Evidence map›Paper›PMID 40969275›Full record

ArticleFrontiers in oncology2025

Key parameters in intratumoral-peritumoral region fusion models: optimizing deep learning radiomics for breast cancer diagnosis.

Jun-Tao Shen, Gong-Quan Chen, Hai-Mei Lun, Hua-Fang Huang, Ling Zhang, Ling-Ling Li, Yun-Xia Deng, Hui-Hua Wu, Qiao Hu

Abstract read
In one paragraph

Article in Frontiers in oncology, 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

9 authors.

Jun-Tao ShenGuangxi Medical University, Nanning, Guangxi, China.
Gong-Quan ChenDepartment of Ultrasound, Minda Hospital of Hubei Minzu University, Enshi, Hubei, China.
Hai-Mei LunDepartment of Ultrasound, People's Hospital of Guangxi Zhuang Autonomous Region & Guangxi Academy of Medical Sciences, Nanning, Guangxi, China.
Hua-Fang HuangDepartment of Breast Surgery, Guilin Municipal Hospital of Traditional Chinese Medicine, Guilin, Guangxi, China.
Ling ZhangDepartment of Ultrasound, Fangchenggang First People's Hospital, Fangchenggang, Guangxi, China.
Ling-Ling LiDepartment of Ultrasound, People's Hospital of Guangxi Zhuang Autonomous Region & Guangxi Academy of Medical Sciences, Nanning, Guangxi, China.
Yun-Xia DengDepartment of Ultrasound, People's Hospital of Guangxi Zhuang Autonomous Region & Guangxi Academy of Medical Sciences, Nanning, Guangxi, China.
Hui-Hua WuGuilin Medical University, Guilin, Guangxi, China.
Qiao HuDepartment of Ultrasound, People's Hospital of Guangxi Zhuang Autonomous Region & Guangxi Academy of Medical Sciences, Nanning, Guangxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Early diagnosis of breast cancer (BC) is crucial for improving patient outcomes. Features of the peritumoral region have been shown to significantly enhance the predictive performance of deep learning radiomics (DLR) models. This study aims to explore the impact of key parameter selection on improving the performance of the intratumoral-peritumoral region fusion model. The goal is to enhance the modal's non-invasive diagnostic capability for distinguishing benign and malignant breast tumors. Materials and methods: This retrospective study included 411 female patients with breast lesions from four hospitals. DLR models were constructed using their contrast-enhanced ultrasound (CEUS) images. The intratumoral region of interest (ROI) was gradually expanded to generate peritumoral regions of varying thicknesses. Six groups of fusion models were constructed using different key parameter combinations, including pseudo-color (PC) vs. grayscale (GRAY) images, original precise (OP) ROI vs. bounding box (BB) ROI, and direct extension (DE) strategy vs. feature-level fusion (FLF) strategy. Additionally, a reader study was conducted, comparing the diagnostic performance of the best fusion model with that of six radiologists. The performance of the models was evaluated using the area under the curve (AUC). Results: Incorporating the peritumoral region significantly enhanced the diagnostic performance of the DLR models. The PC-OP-DE-Peri (4mm) model achieved the highest performance in the testing cohort, with an AUC of 0.837. The performance surpassed both the intratumoral models and all radiologists. The effects of different key parameter selections on fusion model performance varied. Conclusion: This study suggests that the selection of PC images, OP ROIs, and the DE strategy effectively improves the performance of intratumoral-peritumoral region fusion models for predicting BC.

Indexed as

breast cancercontrast-enhanced ultrasounddeep learning radiomicsmulticenterperitumoral region

Identifiers

PMID40969275
PMCPMC12440724

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.