif (A.S.); and Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada (R.J.H.M.).ORCID 0000-0001-9769-1757
Mikolaj BuchwaldFrom the Departments of Medicine, Division of Artificial Intelligence in Medicine, Imaging, and Biomedical Sciences, Cedars-Sinai Medical Center, 6500 Wilshire Blvd, Los Angeles, CA 90048 (A.M.M., M.B., A.S., B.P.B., A.K., R.J.H.M., V.B., M.L., D.S.B., D.D., P.J.S.); Signal and Image Processing Institute, Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, Calif (A.S.); and Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada (R.J.H.M.).ORCID 0000-0001-8764-0032
Aakash ShanbhagFrom the Departments of Medicine, Division of Artificial Intelligence in Medicine, Imaging, and Biomedical Sciences, Cedars-Sinai Medical Center, 6500 Wilshire Blvd, Los Angeles, CA 90048 (A.M.M., M.B., A.S., B.P.B., A.K., R.J.H.M., V.B., M.L., D.S.B., D.D., P.J.S.); Signal and Image Processing Institute, Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, Calif (A.S.); and Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada (R.J.H.M.).ORCID 0000-0001-5199-3071
Bryan P BednarskiFrom the Departments of Medicine, Division of Artificial Intelligence in Medicine, Imaging, and Biomedical Sciences, Cedars-Sinai Medical Center, 6500 Wilshire Blvd, Los Angeles, CA 90048 (A.M.M., M.B., A.S., B.P.B., A.K., R.J.H.M., V.B., M.L., D.S.B., D.D., P.J.S.); Signal and Image Processing Institute, Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, Calif (A.S.); and Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada (R.J.H.M.).ORCID 0000-0003-3231-1455
Aditya KillekarFrom the Departments of Medicine, Division of Artificial Intelligence in Medicine, Imaging, and Biomedical Sciences, Cedars-Sinai Medical Center, 6500 Wilshire Blvd, Los Angeles, CA 90048 (A.M.M., M.B., A.S., B.P.B., A.K., R.J.H.M., V.B., M.L., D.S.B., D.D., P.J.S.); Signal and Image Processing Institute, Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, Calif (A.S.); and Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada (R.J.H.M.).ORCID 0000-0003-3831-5676
Robert J H MillerFrom the Departments of Medicine, Division of Artificial Intelligence in Medicine, Imaging, and Biomedical Sciences, Cedars-Sinai Medical Center, 6500 Wilshire Blvd, Los Angeles, CA 90048 (A.M.M., M.B., A.S., B.P.B., A.K., R.J.H.M., V.B., M.L., D.S.B., D.D., P.J.S.); Signal and Image Processing Institute, Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, Calif (A.S.); and Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada (R.J.H.M.).ORCID 0000-0003-4676-2433
Valerie BuiloffFrom the Departments of Medicine, Division of Artificial Intelligence in Medicine, Imaging, and Biomedical Sciences, Cedars-Sinai Medical Center, 6500 Wilshire Blvd, Los Angeles, CA 90048 (A.M.M., M.B., A.S., B.P.B., A.K., R.J.H.M., V.B., M.L., D.S.B., D.D., P.J.S.); Signal and Image Processing Institute, Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, Calif (A.S.); and Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada (R.J.H.M.).
Mark LemleyFrom the Departments of Medicine, Division of Artificial Intelligence in Medicine, Imaging, and Biomedical Sciences, Cedars-Sinai Medical Center, 6500 Wilshire Blvd, Los Angeles, CA 90048 (A.M.M., M.B., A.S., B.P.B., A.K., R.J.H.M., V.B., M.L., D.S.B., D.D., P.J.S.); Signal and Image Processing Institute, Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, Calif (A.S.); and Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada (R.J.H.M.).ORCID 0000-0002-1531-880X
Daniel S BermanFrom the Departments of Medicine, Division of Artificial Intelligence in Medicine, Imaging, and Biomedical Sciences, Cedars-Sinai Medical Center, 6500 Wilshire Blvd, Los Angeles, CA 90048 (A.M.M., M.B., A.S., B.P.B., A.K., R.J.H.M., V.B., M.L., D.S.B., D.D., P.J.S.); Signal and Image Processing Institute, Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, Calif (A.S.); and Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada (R.J.H.M.).ORCID 0000-0002-3793-9578
Damini DeyFrom the Departments of Medicine, Division of Artificial Intelligence in Medicine, Imaging, and Biomedical Sciences, Cedars-Sinai Medical Center, 6500 Wilshire Blvd, Los Angeles, CA 90048 (A.M.M., M.B., A.S., B.P.B., A.K., R.J.H.M., V.B., M.L., D.S.B., D.D., P.J.S.); Signal and Image Processing Institute, Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, Calif (A.S.); and Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada (R.J.H.M.).ORCID 0000-0003-2236-6970
Piotr J SlomkaFrom the Departments of Medicine, Division of Artificial Intelligence in Medicine, Imaging, and Biomedical Sciences, Cedars-Sinai Medical Center, 6500 Wilshire Blvd, Los Angeles, CA 90048 (A.M.M., M.B., A.S., B.P.B., A.K., R.J.H.M., V.B., M.L., D.S.B., D.D., P.J.S.); Signal and Image Processing Institute, Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, Calif (A.S.); and Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada (R.J.H.M.).ORCID 0000-0002-6110-938X

Funding

Patient-specific Outcome Prediction from Cardiovascular Multimodality Imaging by Artificial IntelligenceR35HL161195 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI Piotr J Slomka · 2022 to 2026
$5.0M
Integrated prediction of cardiovascular events by automated coronary plaque and pericoronary adipose tissue quantification from CT AngiographyR01HL148787 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI DEY, DAMINI · 2020 to 2023
$3.0M
Effect of Intensive Medical Treatment on Quantified Coronary Artery Plaque Components with Serial Coronary CTA in Women with Non-Obstructive CADR01HL151266 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI DEY, DAMINI, TAMARAPPOO, BALAJI K. · 2020 to 2023
$1.6M
NHLBI NIH HHS R01 HL148787NHLBI NIH HHS R01 HL151266NHLBI NIH HHS R35 HL161195
6 · The paper itself

Abstract

Background Incidental extrapulmonary findings are commonly detected on chest CT scans and can be clinically important. Purpose To integrate artificial intelligence (AI)-based segmentation for multiple structures, coronary artery calcium (CAC), and epicardial adipose tissue with automated feature extraction methods and machine learning to detect extrapulmonary abnormalities and predict all-cause mortality (ACM) in a large multicenter cohort. Materials and Methods In this post hoc analysis, baseline chest CT scans in patients enrolled in the National Lung Screening Trial (NLST) from August 2002 to September 2007 were included from 33 participating sites. Per scan, 32 structures were segmented with a multistructure model. For each structure, 15 clinically interpretable radiomic features were quantified. Four general codes describing abnormalities reported by NLST radiologists were applied to identify extrapulmonary significant incidental findings on the CT scans. Death at 2-year and 10-year follow-up and the presence of extrapulmonary significant incidental findings were predicted with ensemble AI models, and individualized structure risk scores were evaluated. Area under the receiver operating characteristic curve (AUC) analysis was used to evaluate the performance of the models for prediction of ACM and extrapulmonary significant incidental findings. The Pearson χ

Indexed as

Early Detection of CancerIncidental FindingsLung NeoplasmsTomography, X-Ray ComputedAgedArtificial IntelligenceFemaleHumansLungMaleMiddle AgedRadiography, Thoracic

Identifiers

PMID39287522
PMCPMC11427857

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.