Evidence map›Paper›PMID 40549343›Full record

ArticleInfectious diseases and therapy2025

Deep Learning for the Early Diagnosis of Candidemia.

Daniele Roberto Giacobbe, Sabrina Guastavino, Anna Razzetta, Cristina Marelli, Sara Mora, Chiara Russo, Giorgia Brucci, Alessandro Limongelli, Antonio Vena, Malgorzata Mikulska and 10 more

Abstract read
In one paragraph

Article in Infectious diseases and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. FromFrontiers in medicine · 2025
    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

20 authors.

Daniele Roberto Giacobbe *Department of Health Sciences (DISSAL), University of Genoa, Via A. Pastore 1, 16132, Genoa, Italy. danieleroberto.giacobbe@unige.it.ORCID http://orcid.org/0000-0003-2385-1759
Sabrina Guastavino *Department of Mathematics (DIMA), University of Genoa, Genoa, Italy.
Anna RazzettaSchool of Mathematics, University of Genoa, Genoa, Italy.
Cristina MarelliOncostat, CESP, Inserm U1018, Université Paris-Saclay, Labeled Ligue Contre le Cancer, Gustave Roussy, Villejuif, France.
Sara MoraUO Information and Communication Technologies, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Chiara RussoDepartment of Health Sciences (DISSAL), University of Genoa, Via A. Pastore 1, 16132, Genoa, Italy.
Giorgia BrucciDepartment of Health Sciences (DISSAL), University of Genoa, Via A. Pastore 1, 16132, Genoa, Italy.
Alessandro LimongelliDepartment of Health Sciences (DISSAL), University of Genoa, Via A. Pastore 1, 16132, Genoa, Italy.
Antonio VenaDepartment of Health Sciences (DISSAL), University of Genoa, Via A. Pastore 1, 16132, Genoa, Italy.
Malgorzata MikulskaDepartment of Health Sciences (DISSAL), University of Genoa, Via A. Pastore 1, 16132, Genoa, Italy.
Alessio SignoriSection of Biostatistics, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.
Antonio Di BiagioDepartment of Health Sciences (DISSAL), University of Genoa, Via A. Pastore 1, 16132, Genoa, Italy.
Anna MarcheseDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy.
Ylenia MurgiaDepartment of Informatics, Bioengineering, Robotics and System Engineering (DIBRIS), University of Genoa, Genoa, Italy.
Marco MuccioClinica Malattie Infettive, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Nicola RossoUO Information and Communication Technologies, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Michele PianaDepartment of Mathematics (DIMA), University of Genoa, Genoa, Italy.
Mauro GiacominiDepartment of Informatics, Bioengineering, Robotics and System Engineering (DIBRIS), University of Genoa, Genoa, Italy.
Cristina Campi *Department of Mathematics (DIMA), University of Genoa, Genoa, Italy.
Matteo Bassetti *Department of Health Sciences (DISSAL), University of Genoa, Via A. Pastore 1, 16132, Genoa, Italy.

Funding

Pfizer Pfizer Global Medical Grants (GMG) for General Research [Project Tracking Number 69511763]
6 · The paper itself

Abstract

introductionCandidemia carries a heavy burden in terms of mortality, especially when presenting as septic shock, and its early diagnosis remains crucial.

methodsWe assessed the performance of a deep learning model for the early differential diagnosis between candidemia and bacteremia. The model was trained on a large dataset of automatically extracted laboratory features.

resultsA total of 12,483 episodes of candidemia (1275; 10%) or bacteremia (11,208; 90%) were included. For recognizing candidemia, a deep learning model showed sensitivity 0.80, specificity 0.59, positive predictive value (PPV) 0.18, weighted PPV (wPPV) 0.88, and negative predictive value (NPV) 0.96 on the training set (area under the curve [AUC] 0.69), and sensitivity 0.70, specificity 0.58, PPV 0.16, wPPV 0.87, and NPV 0.95 on the test set (AUC 0.64). Then, the learned discriminatory ability was tested in the subgroup of patients with available serum β-D-glucan (BDG) and procalcitonin (PCT) values to explore additive or synergistic effects with these more specific markers. Both feature selection and transfer learning did not improve the diagnostic performance of a model based on BDG and PCT only.

conclusionsA deep learning model trained on nonspecific laboratory features showed some discriminatory ability to differentiate candidemia from bacteremia, highlighting the ability of deep learning to exploit complex patterns within nonspecific laboratory data. However, the learned patterns did not improve the diagnostic performance of more specific markers. Further exploration of candidemia prediction using laboratory features through machine learning techniques remains a promising area of research, serving as a valuable complement to the development of large-scale models that also incorporate clinical features.

Indexed as

Artificial intelligenceBiomarkerCandidaMachine learningNeural networks

Identifiers

PMID40549343
PMCPMC12270986

What OpenQuestion holds

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LicenceCC BY-NC
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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.