Evidence map›Paper›PMID 41034189›Full record

ArticleNature communications2025

Artificial Intelligence (AI)-assisted readout method for the evaluation of skin prick automated test results.

Sven F Seys, Valérie Hox, Adam M Chaker, Glynnis De Greve, Winde Lemmens, Anne-Lise Poirrier, Eline Beckers, Rembert Daems, Zuzana Diamant, Carmen Dierickx and 13 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 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. 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

23 authors.

Sven F SeysHippo Dx, Aarschot, Belgium. sven.seys@hippo-dx.com.ORCID http://orcid.org/0000-0002-4399-9892
Valérie HoxService d'Otorhinolaryngologie, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Adam M ChakerDepartment of Otorhinolaryngology and Head and Neck Surgery, TUM School of Medicine and Health, TUM University Hospital Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-5117-4073
Glynnis De GreveDepartment of Otorhinolaryngology-Head and Neck Surgery, ZAS Sint-Augustinus, Antwerp, Belgium.
Winde LemmensDepartment of Otorhinolaryngology-Head and Neck Surgery, ZOL, Genk, Belgium.
Anne-Lise PoirrierService d'Otorhinolaryngologie, CHU Liège, Liège, Belgium.
Eline BeckersDepartment of Otorhinolaryngology-Head and Neck Surgery, ZOL, Genk, Belgium.
Rembert DaemsHippo Dx, Aarschot, Belgium.
Zuzana DiamantAllergy and Clinical Immunology Research Group, Department of Microbiology, Immunology & Transplantation, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0003-0133-0100
Carmen DierickxDepartment of Otorhinolaryngology-Head and Neck Surgery, ZOL, Genk, Belgium.
Peter W HellingsAllergy and Clinical Immunology Research Group, Department of Microbiology, Immunology & Transplantation, KU Leuven, Leuven, Belgium.
Caroline HuartService d'Otorhinolaryngologie, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Claudia JerinDepartment of Otorhinolaryngology and Head and Neck Surgery, TUM School of Medicine and Health, TUM University Hospital Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Mark JorissenDepartment of Otorhinolaryngology-Head and Neck Surgery, UZ Leuven, Leuven, Belgium.
Dirk LoeckxHippo Dx, Aarschot, Belgium.ORCID http://orcid.org/0000-0001-5336-5335
Hanne OscéDepartment of Otorhinolaryngology-Head and Neck Surgery, ZAS Sint-Augustinus, Antwerp, Belgium.ORCID http://orcid.org/0000-0003-1638-964X
Karolien RouxUniv Groningen, Univ Med Ctr Groningen, Dept Clin Pharm & Pharmacol, Groningen, Netherlands.
Mark ThompsonZurich University of Applied Sciences, Zurich, Switzerland.ORCID http://orcid.org/0009-0005-2196-5244
Sophie TombuService d'Otorhinolaryngologie, CHU Liège, Liège, Belgium.
Saartje UyttebroekDepartment of Otorhinolaryngology-Head and Neck Surgery, UZ Leuven, Leuven, Belgium.
Andrzej ZarowskiDepartment of Otorhinolaryngology-Head and Neck Surgery, ZAS Sint-Augustinus, Antwerp, Belgium.
Senne GorrisHippo Dx, Aarschot, Belgium.
Laura Van GervenAllergy and Clinical Immunology Research Group, Department of Microbiology, Immunology & Transplantation, KU Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The skin prick test (SPT) is the gold standard for diagnosing allergic sensitization to aeroallergies. The Skin Prick Automated Test (SPAT) device has previously demonstrated reduced variability and more consistent test results compared to manual SPT. The current study aims to develop and validate an artificial intelligence (AI) assisted readout method to support physicians in interpreting skin reactions following SPAT. To train the AI algorithm, 7812 wheals (651 patients) are manually labeled. To validate the AI measurement, the longest wheal diameter of 2604 wheals (217 patients) is measured by the treating physician and compared to the AI measurement. In addition, AI-assisted readout is validated on a separate test cohort of 95 patients (1140 wheals). We demonstrate that the AI measurements of the longest wheal diameter exhibit a strong correlation with the physician's measurements. The AI algorithm shows a specificity of 98·4% and sensitivity of 85·0% in determining positive or negative test results in the validation cohort. In the test cohort, physicians adjust 5·8% of AI measurements, leading to a change in the test interpretation for only 0·5% of cases. AI-assisted readout significantly reduces inter- and intra-observer variability and readout time compared to manual physician measurements. Altogether, the AI-assisted readout method demonstrates high accuracy, with minimal misclassification of test results. Adding AI to SPAT further improves standardization across the SPT process, significantly reducing observer variability and time to readout.

Indexed as

Artificial IntelligenceHypersensitivitySkin TestsAdolescentAdultAlgorithmsAllergensChildFemaleHumansMaleMiddle AgedObserver VariationReproducibility of ResultsSensitivity and SpecificityYoung AdultAllergens

Identifiers

PMID41034189
PMCPMC12488876

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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.