Evidence map›Paper›PMID 39881216›Full record

ArticleBMC cancer2025

Fully automated segmentation and classification of renal tumors on CT scans via machine learning.

Jang Hee Han, Byung Woo Kim, Taek Min Kim, Ji Yeon Ko, Seung Jae Choi, Minho Kang, Sang Youn Kim, Jeong Yeon Cho, Ja Hyeon Ku, Cheol Kwak and 2 more

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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
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  4. Automated vs. manual segmentation for small renal mass imaging.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
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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

12 authors.

Jang Hee Han *Department of Urology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Byung Woo Kim *Department of Transdisciplinary Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Taek Min KimDepartment of Radiology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 03080, Seoul, Republic of Korea.
Ji Yeon KoDepartment of Urology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Seung Jae ChoiDepartment of Transdisciplinary Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Minho KangDepartment of Urology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Sang Youn KimDepartment of Radiology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 03080, Seoul, Republic of Korea.
Jeong Yeon ChoDepartment of Radiology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 03080, Seoul, Republic of Korea.
Ja Hyeon KuDepartment of Urology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Cheol KwakDepartment of Urology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Young-Gon Kim *Department of Transdisciplinary Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea. younggon2.kim@gmail.com.
Chang Wook Jeong *Department of Urology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea. drboss@snu.ac.kr.

Funding

Korea Health Industry Development Institute HI22C0452The Cooperative Research Program of Basic Medical Science and Clinical Science 800-20220315
6 · The paper itself

Abstract

backgroundTo develop and test the performance of a fully automated system for classifying renal tumor subtypes via deep machine learning for automated segmentation and classification. MATERIALS AND

methodsThe model was developed using computed tomography (CT) images of pathologically proven renal tumors collected from a prospective cohort at a medical center between March 2016 and December 2020. A total of 561 renal tumors were included: 233 clear cell renal cell carcinomas (RCCs), 82 papillary RCCs, 74 chromophobe RCCs, and 172 angiomyolipomas. Renal tumor masks manually drawn on contrast-enhanced CT images were used to develop a 3D U-Net-based deep learning model for fully automated tumor segmentation. After segmentation, the entire classification pipeline, including feature extraction and subtype classification, was conducted without any manual intervention. Both conventional radiological features (Hounsfield units, HUs) and radiomic features extracted from areas predicted by the deep learning models were used to develop an algorithm for classifying renal tumor subtypes via a random forest classifier. The performance of the segmentation model was evaluated using the Dice similarity coefficient, while the classification model was assessed based on accuracy, sensitivity, and specificity.

resultsFor tumors larger than 4 cm, the Dice similarity coefficient (DSC) for automated segmentation was 0.83, while for tumors smaller than 4 cm, the DSC was 0.65. The classification accuracy (ACC) for distinguishing RCC subtypes was 0.77 for tumors larger than 4 cm and 0.68 for tumors smaller than 4 cm. Additionally, the accuracy for benign versus malignant classification was 0.85.

conclusionsOur automatic segmentation and classifier model showed promising results for renal tumor segmentation and classification.

Indexed as

Carcinoma, Renal CellDeep LearningKidney NeoplasmsMachine LearningTomography, X-Ray ComputedAdultAgedAlgorithmsAngiomyolipomaFemaleHumansMaleMiddle AgedProspective StudiesClassificationCTDeep learningMachine learningRadiomicsRenal cell carcinomaSegmentation

Identifiers

PMID39881216
PMCPMC11781067

What OpenQuestion holds

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LicenceCC BY
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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.