Evidence map›Paper›PMID 40597898›Full record

ArticleBMC medical imaging2025

Automatic recognition and differentiation of pulmonary contusion and bacterial pneumonia based on deep learning and radiomics.

Tie Deng, Junbang Feng, Xingyan Le, Yuwei Xia, Feng Shi, Fei Yu, Yiqiang Zhan, Xinghua Liu, Chuanming Li

Abstract read
In one paragraph

Article in BMC medical imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

9 authors.

Tie Deng *Medical Imaging Department, Chongqing Emergency Medical Center, School of Medicine, Chongqing University Central Hospital, Chongqing University, No. 1, Jiankang Road, Yuzhong District, Chongqing, 400014, China.
Junbang Feng *Medical Imaging Department, Chongqing Emergency Medical Center, School of Medicine, Chongqing University Central Hospital, Chongqing University, No. 1, Jiankang Road, Yuzhong District, Chongqing, 400014, China.
Xingyan LeMedical Imaging Department, Chongqing Emergency Medical Center, School of Medicine, Chongqing University Central Hospital, Chongqing University, No. 1, Jiankang Road, Yuzhong District, Chongqing, 400014, China.
Yuwei XiaShanghai United Imaging Intelligence, Co., Ltd., Shanghai, 200030, China.
Feng ShiShanghai United Imaging Intelligence, Co., Ltd., Shanghai, 200030, China.
Fei YuMedical Imaging Department, Chongqing Emergency Medical Center, School of Medicine, Chongqing University Central Hospital, Chongqing University, No. 1, Jiankang Road, Yuzhong District, Chongqing, 400014, China.
Yiqiang ZhanShanghai United Imaging Intelligence, Co., Ltd., Shanghai, 200030, China.
Xinghua LiuDepartment of Radiology, Chongqing University Three Gorges Hospital, Chongqing, 404100, China. paulliuxh@163.com.
Chuanming LiMedical Imaging Department, Chongqing Emergency Medical Center, School of Medicine, Chongqing University Central Hospital, Chongqing University, No. 1, Jiankang Road, Yuzhong District, Chongqing, 400014, China. licm@cqu.edu.cn.

Funding

Chongqing medical scientific research project,Joint project of Chongqing Shapingba District Health Commission and Science and Technology Bureau 2024SQKWLHMS058National Key R&D Program of China 2021ZD0111103
6 · The paper itself

Abstract

backgroundIn clinical work, there are difficulties in distinguishing pulmonary contusion(PC) from bacterial pneumonia(BP) on CT images by the naked eye alone when the history of trauma is unknown. Artificial intelligence is widely used in medical imaging, but its diagnostic performance for pulmonary contusion is unclear. In this study, artificial intelligence was used for the first time to identify lung contusion and bacterial pneumonia, and its diagnostic performance was compared with that of manual.

methodsIn this retrospective study, 2179 patients between April 2016 and July 2022 from two hospitals were collected and divided into a training set, an internal validation set, an external validation set. PC and BP were automatically recognized, segmented using VB-net and radiomics features were automatically extracted. Four machine learning algorithms including Decision Trees, Logistic Regression, Random Forests and Support Vector Machines(SVM) were using to built the models. De-long test was used to compare the performance among models. The best performing model and four radiologists diagnosed the external validation set, and compare the diagnostic efficacy of human and artificial intelligence.

resultsVB-net automatically detected and segmented PC and BP. Among the four machine learning models we've built, De-long test showed that SVM model had the best performance, with AUC, accuracy, sensitivity, and specificity of 0.998 (95% CI: 0.995-1), 0.980, 0.979, 0.982 in the training set, 0.891 (95% CI: 0.854-0.928), 0.979, 0.750, 0.860 in the internal validation set, 0.885 (95% CI: 0.850-0.920), 0.903, 0.976, 0.794 in the external validation set. The diagnostic ability of the SVM model was superior to that of human (P < 0.05).

conclusionOur VB-net automatically recognizes and segments PC and BP in chest CT images. SVM model based on radiomics features can quickly and accurately differentiate between them with higher accuracy than experienced radiologist.

Indexed as

ContusionsDeep LearningLung InjuryPneumonia, BacterialTomography, X-Ray ComputedAdultAgedDiagnosis, DifferentialFemaleHumansMaleMiddle AgedRadiographic Image Interpretation, Computer-AssistedRadiomicsRetrospective StudiesSensitivity and SpecificityBacterial pneumoniaDeep learningPulmonary contusionRadiomicsTomographyX-ray computed

Identifiers

PMID40597898
PMCPMC12220556

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.