Evidence map›Paper›PMID 40074845›Full record

ArticleNPJ precision oncology2025

Deep learning models in classifying primary bone tumors and bone infections based on radiographs.

Hua Wang, Yu He, Lu Wan, Chenbei Li, Zhaoqi Li, Zhihong Li, Haodong Xu, Chao Tu

Abstract read
In one paragraph

Article in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

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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

8 authors.

Hua Wang *Department of Orthopaedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Yu He *Department of Radiology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Lu WanDepartment of Orthopaedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Chenbei LiDepartment of Orthopaedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Zhaoqi LiDepartment of Orthopaedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Zhihong LiDepartment of Orthopaedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Haodong XuDepartment of Orthopaedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China. xuhaodong@csu.edu.cn.
Chao TuDepartment of Orthopaedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China. tuchao@csu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary bone tumors (PBTs) present significant diagnostic challenges due to their heterogeneous nature and similarities with bone infections. This study aimed to develop an ensemble deep learning framework that integrates multicenter radiographs and extensive clinical features to accurately differentiate between PBTs and bone infections. We compared the performance of the ensemble model with four imaging models based solely on radiographs utilizing EfficientNet B3, EfficientNet B4, Vision Transformer, and Swin Transformers. The patients were split into external dataset (N = 423) and internal dataset [including training (N = 1044), test (N = 354), and validation set (N = 171)]. The ensemble model outperformed imaging models, achieving areas under the curve (AUCs) of 0.948 and 0.963 on internal and external sets, respectively, with accuracies of 0.881 and 0.895. Its performance surpassed junior and mid-level radiologists and was comparable to senior radiologists (accuracy: 83.6%). These findings underscore the potential of deep learning in enhancing diagnostic precision for PBTs and bone infections (Research Registration Unique Identifying Number (UIN): researchregistry10483 and with details are available at https://www.researchregistry.com/register-now#home/registrationdetails/6693845995ba110026aeb754/ ).

Identifiers

PMID40074845
PMCPMC11904180

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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.