Evidence map›Paper›PMID 39915478›Full record

ArticleNature communications2025

Artificial intelligence links CT images to pathologic features and survival outcomes of renal masses.

Ying Xiong, Linpeng Yao, Jinglai Lin, Jiaxi Yao, Qi Bai, Yuan Huang, Xue Zhang, Risheng Huang, Run Wang, Kang Wang and 9 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Ying Xiong *Department of Urology, Zhongshan Hospital, Fudan University, Shanghai, China.
Linpeng Yao *Department of Radiology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Jinglai Lin *Department of Urology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, China.
Jiaxi Yao *Department of Urology, Zhangye People's Hospital affiliated to Hexi University, Zhangye, China.
Qi Bai *Department of Urology, Zhongshan Hospital, Fudan University, Shanghai, China.
Yuan HuangDepartment of Applied Mathematics and Theoretical Physics, Centre for Mathematical Sciences, University of Cambridge, Cambridge, UK.
Xue ZhangDepartment of Radiology, the First People's Hospital of Lianyungang, Lianyungang, China.
Risheng HuangDepartment of Imaging, Quanzhou First Hospital, Fujian Medical University, Quanzhou, China.
Run WangDepartment of Pathology, Sir Run Run Shaw Hospital, Hangzhou, China.
Kang WangDigital Medical Research Center, School of Basic Medical Sciences, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0002-7878-308X
Yu QiDepartment of Urology, Zhongshan Hospital, Fudan University, Shanghai, China.
Pingyi ZhuDepartment of Radiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Haoran WangDigital Medical Research Center, School of Basic Medical Sciences, Fudan University, Shanghai, China.
Li LiuDepartment of Urology, Zhongshan Hospital, Fudan University, Shanghai, China.
Jianjun ZhouDepartment of Radiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, China. zhoujianjunzs@126.com.ORCID http://orcid.org/0000-0003-4175-0513
Jianming GuoDepartment of Urology, Zhongshan Hospital, Fudan University, Shanghai, China. guo.jianming@zs-hospital.sh.cn.ORCID http://orcid.org/0000-0002-9300-8401
Feng ChenDepartment of Radiology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. chenfenghz@zju.edu.cn.ORCID http://orcid.org/0000-0003-4402-4955
Chenchen DaiDepartment of Radiology, Zhongshan Hospital, Fudan University, Shanghai, China. 15385519518@163.com.ORCID http://orcid.org/0009-0006-1262-7064
Shuo WangDigital Medical Research Center, School of Basic Medical Sciences, Fudan University, Shanghai, China. shuowang10@fudan.edu.cn.ORCID http://orcid.org/0000-0002-2947-8783

Funding

Shanghai International Science and Technology 23410710400
6 · The paper itself

Abstract

Treatment decisions for an incidental renal mass are mostly made with pathologic uncertainty. Improving the diagnosis of benign renal masses and distinguishing aggressive cancers from indolent ones is key to better treatment selection. We analyze 13261 pre-operative computed computed tomography (CT) volumes of 4557 patients. Two multi-phase convolutional neural networks are developed to predict the malignancy and aggressiveness of renal masses. The first diagnostic model designed to predict the malignancy of renal masses achieves area under the curve (AUC) of 0.871 in the prospective test set. This model surpasses the average performance of seven seasoned radiologists. The second diagnostic model differentiating aggressive from indolent tumors has AUC of 0.783 in the prospective test set. Both models outperform corresponding radiomics models and the nephrometry score nomogram. Here we show that the deep learning models can non-invasively predict the likelihood of malignant and aggressive pathology of a renal mass based on preoperative multi-phase CT images.

Indexed as

Artificial IntelligenceKidney NeoplasmsTomography, X-Ray ComputedAdultAgedDeep LearningFemaleHumansKidneyMaleMiddle AgedNeural Networks, ComputerNomogramsProspective Studies

Identifiers

PMID39915478
PMCPMC11802731

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.