Evidence map›Paper›PMID 40052528›Full record

ArticleCancer medicine2025

Predicting Neoplastic Polyp in Patients With Gallbladder Polyps Using Interpretable Machine Learning Models: Retrospective Cohort Study.

Zhaobin He, Shengbiao Yang, Jianqiang Cao, Huijie Gao, Cheng Peng

Abstract read
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. Review
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

5 authors.

Zhaobin HeDepartment of Hepatobiliary Surgery, General Surgery, Qilu Hospital, Shandong University, Jinan, Shandong, P.R. China.ORCID https://orcid.org/0000-0002-0917-0570
Shengbiao YangDepartment of Hepatobiliary Surgery, General Surgery, Qilu Hospital, Shandong University, Jinan, Shandong, P.R. China.
Jianqiang CaoDepartment of Hepatobiliary Surgery, General Surgery, Qilu Hospital, Shandong University, Jinan, Shandong, P.R. China.
Huijie GaoDepartment of Hepatobiliary Surgery, General Surgery, Qilu Hospital, Shandong University, Jinan, Shandong, P.R. China.
Cheng PengDepartment of Hepatobiliary Surgery, General Surgery, Qilu Hospital, Shandong University, Jinan, Shandong, P.R. China.ORCID https://orcid.org/0000-0003-1217-9645

Funding

National Natural Science Foundation of China 82072674Natural Science Foundation of Shandong Province ZR2020MH258Special Research Fund of Shandong Medical Association YXH2022ZX02114
6 · The paper itself

Abstract

objectiveGallbladder polyps (GBPs) are increasingly prevalent, with the majority being benign; however, neoplastic polyps carry a risk of malignant transformation, highlighting the importance of accurate differentiation. This study aimed to develop and validate interpretable machine learning (ML) models to accurately predict neoplastic GBPs in a retrospective cohort, identifying key features and providing model explanations using the Shapley additive explanations (SHAP) method.

methodsA total of 924 patients with GBPs who underwent cholecystectomy between January 2013 and December 2023 at Qilu Hospital of Shandong University were included. The patient characteristics, laboratory results, preoperative ultrasound findings, and postoperative pathological results were collected. The dataset was randomly split, with 80% used for model training and the remaining 20% used for model testing. This study employed nine ML algorithms to construct predictive models. Subsequently, model performance was evaluated and compared using several metrics, including the area under the receiver operating characteristic curve (AUC). Feature importance was ranked, and model interpretability was enhanced by the SHAP method.

resultsK-nearest neighbors, C5.0 decision tree algorithm, and gradient boosting machine models showed the highest performance, with the highest predictive efficacy for neoplastic polyps. The SHAP method revealed the top five predictors of neoplastic polyps according to the importance ranking. The polyp size was recognized as the most important predictor variable, indicating that lesions ≥ 18 mm should prompt heightened clinical surveillance and timely intervention.

conclusionsOur interpretable ML models accurately predict neoplastic polyps in GBP patients, providing guidance for treatment planning and resource allocation. The model's transparency fosters trust and understanding, empowering physicians to confidently use its predictions for improved patient care.

Indexed as

Gallbladder DiseasesGallbladder NeoplasmsMachine LearningPolypsAdultAgedAlgorithmsCholecystectomyFemaleHumansMaleMiddle AgedRetrospective StudiesROC Curvegallbladder polypsinterpretable machine learningneoplastic polypSHAP

Identifiers

PMID40052528
PMCPMC11886608

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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.