Evidence map›Paper›PMID 40118052›Full record

ArticleCell reports. Medicine2025

A CT-based deep learning-driven tool for automatic liver tumor detection and delineation in patients with cancer.

Maria Balaguer-Montero, Adrià Marcos Morales, Marta Ligero, Christina Zatse, David Leiva, Luz M Atlagich, Nikolaos Staikoglou, Cristina Viaplana, Camilo Monreal, Joaquin Mateo and 8 more

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed, 1 synthesis or guideline 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

18 authors.

Maria Balaguer-MonteroRadiomics Group, Vall d'Hebron Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Adrià Marcos MoralesRadiomics Group, Vall d'Hebron Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Marta LigeroRadiomics Group, Vall d'Hebron Institute of Oncology (VHIO), 08035 Barcelona, Spain; Else Kroener Fresenius Center for Digital Health, Medical Faculty Carl Gustav Carus, TUD Dresden University of Technology, 01307 Dresden, Germany.
Christina ZatseRadiomics Group, Vall d'Hebron Institute of Oncology (VHIO), 08035 Barcelona, Spain.
David LeivaBellvitge University Hospital, 08907 Barcelona, Spain.
Luz M AtlagichRadiomics Group, Vall d'Hebron Institute of Oncology (VHIO), 08035 Barcelona, Spain; Oncocentro Apys, Viña Del Mar 2520598, Chile.
Nikolaos StaikoglouRadiomics Group, Vall d'Hebron Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Cristina ViaplanaOncology Data Science (ODysSey) Group, Vall d'Hebron Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Camilo MonrealRadiomics Group, Vall d'Hebron Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Joaquin MateoDepartment of Medical Oncology, Vall d'Hebron University Hospital and Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Jorge HernandoDepartment of Medical Oncology, Vall d'Hebron University Hospital and Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Alejandro García-ÁlvarezDepartment of Medical Oncology, Vall d'Hebron University Hospital and Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Francesc SalvàDepartment of Medical Oncology, Vall d'Hebron University Hospital and Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Jaume CapdevilaDepartment of Medical Oncology, Vall d'Hebron University Hospital and Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Elena ElezDepartment of Medical Oncology, Vall d'Hebron University Hospital and Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Rodrigo DienstmannOncology Data Science (ODysSey) Group, Vall d'Hebron Institute of Oncology (VHIO), 08035 Barcelona, Spain; University of Vic - Central University of Catalonia, 08500 Vic, Spain.
Elena GarraldaDepartment of Medical Oncology, Vall d'Hebron University Hospital and Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Raquel Perez-LopezRadiomics Group, Vall d'Hebron Institute of Oncology (VHIO), 08035 Barcelona, Spain. Electronic address: rperez@vhio.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver tumors, whether primary or metastatic, significantly impact the outcomes of patients with cancer. Accurate identification and quantification are crucial for effective patient management, including precise diagnosis, prognosis, and therapy evaluation. We present SALSA (system for automatic liver tumor segmentation and detection), a fully automated tool for liver tumor detection and delineation. Developed on 1,598 computed tomography (CT) scans and 4,908 liver tumors, SALSA demonstrates superior accuracy in tumor identification and volume quantification, outperforming state-of-the-art models and inter-reader agreement among expert radiologists. SALSA achieves a patient-wise detection precision of 99.65%, and 81.72% at lesion level, in the external validation cohorts. Additionally, it exhibits good overlap, achieving a dice similarity coefficient (DSC) of 0.760, outperforming both state-of-the-art and the inter-radiologist assessment. SALSA's automatic quantification of tumor volume proves to have prognostic value across various solid tumors (p = 0.028). SALSA's robust capabilities position it as a potential medical device for automatic cancer detection, staging, and response evaluation.

Indexed as

Deep LearningLiver NeoplasmsTomography, X-Ray ComputedAgedAutomationFemaleHumansMaleMiddle AgedPrognosisTumor Burdendeep learningdelineationdetectionimagingliver tumors

Identifiers

PMID40118052
PMCPMC12047525

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.