Evidence map›Paper›PMID 40050619›Full record

ArticleNature communications2025

Artificial intelligence for breast cancer screening in mammography (AI-STREAM): preliminary analysis of a prospective multicenter cohort study.

Yun-Woo Chang, Jung Kyu Ryu, Jin Kyung An, Nami Choi, Young Mi Park, Kyung Hee Ko, Kyunghwa Han

2 registry-linked trialsAbstract readMulticenter Study
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. It is linked to 2 registered trials, which are not on this map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing 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.

NCT05024591 unknown statusnot on this map

Artificial Intelligence for breaST canceR scrEening in mAMmography (AI-STREAM): A Prospective, Multicenter Cohort Study

TypeobservationalSponsorKyung Hee University Hospital at GangdongRan2021 to 2024Enrolled25,008ConditionsBreast CancerArmsLunit INSIGHT MMG CADe/x for medical imaging
NCT07075679 narecruitingnot on this map

Use of Artificial Intelligence in Breast Cancer Screening: Impact of AI-Assisted Single Reading by One Radiologist on Screening Quality Indicators Compared to Standard Double Reading by Two Radiologists Without AI

TypeinterventionalSponsorUniversity Hospital OlomoucRan2025 to 2028Enrolled8,000ConditionsBreast Cancer Screening, Artificial Intelligence (AI), Breast Cancer Screening and DiagnosisArmsGroup with AI iCAD version 3, Group without AI
3 · Its place in the literature

Who cites it

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

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  15. Current and future perspectives of molecular breast imaging with [European journal of nuclear medicine and molecular imaging · 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

7 authors.

Yun-Woo ChangDepartment of Radiology, Soonchunhyang University Seoul Hospital, Seoul, Korea. ywchang@schmc.ac.kr.ORCID http://orcid.org/0000-0001-9704-8112
Jung Kyu RyuDepartment of Radiology, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
Jin Kyung AnDepartment of Radiology, Nowon Eulgi University Hospital, Seoul, Korea.
Nami ChoiDepartment of Radiology, Konkuk University Medical center, Seoul, Korea.
Young Mi ParkDepartment of Radiology, Inje University Busan Paik Hospital, Busan, Korea.
Kyung Hee KoDepartment of Radiology, CHA Bundang Medical center, Seongnam, Korea.
Kyunghwa HanDepartment of Radiology, Research Institute of Radiological Science and Center for Clinical Imaging Data Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID http://orcid.org/0000-0002-5687-7237

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Artificial intelligence (AI) improves the accuracy of mammography screening, but prospective evidence, particularly in a single-read setting, remains limited. This study compares the diagnostic accuracy of breast radiologists with and without AI-based computer-aided detection (AI-CAD) for screening mammograms in a real-world, single-read setting. A prospective multicenter cohort study is conducted within South Korea's national breast cancer screening program for women. The primary outcomes are screen-detected breast cancer within one year, with a focus on cancer detection rates (CDRs) and recall rates (RRs) of radiologists. A total of 24,543 women are included in the final cohort, with 140 (0.57%) screen-detected breast cancers. The CDR is significantly higher by 13.8% for breast radiologists using AI-CAD (n = 140 [5.70‰]) compared to those without AI (n = 123 [5.01‰]; p < 0.001), with no significant difference in RRs (p = 0.564). These preliminary results show a significant improvement in CDRs without affecting RRs in a radiologist's standard single-reading setting (ClinicalTrials.gov: NCT05024591).

Indexed as

Artificial IntelligenceBreast NeoplasmsEarly Detection of CancerMammographyAdultAgedFemaleHumansMass ScreeningMiddle AgedProspective StudiesRepublic of Korea

Identifiers

PMID40050619
PMCPMC11885569

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.