Evidence map›Paper›PMID 39832039›Full record

ArticleLa Radiologia medica2025

Deep learning-based MVIT-MLKA model for accurate classification of pancreatic lesions: a multicenter retrospective cohort study.

Hongfan Liao, Cheng Huang, Chunhua Liu, Jiao Zhang, Fengming Tao, Haotian Liu, Hongwei Liang, Xiaoli Hu, Yi Li, Shanxiong Chen and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

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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

11 authors.

Hongfan Liao *Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Cheng Huang *College of Computer and Information Science, Southwest University, Chongqing, 400715, China.
Chunhua LiuDepartment of Radiology, Daping Hospital, Army Medical University, Chongqing, China.
Jiao ZhangDepartment of Radiology, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Fengming TaoDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Haotian LiuDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Hongwei LiangDepartment of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Xiaoli HuDepartment of Radiology, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yi LiDepartment of Radiology, The Third People's Hospital of Chengdu, Chengdu, China.
Shanxiong Chen *College of Computer and Information Science, Southwest University, Chongqing, 400715, China. csxpml@163.com.
Yongmei Li *Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China. lymzhang70@163.com.ORCID http://orcid.org/0000-0001-5558-9738

Funding

the Key Project of Technological Innovation and Application Development of Chongqing Science and Technology Bureau grant numbers CSTC2021 jscx-gksb-N0008
6 · The paper itself

Abstract

backgroundAccurate differentiation between benign and malignant pancreatic lesions is critical for effective patient management. This study aimed to develop and validate a novel deep learning network using baseline computed tomography (CT) images to predict the classification of pancreatic lesions.

methodsThis retrospective study included 864 patients (422 men, 442 women) with confirmed histopathological results across three medical centers, forming a training cohort, internal testing cohort, and external validation cohort. A novel hybrid model, Multi-Scale Large Kernel Attention with Mobile Vision Transformer (MVIT-MLKA), was developed, integrating CNN and Transformer architectures to classify pancreatic lesions. The model's performance was compared with traditional machine learning methods and advanced deep learning models. We also evaluated the diagnostic accuracy of radiologists with and without the assistance of the optimal model. Model performance was assessed through discrimination, calibration, and clinical applicability.

resultsThe MVIT-MLKA model demonstrated superior performance in classifying pancreatic lesions, achieving an AUC of 0.974 (95% CI 0.967-0.980) in the training set, 0.935 (95% CI 0.915-0.954) in the internal testing set, and 0.924 (95% CI 0.902-0.945) in the external validation set, outperforming traditional models and other deep learning models (P < 0.05). Radiologists aided by the MVIT-MLKA model showed significant improvements in diagnostic accuracy and sensitivity compared to those without model assistance (P < 0.05). Grad-CAM visualization enhanced model interpretability by effectively highlighting key lesion areas.

conclusionThe MVIT-MLKA model efficiently differentiates between benign and malignant pancreatic lesions, surpassing traditional methods and significantly improving radiologists' diagnostic performance. The integration of this advanced deep learning model into clinical practice has the potential to reduce diagnostic errors and optimize treatment strategies.

Indexed as

Deep LearningPancreatic NeoplasmsTomography, X-Ray ComputedAdultAgedDiagnosis, DifferentialFemaleHumansMaleMiddle AgedRetrospective StudiesConvolutional neural networksDiagnostic imagingMVIT-MLKAPancreatic lesionsTransformers

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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.