Evidence map›Paper›PMID 40222978›Full record

ArticleNature communications2025

Deep learning enabled liquid-based cytology model for cervical precancer and cancer detection.

Peng Xue, Le Dang, Ling-Hua Kong, Hong-Ping Tang, Hai-Miao Xu, Hai-Yan Weng, Zhe Wang, Rong-Gan Wei, Lian Xu, Hong-Xia Li and 13 more

Abstract read
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. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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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

23 authors.

Peng Xue *School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID http://orcid.org/0000-0003-3002-8146
Le Dang *Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric and Gynaecological Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Ling-Hua KongDepartment of Obstetrics and Gynecology, National Clinical Research Center for Obstetric and Gynaecological Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Hong-Ping TangDepartment of Pathology, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, China.
Hai-Miao XuDepartment of Pathology, Zhejiang Cancer Hospital, Zhejiang Cancer Center, Hangzhou, China.
Hai-Yan WengDepartment of Pathology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
Zhe WangState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Department of Pathology, School of Basic Medicine and Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Rong-Gan WeiDepartment of Pathology, Guangxi Zhuang Autonomous Region People's Hospital, Nanning, China.
Lian XuDepartment of Pathology, Key Laboratory of Birth Defects and Related Diseases of Women and Children of Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, China.
Hong-Xia LiDepartment of Pathology, The Seventh Medical Center of Chinese PLA General Hospital, Beijing, China.
Hai-Yan NiuDepartment of Pathology, The First Affiliated Hospital/School of Basic Medicine and Life Sciences, Hainan Medical University, Haikou, China.
Ming-Juan WangDepartment of Pathology, Northwest Women's and Children's Hospital, Xi'an, China.
Zi-Chen YeSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Zhi-Fang LiDepartment of Public Health and Preventive Medicine, Changzhi Medical College, Changzhi, China.
Wen ChenNational Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Qin-Jing PanNational Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Xun ZhangNational Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Remila RezhakeDepartment of Cancer Research Institue, The Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi, China.
Li ZhangSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Yu JiangSchool of Health Policy and Management, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID http://orcid.org/0000-0002-2443-911X
You-Lin QiaoSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID http://orcid.org/0000-0001-6380-0871
Lan ZhuDepartment of Obstetrics and Gynecology, National Clinical Research Center for Obstetric and Gynaecological Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. zhu_julie@vip.sina.com.ORCID http://orcid.org/0000-0001-5753-5426
Fang-Hui ZhaoNational Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. zhaofangh@cicams.ac.cn.ORCID http://orcid.org/0000-0001-9294-0005

Funding

China Postdoctoral Science Foundation 2023M740323China Postdoctoral Science Foundation 2024T170072
6 · The paper itself

Abstract

Deep learning (DL) enabled liquid-based cytology has potential for cervical cancer screening or triage. Here, we develop a DL model using whole cytology slides from 17,397 women and test it on 10,826 additional cases through a three-stage process. The DL model achieves robust performance across nine hospitals. In a multi-reader, multi-case study, it outperforms cytopathologists' sensitivity by 9%. Reading time significantly decreases with DL assistance (218s vs 30s; p < 0.0001). In community-based organized screening, the DL model's sensitivity matches that of senior cytopathologists (0.878 vs 0.854; p > 0.999), yet it has reduced specificity (0.831 vs 0.901; p < 0.0001). Notably, hospital-based opportunistic screening shows that junior cytopathologists with DL assistance significantly improve both their sensitivity and specificity (0.857 vs 0.657, 0.840 vs 0.737; both p < 0.0001). When triaging human papillomavirus-positive cases, DL assistance exhibits better performance than junior cytopathologists alone. These findings support using the DL model as an assistance tool in cervical screening and case triage.

Indexed as

CytodiagnosisDeep LearningEarly Detection of CancerPrecancerous ConditionsUterine Cervical NeoplasmsAdultCervix UteriFemaleHumansMass ScreeningMiddle AgedPapillomavirus InfectionsSensitivity and SpecificityTriageUterine Cervical DysplasiaVaginal Smears

Identifiers

PMID40222978
PMCPMC11994794

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.