Evidence map›Paper›PMID 40235000›Full record

SynthesisEuropean journal of medical research2025

Diagnosis accuracy of machine learning for idiopathic pulmonary fibrosis: a systematic review and meta-analysis.

Li Cong, Ying Chen, Xiaolei He, MaiLiKai KuErBan, Chao Wu, Liping Chen

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Artificial intelligence in respiratory medicine: From diagnosis to treatment and future directions.Chinese medical journal pulmonary and critical care medicine · 2026
    Review
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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

6 authors.

Li Cong *Respiratory and Critical Care Medical Center, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830000, China.
Ying Chen *Respiratory and Critical Care Medical Center, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830000, China.
Xiaolei HeRadiographic Center, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.
MaiLiKai KuErBanRadiographic Center, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.
Chao WuDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Shihezi University, Shihezi, China.
Liping ChenRespiratory and Critical Care Medical Center, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830000, China. mezatecong@163.com.

Funding

Immunological mechanism of stem cell therapy for fibrotic hypersensitivity pneumonia 2022TSYCCX0036
6 · The paper itself

Abstract

backgroundThe diagnosis of idiopathic pulmonary fibrosis (IPF) is complex, which requires lung biopsy, if necessary, and multidisciplinary discussions with specialists. Clinical diagnosis of the two ailments is particularly challenging due to the impact of interobserver variability. Several studies have endeavored to utilize image-based machine learning to diagnose IPF and its subtype of usual interstitial pneumonia (UIP). However, the diagnostic accuracy of this approach lacks evidence-based support.

objectiveWe conducted a systematic review and meta-analysis to explore the diagnostic efficiency of image-based machine learning (ML) for IPF. DATA SOURCES AND

methodsWe comprehensively searched PubMed, Cochrane, Embase, and Web of Science databases up to August 24, 2024. During the meta-analysis, we carried out subgroup analyses by imaging source (computed radiography/computed tomography) and modeling type (deep learning/other) to evaluate its diagnostic performance for IPF.

resultsThe meta-analysis findings indicated that in the diagnosis of IPF, the C-index, sensitivity, and specificity of ML were 0.93 (95% CI 0.89-0.97), 0.79 (95% CI 0.73-0.83), and 0.84 (95% CI 0.79-0.88), respectively. The sensitivity of radiologists/clinicians in diagnosing IPF was 0.69 (95% CI 0.56-0.79), with a specificity of 0.93 (95% CI 0.74-0.98). For UIP diagnosis, the C-index of ML was 0.91 (95% CI 0.87-0.94), with a sensitivity of 0.92 (95% CI 0.80-0.97) and a specificity of 0.92 (95%CI 0.82-0.97). In contrast, the sensitivity of radiologists/clinicians in diagnosing UIP was 0.69 (95% CI 0.50-0.84), with a specificity of 0.90 (95% CI 0.82-0.94).

conclusionsImage-based machine learning techniques demonstrate robust data processing and recognition capabilities, providing strong support for accurate diagnosis of idiopathic pulmonary fibrosis and usual interstitial pneumonia. Future multicenter large-scale studies are warranted to develop more intelligent evaluation tools to further enhance clinical diagnostic efficiency. Trial registration This study protocol was registered with PROSPERO (CRD42022383162).

Indexed as

Idiopathic Pulmonary FibrosisMachine LearningHumansSensitivity and SpecificityTomography, X-Ray ComputedDeep learningIdiopathic pulmonary fibrosisMachine learning

Identifiers

PMID40235000
PMCPMC12001705

What OpenQuestion holds

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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.