Evidence map›Paper›PMID 41034367›Full record

ArticleNPJ digital medicine2025

Machine learning model for differentiating xanthogranulomatous cholecystitis and gallbladder cancer in multicenter largescale study.

Ke Zhang, Jiajia He, Weiyue Ji, Qunyan Pan, Weilv Xiong, Liping Wang, Weiqi Sun, Liting Xie, Tianan Jiang

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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ke Zhang *Department of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.ORCID http://orcid.org/0000-0001-5606-428X
Jiajia He *Department of Ultrasound Medicine, Beilun District People's Hospital, Ningbo, Zhejiang, China.
Weiyue JiDepartment of Radiology, Beilun District People's Hospital, Ningbo, Zhejiang, China.
Qunyan PanDepartment of Ultrasound Medicine, Beilun District People's Hospital, Ningbo, Zhejiang, China.
Weilv XiongDepartment of Ultrasound Medicine, Huzhou Central Hospital, Huzhou, Zhejiang, China.
Liping WangDepartment of Ultrasound Medicine, Qingchun Hospital of Zhejiang Province, Hangzhou, Zhejiang, China.
Weiqi SunDepartment of Ultrasound Medicine, The Second Affiliated Hospital, Jiaxing University, Jiaxing, Zhejiang, China.
Liting XieDepartment of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China. 18258204889@163.com.
Tianan JiangDepartment of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China. tiananjiang@zju.edu.cn.

Funding

Beilun Health Technology Project 2024BLWSQN002Development Project of National Major Scientific Research Instrument 82027803Key Research and Development Project of Zhejiang Province 2024C03092National Key R&D Program of China 2022YFC2405505National Natural Science Foundation of China 82202151Zhejiang Provincial Natural Science Foundation of China Y24H180007
6 · The paper itself

Abstract

Preoperative differentiation between xanthogranulomatous cholecystitis (XGC) and gallbladder cancer (GBC) remains challenging due to overlapping clinical and imaging features. This multicenter retrospective study developed a machine learning (ML) model, LIDGAX, using preoperative clinical, imaging, and laboratory data from 1246 patients (554 XGC, 692 GBC). Twelve variables were identified as independent predictors via multivariate logistic regression and least absolute shrinkage and selection operator analyses. LIDGAX achieved area under the curve (AUC) values of 0.94 (internal validation) and 0.88 (external testing), outperforming the other five ML models. Calibration and decision curve analyses demonstrated its superior clinical utility. Compared to six radiologists, LIDGAX improved sensitivity (1.2-8.5%), specificity (0.0-4.6%), and balanced accuracy (1.8-6.6%), while reducing average diagnostic time per patient by 30.44-35.76 s. LIDGAX was deployed on an open-source online platform, maintaining high performance (AUC 0.95, accuracy 0.92). This non-invasive tool shows strong potential for clinical translation in preoperative differentiation of XGC and GBC.

Identifiers

PMID41034367
PMCPMC12488932

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.