Evidence map›Paper›PMID 39907762›Full record

SynthesisEuropean radiology2025

Deep learning-based breast cancer diagnosis in breast MRI: systematic review and meta-analysis.

Kamarul Amin Abdullah, Sara Marziali, Muzna Nanaa, Lorena Escudero Sánchez, Nicholas R Payne, Fiona J Gilbert

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Review
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  11. Emerging Nanozyme Strategies for Precision Breast Cancer Treatment.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Kamarul Amin AbdullahDepartment of Radiology, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, UK.
Sara MarzialiDepartment of Radiology, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, UK.
Muzna NanaaDepartment of Radiology, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, UK.
Lorena Escudero SánchezDepartment of Radiology, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, UK.
Nicholas R PayneDepartment of Radiology, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, UK.
Fiona J GilbertDepartment of Radiology, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, Cambridge, UK. fjg28@cam.ac.uk.ORCID http://orcid.org/0000-0002-0124-9962

Funding

NIHR Cambridge Biomedical Research Centre BRC-1215-20014; NIHR203312
6 · The paper itself

Abstract

objectivesThe aim of this work is to evaluate the performance of deep learning (DL) models for breast cancer diagnosis with MRI. MATERIALS AND

methodsA literature search was conducted on Web of Science, PubMed, and IEEE Xplore for relevant studies published from January 2015 to February 2024. The study was registered with the PROSPERO International Prospective Register of Systematic Reviews (protocol no. CRD42024485371). The quality assessment of diagnostic accuracy studies-2 (QUADAS2) tool and the Must AI Criteria-10 (MAIC-10) checklist were used to assess quality and risk of bias. The meta-analysis included studies reporting DL for breast cancer diagnosis and their performance, from which pooled summary estimates for the area under the curve (AUC), sensitivity, and specificity were calculated.

resultsA total of 40 studies were included, of which only 21 were eligible for quantitative analysis. Convolutional neural networks (CNNs) were used in 62.5% (25/40) of the implemented models, with the remaining 37.5% (15/40) hybrid composite models (HCMs). The pooled estimates of AUC, sensitivity, and specificity were 0.90 (95% CI: 0.87, 0.93), 88% (95% CI: 86, 91%), and 90% (95% CI: 87, 93%), respectively.

conclusionsDL models used for breast cancer diagnosis on MRI achieve high performance. However, there is considerable inherent variability in this analysis. Therefore, continuous evaluation and refinement of DL models is essential to ensure their practicality in the clinical setting. KEY POINTS: Question Can DL models improve diagnostic accuracy in breast MRI, addressing challenges like overfitting and heterogeneity in study designs and imaging sequences? Findings DL achieved high diagnostic accuracy (AUC 0.90, sensitivity 88%, specificity 90%) in breast MRI, with training size significantly impacting performance metrics (p < 0.001). Clinical relevance DL models demonstrate high accuracy in breast cancer diagnosis using MRI, showing the potential to enhance diagnostic confidence and reduce radiologist workload, especially with larger datasets minimizing overfitting and improving clinical reliability.

Indexed as

Breast NeoplasmsDeep LearningImage Interpretation, Computer-AssistedMagnetic Resonance ImagingFemaleHumansSensitivity and SpecificityArtificial intelligenceBreast neoplasmsDeep learningMagnetic resonance imagingMeta-analysis as topic

Identifiers

PMID39907762
PMCPMC12226709

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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.