Evidence map›Paper›PMID 39754166›Full record

ArticleBMC cancer2025

Evaluation of an enhanced ResNet-18 classification model for rapid On-site diagnosis in respiratory cytology.

Wei Gong, Deep K Vaishnani, Xuan-Chen Jin, Jing Zeng, Wei Chen, Huixia Huang, Yu-Qing Zhou, Khaing Wut Yi Hla, Chen Geng, Jun Ma

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. 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.

Wei Gong *Department of Pathology, Lishui Municipal Central Hospital, Lishui, 323000, Zhejiang Province, China.
Deep K Vaishnani *School of International Studies, Wenzhou Medical University, Ouhai District, Chashan, Wenzhou, 325035, Zhejiang Province, China.
Xuan-Chen JinSchool of Clinical Medicine, Wenzhou Medical University, Ouhai District, Chashan, Wenzhou, Zhejiang Province, 325035, China.
Jing ZengSchool of Clinical Medicine, Wenzhou Medical University, Ouhai District, Chashan, Wenzhou, Zhejiang Province, 325035, China.
Wei ChenRenji College, Wenzhou Medical University, Wenzhou, 325035, Zhejiang, PR China.
Huixia HuangDepartment of Archives, Lishui Second People's Hospital, Liandu District, Lishui City, 323000, Zhejiang Province, China.
Yu-Qing ZhouSchool of International Studies, Wenzhou Medical University, Ouhai District, Chashan, Wenzhou, 325035, Zhejiang Province, China.
Khaing Wut Yi HlaSchool of International Studies, Wenzhou Medical University, Ouhai District, Chashan, Wenzhou, 325035, Zhejiang Province, China.
Chen GengSuzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou, 215163, Jiangsu Province, China. gengc@sibet.ac.cn.
Jun MaDepartment of Pathology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China. majun@wzhospital.cn.

Funding

National Natural Science Foundation of China U23A20483Science and Technology Program of Suzhou SKY2023223Shandong Natural Science Foundation ZR2022QF093Zhejiang Province Medical and Health Science and Technology Plan Project: Research on the Application of AI-based On-site Cytological Assessment of Core Needle Aspiration Smears of Pulmonary Nodules for the Auxiliary Diagnosis of Advanced-stage Lung Cancer 2022KY1426
6 · The paper itself

Abstract

objectiveRapid on-site evaluation (ROSE) of respiratory cytology specimens is a critical technique for accurate and timely diagnosis of lung cancer. However, in China, limited familiarity with the Diff-Quik staining method and a shortage of trained cytopathologists hamper utilization of ROSE. Therefore, developing an improved deep learning model to assist clinicians in promptly and accurately evaluating Diff-Quik stained cytology samples during ROSE has important clinical value.

methodsRetrospectively, 116 digital images of Diff-Quik stained cytology samples were obtained from whole slide scans. These included 6 diagnostic categories - carcinoid, normal cells, adenocarcinoma, squamous cell carcinoma, non-small cell carcinoma, and small cell carcinoma. All malignant diagnoses were confirmed by histopathology and immunohistochemistry. The test image set was presented to 3 cytopathologists from different hospitals with varying levels of experience, as well as an artificial intelligence system, as single-choice questions.

resultsThe diagnostic accuracy of the cytopathologists correlated with their years of practice and hospital setting. The AI model demonstrated proficiency comparable to the humans. Importantly, all combinations of AI assistance and human cytopathologist increased diagnostic efficiency to varying degrees.

conclusionsThis deep learning model shows promising capability as an aid for on-site diagnosis of respiratory cytology samples. However, human expertise remains essential to the diagnostic process.

Indexed as

CytodiagnosisDeep LearningLung NeoplasmsChinaHumansRetrospective StudiesArtificial Intelligence (AI)Computer-aided diagnosisLung CancerRapid on-site evaluation (ROSE)ResNet-18

Identifiers

PMID39754166
PMCPMC11697834

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.