Evidence map›Paper›PMID 40002206›Full record

ArticleCancers2025

Transfer Learning-Based Integration of Dual Imaging Modalities for Enhanced Classification Accuracy in Confocal Laser Endomicroscopy of Lung Cancer.

Mircea-Sebastian Șerbănescu, Liliana Streba, Alin Dragoș Demetrian, Andreea-Georgiana Gheorghe, Mădălin Mămuleanu, Daniel-Nicolae Pirici, Costin-Teodor Streba

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Ex vivo use of probe-based confocal laser endomicroscopy in lung cancer visualization: an ex vivo pilot study.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    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

7 authors.

Mircea-Sebastian ȘerbănescuDepartment of Medical Informatics and Statistics, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0002-1824-6354
Liliana StrebaDepartment of Oncology and Palliative Care, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Alin Dragoș DemetrianDepartment of Thoracic Surgery, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Andreea-Georgiana GheorgheDoctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Mădălin MămuleanuDepartment of Automatic Control and Electronics, University of Craiova, 200585 Craiova, Romania.ORCID 0000-0003-1524-2494
Daniel-Nicolae PiriciDepartment of Histology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0001-9192-7319
Costin-Teodor StrebaDepartment of Pulmonology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesLung cancer remains the leading cause of cancer-related mortality, underscoring the need for improved diagnostic methods. This study seeks to enhance the classification accuracy of confocal laser endomicroscopy (pCLE) images for lung cancer by applying a dual transfer learning (TL) approach that incorporates histological imaging data.

methodsHistological samples and pCLE images, collected from 40 patients undergoing curative lung cancer surgeries, were selected to create 2 balanced datasets (800 benign and 800 malignant images each). Three CNN architectures-AlexNet, GoogLeNet, and ResNet-were pre-trained on ImageNet and re-trained on pCLE images (confocal TL) or using dual TL (first re-trained on histological images, then pCLE). Model performance was evaluated using accuracy and AUC across 50 independent runs with 10-fold cross-validation.

resultsThe dual TL approach statistically significant outperformed confocal TL, with AlexNet achieving a mean accuracy of 94.97% and an AUC of 0.98, surpassing GoogLeNet (91.43% accuracy, 0.97 AUC) and ResNet (89.87% accuracy, 0.96 AUC). All networks demonstrated statistically significant (

conclusionsDual TL, integrating histological and pCLE imaging, results in a statistically significant improvement in lung cancer classification. This approach offers a promising framework for enhanced tissue classification. and with future development and testing, iy has the potential to improve patient outcomes.

Indexed as

classification accuracyconfocal laser endomicroscopydeep learningdual transfer learninghistological imaginglung cancermedical imagingmulti-modal integrationtransfer learning

Identifiers

PMID40002206
PMCPMC11852907

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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.