Evidence map›Paper›PMID 40685437›Full record

ArticleNPJ digital medicine2025

An end-to-end multifunctional AI platform for intraoperative diagnosis.

Xueyi Zheng, Ke Zheng, Yongqin Wen, Jiajia Meng, Xinke Zhang, Xiaobo Wen, Zihan Zhao, Chengyou Zheng, Xiaoxia Cai, Jiliang Lin and 9 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. Review
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

19 authors.

Xueyi Zheng *Department of Pathology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Ke Zheng *Department of Pathology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Yongqin Wen *Department of Pathology, The Tenth Affiliated Hospital, Southern Medical University, Dongguan People's Hospital, Dongguan, China.
Jiajia Meng *Department of Pathology, Huizhou Central People's Hospital, Huizhou, Guangdong, China.
Xinke ZhangDepartment of Pathology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Xiaobo WenDepartment of Pathology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Zihan ZhaoDepartment of Pathology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Chengyou ZhengDepartment of Pathology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Xiaoxia CaiState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Jiliang LinState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Jiewei ChenDepartment of Pathology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Jinling DuanDepartment of Pathology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Liwen JiangDepartment of Pathology, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, China.
Wei YuanDepartment of Pathology, The Tenth Affiliated Hospital, Southern Medical University, Dongguan People's Hospital, Dongguan, China.
Xiaomei LiDepartment of Pathology, Shenzhen People's Hospital, Shenzhen, China.
Dan XieDepartment of Pathology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China. xiedan@sysucc.org.cn.
Yubo CaiDepartment of Pathology, Jiangmen Central Hospital, Jiangmen, China. cybo1985@outlook.com.
Jiangyu ZhangDepartment of Pathology, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, China. superchina2000@foxmail.com.
Muyan CaiDepartment of Pathology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China. caimy@sysucc.org.cn.

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2024A1515012448Basic and Applied Basic Research Foundation of Guangdong Province 2024A1515012828Chih Kuang Scholarship for Outstanding Young Physician-Scientists of Sun Yat-sen University Cancer Center CKS-SYSUCC-2023005China Postdoctoral Science Foundation 2024M753786National Natural Science Foundation of China 82172646National Natural Science Foundation of China 82403737Science and Technology Program of Guangzhou SL2024A04J00711Young Talents Program of Sun Yat-sen University Cancer Center YTP-SYSUCC-0025
6 · The paper itself

Abstract

Intraoperative frozen section diagnosis provides essential, real-time histological insights to guide surgical decisions. However, the quality of these time-sensitive sections is often suboptimal, posing significant diagnostic challenges for pathologists. To address these limitations, we utilized over 6700 whole slide images to develop GAS, a comprehensive platform comprising three modules: Generation, Assessment, and Support modules. The Generation module, based on a GAN-driven multimodal network guided by FFPE-style text descriptions, demonstrated effective enhancement of frozen section quality across various organs. The Assessment module, which fine-tuned quality control models using pathological foundation models, showed substantial improvements in microstructural quality for the generated images. Validated through a prospective study (ChiCTR2300076555) on the human-AI collaboration software, the Support module demonstrated that GAS significantly boosted diagnostic confidence for pathologists. In summary, this study highlights the clinical utility of the GAS platform in intraoperative diagnosis and establishes a new paradigm for integrating end-to-end AI solutions into clinical workflows.

Identifiers

PMID40685437
PMCPMC12277390

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.