Evidence map›Paper›PMID 39633027›Full record

ArticleNature biomedical engineering2025

A multimodal machine learning model for the stratification of breast cancer risk.

Xuejun Qian, Jing Pei, Chunguang Han, Zhiying Liang, Gaosong Zhang, Na Chen, Weiwei Zheng, Fanlun Meng, Dongsheng Yu, Yixuan Chen and 8 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature biomedical engineering, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed.

  1. Review
  2. Article
  3. Predicting ki-67 expression in breast cancer via transformer and multiple instance learning on DCE-MRI.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Article
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  6. 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

18 authors.

Xuejun Qian *School of Biomedical Engineering, ShanghaiTech University, Shanghai, China. qianxj@shanghaitech.edu.cn.ORCID http://orcid.org/0000-0003-3634-8757
Jing Pei *Department of Breast Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.ORCID http://orcid.org/0000-0003-2496-3795
Chunguang Han *Department of General Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.ORCID http://orcid.org/0000-0002-9067-4281
Zhiying LiangSchool of Biomedical Engineering, ShanghaiTech University, Shanghai, China.
Gaosong ZhangDepartment of Ultrasound, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Na ChenDepartment of Ultrasound, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing, China.
Weiwei ZhengDepartment of Ultrasound, Xuancheng People's Hospital, Xuancheng, China.
Fanlun MengDepartment of Breast Surgery, Fuyang Cancer Hospital, Fuyang, China.
Dongsheng YuSchool of Biomedical Engineering, ShanghaiTech University, Shanghai, China.
Yixuan ChenSchool of Biomedical Engineering, ShanghaiTech University, Shanghai, China.
Yiqun SunDepartment of Radiology, Fudan University Shanghai Cancer Center, Shanghai, China.
Hanqi ZhangDepartment of Ultrasound, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Wei QianDepartment of Radiology, The Second Affiliated Hospital of Zhejiang University, Hangzhou, China.
Xia WangDepartment of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Zhuoran ErSchool of Biomedical Engineering, ShanghaiTech University, Shanghai, China.
Chenglu HuSchool of Biomedical Engineering, ShanghaiTech University, Shanghai, China.
Hui ZhengDepartment of Ultrasound, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Dinggang ShenSchool of Biomedical Engineering, ShanghaiTech University, Shanghai, China.ORCID http://orcid.org/0000-0002-7934-5698

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82371993
6 · The paper itself

Abstract

Machine learning models for the diagnosis of breast cancer can facilitate the prediction of cancer risk and subsequent patient management among other clinical tasks. For the models to impact clinical practice, they ought to follow standard workflows, help interpret mammography and ultrasound data, evaluate clinical contextual information, handle incomplete data and be validated in prospective settings. Here we report the development and testing of a multimodal model leveraging mammography and ultrasound modules for the stratification of breast cancer risk based on clinical metadata, mammography and trimodal ultrasound (19,360 images of 5,216 breasts) from 5,025 patients with surgically confirmed pathology across medical centres and scanner manufacturers. Compared with the performance of experienced radiologists, the model performed similarly at classifying tumours as benign or malignant and was superior at pathology-level differential diagnosis. With a prospectively collected dataset of 191 breasts from 187 patients, the overall accuracies of the multimodal model and of preliminary pathologist-level assessments of biopsied breast specimens were similar (90.1% vs 92.7%, respectively). Multimodal models may assist diagnosis in oncology.

Indexed as

Breast NeoplasmsMachine LearningAdultAgedBreastFemaleHumansMammographyMiddle AgedProspective StudiesRisk AssessmentUltrasonography, Mammary

Identifiers

PMID39633027

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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.