Evidence map›Paper›PMID 40595468›Full record

ArticleNature communications2025

Deep learning quantifies pathologists' visual patterns for whole slide image diagnosis.

Tianhang Nan, Song Zheng, Siyuan Qiao, Hao Quan, Xin Gao, Jun Niu, Bin Zheng, Chunfang Guo, Yue Zhang, Xiaoqin Wang and 12 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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  12. Chemoarchitectural studies of the rat hypothalamus and zona incerta.bioRxiv : the preprint server for biology · 2025
    Article
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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

22 authors.

Tianhang Nan *College of Medicine and Biological Information Engineering, Northeastern University, Shenyang, China.ORCID http://orcid.org/0009-0002-2202-6503
Song Zheng *Department of Dermatology, The First Hospital of China Medical University, Shenyang, China.
Siyuan QiaoCollege of Computer Science and Technology, Fudan University, Shanghai, China.
Hao QuanCollege of Medicine and Biological Information Engineering, Northeastern University, Shenyang, China.
Xin GaoComputer Science Program, Computer, Electrical and Mathematical Sciences and Engineering Division, King Abdullah University of Science and Technology (KAUST), King Abdullah, Kingdom of Saudi Arabia.ORCID http://orcid.org/0000-0002-7108-3574
Jun NiuDepartment of Dermatology, General Hospital of Northern Theater Command, Shenyang, China.
Bin ZhengCollege of Medicine and Biological Information Engineering, Northeastern University, Shenyang, China.
Chunfang GuoDepartment of Dermatology, Shenyang Seventh People's Hospital, Shenyang, China.
Yue ZhangDepartment of Dermatology, Shengjing hospital of China Medical University, Shenyang, China.
Xiaoqin WangCenter of Excellence on Generative AI, King Abdullah University of Science and Technology, King Abdullah, Kingdom of Saudi Arabia.
Liping ZhaoDepartment of Dermatology, Zhongyi Northeast International Hospital, Shenyang, China.
Ze WuComputer Science Program, Computer, Electrical and Mathematical Sciences and Engineering Division, King Abdullah University of Science and Technology (KAUST), King Abdullah, Kingdom of Saudi Arabia.
Yaoxing GuoDepartment of Dermatology, The First Hospital of China Medical University, Shenyang, China.
Xingyu LiCollege of Medicine and Biological Information Engineering, Northeastern University, Shenyang, China.
Mingchen ZouCollege of Medicine and Biological Information Engineering, Northeastern University, Shenyang, China.
Shuangdi NingCollege of Medicine and Biological Information Engineering, Northeastern University, Shenyang, China.
Yue ZhaoCollege of Medicine and Biological Information Engineering, Northeastern University, Shenyang, China.
Wei QianCollege of Medicine and Biological Information Engineering, Northeastern University, Shenyang, China.
Hongduo ChenDepartment of Dermatology, The First Hospital of China Medical University, Shenyang, China.
Ruiqun QiDepartment of Dermatology, The First Hospital of China Medical University, Shenyang, China. xiaoqiliumin@163.com.
Xinghua GaoDepartment of Dermatology, The First Hospital of China Medical University, Shenyang, China. gaobarry@hotmail.com.ORCID http://orcid.org/0000-0001-8809-8564
Xiaoyu CuiCollege of Medicine and Biological Information Engineering, Northeastern University, Shenyang, China. cuixy@bmie.neu.edu.cn.ORCID http://orcid.org/0000-0002-0585-9813

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Based on the expertise of pathologists, the pixelwise manual annotation has provided substantial support for training deep learning models of whole slide images (WSI)-assisted diagnostic. However, the collection of pixelwise annotation demands massive annotation time from pathologists, leading to a high burden of medical manpower resources, hindering to construct larger datasets and more precise diagnostic models. To obtain pathologists' expertise with minimal pathologist workloads then achieve precise diagnostics, we collect the image review patterns of pathologists by eye-tracking devices. Simultaneously, we design a deep learning system: Pathology Expertise Acquisition Network (PEAN), based on the collected visual patterns, which can decode pathologists' expertise and then diagnose WSIs. Eye-trackers reduce the time required for annotating WSIs to 4%, of the manual annotation. We evaluate PEAN on 5881 WSIs and 5 categories of skin lesions, achieving a high area under the curve of 0.992 and an accuracy of 96.3% on diagnostic prediction. This study fills the gap in existing models' inability to learn from the diagnostic processes of pathologists. Its efficient data annotation and precise diagnostics provide assistance in both large-scale data collection and clinical care.

Indexed as

Deep LearningImage Interpretation, Computer-AssistedImage Processing, Computer-AssistedPathologistsHumans

Identifiers

PMID40595468
PMCPMC12214614

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.