Evidence map›Paper›PMID 39496802›Full record

ArticleScientific reports2024

Explainable fully automated CT scoring of interstitial lung disease for patients suspected of systemic sclerosis by cascaded regression neural networks and its comparison with experts.

Jingnan Jia, Irene Hernández-Girón, Anne A Schouffoer, Jeska K de Vries-Bouwstra, Maarten K Ninaber, Julie C Korving, Marius Staring, Lucia J M Kroft, Berend C Stoel

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Jingnan JiaDivision of Image Processing, Department of Radiology, Leiden University Medical Center (LUMC), P.O. Box 9600, 2300, RC Leiden, The Netherlands.
Irene Hernández-GirónDivision of Image Processing, Department of Radiology, Leiden University Medical Center (LUMC), P.O. Box 9600, 2300, RC Leiden, The Netherlands.
Anne A SchouffoerDepartment of Rheumatology, Leiden University Medical Center (LUMC), P.O. Box 9600, 2300, RC Leiden, The Netherlands.
Jeska K de Vries-BouwstraDepartment of Rheumatology, Leiden University Medical Center (LUMC), P.O. Box 9600, 2300, RC Leiden, The Netherlands.
Maarten K NinaberDepartment of Pulmonology, Leiden University Medical Center (LUMC), P.O. Box 9600, 2300, RC Leiden, The Netherlands.
Julie C KorvingDepartment of Radiology, Leiden University Medical Center (LUMC), P.O. Box 9600, 2300, RC Leiden, The Netherlands.
Marius StaringDivision of Image Processing, Department of Radiology, Leiden University Medical Center (LUMC), P.O. Box 9600, 2300, RC Leiden, The Netherlands.
Lucia J M KroftDepartment of Radiology, Leiden University Medical Center (LUMC), P.O. Box 9600, 2300, RC Leiden, The Netherlands.
Berend C StoelDivision of Image Processing, Department of Radiology, Leiden University Medical Center (LUMC), P.O. Box 9600, 2300, RC Leiden, The Netherlands. b.c.stoel@lumc.nl.

Funding

Chinese Scholarship Council 202007720110
6 · The paper itself

Abstract

Visual scoring of interstitial lung disease in systemic sclerosis (SSc-ILD) from CT scans is laborious, subjective and time-consuming. This study aims to develop a deep learning framework to automate SSc-ILD scoring. The automated framework is a cascade of two neural networks. The first network selects the craniocaudal positions of the five scoring levels. Subsequently, for each level, the second network estimates the ratio of three patterns to the total lung area: the total extent of disease (TOT), ground glass (GG) and reticulation (RET). To overcome the score imbalance in the second network, we propose a method to augment the training dataset with synthetic data. To explain the network's output, a heat map method is introduced to highlight the candidate interstitial lung disease regions. The explainability of heat maps was evaluated by two human experts and a quantitative method that uses the heat map to produce the score. The results show that our framework achieved a

Indexed as

Lung Diseases, InterstitialNeural Networks, ComputerScleroderma, SystemicTomography, X-Ray ComputedDeep LearningFemaleHumansMaleMiddle Aged

Identifiers

PMID39496802
PMCPMC11535448

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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.