Evidence map›Paper›PMID 40527914›Full record

ArticleNPJ digital medicine2025

Multimodal model for the diagnosis of biliary atresia based on sonographic images and clinical parameters.

Wenying Zhou, Run Lin, Yuanhang Zheng, Shan Wang, Bin Xu, Zijian Tang, Ruixuan Wang, Cheng Yu, Hualin Yan, Juxian Liu and 4 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

14 authors.

Wenying Zhou *Department of Medical Ultrasound, Institute for Diagnostic and Interventional Ultrasound, the First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, PR China.
Run Lin *School of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, PR China.
Yuanhang ZhengSchool of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, PR China.
Shan WangDepartment of Medical Ultrasound, Shenzhen Children' Hospital, Shantou University Medical College, Shenzhen, PR China.
Bin XuDepartment of Medical Ultrasound, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, PR China.
Zijian TangDepartment of Medical Ultrasound, Shenzhen Children' Hospital, Shantou University Medical College, Shenzhen, PR China.
Ruixuan WangSchool of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, PR China.
Cheng YuDepartment of Medical Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, PR China.
Hualin YanDepartment of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, PR China.
Juxian LiuDepartment of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, PR China.
Wen LingDepartment of Medical Ultrasound, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, PR China.
Guangliang HuangDepartment of Medical Ultrasound, Institute for Diagnostic and Interventional Ultrasound, the First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, PR China. huanggl9@mail.sysu.edu.cn.
Zongjie WengDepartment of Medical Ultrasound, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, PR China. wengzongjie1984@fjmu.edu.cn.
Luyao ZhouDepartment of Medical Ultrasound, Institute for Diagnostic and Interventional Ultrasound, the First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, PR China. zhouly@email.szu.edu.cn.

Funding

China Postdoctoral Science Foundation 2023M744077National Natural Science Foundation of China 62071502National Natural Science Foundation of China 82271996National Natural Science Foundation of China 82402299
6 · The paper itself

Abstract

It is still challenging to diagnose biliary atresia (BA) in current clinical practice. The study aimed to develop a multimodal model incorporated with uncertainty estimation by integrating sonographic images and clinical information to help diagnose BA. Multiple models were trained on 384 infants and validated externally on 156 infants. The model fused with sonographic images and clinical information yielded best performance, with an area under the curve (AUC) of 0.941 (95% CI: 0.891-0.972) on the external dataset. Moreover, the model based on sonographic video still yielded AUC of 0.930 (0.876-0.966). By excluding 39 cases with high uncertainty (>0.95), accuracy of the model improved from 84.6% to 91.5%. In addition, six radiologists with different experiences showed improved diagnostic performance (mean AUC increase: 0.066) when aided by the model. This fusion model incorporated with uncertainty estimation could potentially help radiologists identify BA more accurately and efficiently in real clinical practice.

Identifiers

PMID40527914
PMCPMC12174356

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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.