Evidence map›Paper›PMID 41083668›Full record

ArticleNPJ digital medicine2025

Deep learning CT model for stratified diagnosis of pancreatic cystic neoplasms: multicenter development, validation, and real-world clinical impact.

Xiaohan Yuan, Chengwei Chen, Zhang Shi, Wenbin Liu, Xinyue Zhang, Ming Yang, Mengmeng Zhu, Jieyu Yu, Fang Liu, Jing Li and 6 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 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Review
  7. 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

16 authors.

Xiaohan Yuan *Department of Radiology, Changhai Hospital, Shanghai, China.
Chengwei Chen *Department of Radiology, Changhai Hospital, Shanghai, China.
Zhang Shi *Department of Radiology, Zhongshan Hospital, Shanghai, China.
Wenbin LiuDepartment of Radiology, Changhai Hospital, Shanghai, China.
Xinyue ZhangDepartment of Radiology, Changhai Hospital, Shanghai, China.
Ming YangDepartment of Radiology, Changhai Hospital, Shanghai, China.
Mengmeng ZhuDepartment of Radiology, Changhai Hospital, Shanghai, China.
Jieyu YuDepartment of Radiology, Changhai Hospital, Shanghai, China.
Fang LiuDepartment of Radiology, Changhai Hospital, Shanghai, China.
Jing LiDepartment of Radiology, Changhai Hospital, Shanghai, China.
Yunshuo ZhangDepartment of Pathology, Changhai Hospital, Shanghai, China.
Hui JiangDepartment of Pathology, Changhai Hospital, Shanghai, China.
Bozhu ChenDepartment of Radiology, Nanjing Drum Tower Hospital, Nanjing, China. chencbz@qq.com.
Jianping LuDepartment of Radiology, Changhai Hospital, Shanghai, China. cjr.lujianping@vip.163.com.
Chengwei ShaoDepartment of Radiology, Changhai Hospital, Shanghai, China. chengweishaoch@163.com.
Yun BianDepartment of Radiology, Changhai Hospital, Shanghai, China. bianyun2012@foxmail.com.

Funding

Clinical Research Plan of SHDC SHDC2022CRD028Funding for Clinical Trials from the Affiliated Drum Tower Hospital, Medical School of Nanjing University grant number 2022-YXZX-YX-07National Science Foundation for Scientists of China 81871352, 82171915, 82171930, 82271972 82371955,62402501, and 82202125Plan for Promoting Scientific Research Paradigm Reform and Enhancing Disciplinary Advancement through Artificial Intelligence 2025SHJW1717Shanghai Municipal Health Commission Seed Program for Research and Translation of Medical New Technologies Projec 2024ZZ1015The Natural Science Foundation of Shanghai Science and Technology Innovation Action Plan 21ZR1478500, 21Y11910300
6 · The paper itself

Abstract

Pancreatic cystic neoplasms (PCN) are critical precursors for early pancreatic cancer detection, yet current diagnostic methods lack accuracy and consistency. This multicenter study developed and validated an artificial intelligence (AI)-powered CT model (PCN-AI) for improved assessment. Using contrast-enhanced CT images from 1835 patients, PCN-AI extracted 63 quantitative features to classify PCN subtypes through four hierarchical tasks. A multi-reader, multi-case (MRMC) study demonstrated that AI assistance significantly improved radiologists' diagnostic accuracy (AUC: 0.786 to 0.845; p < 0.05) and reduced interpretation time by 23.7% (5.28 vs. 4.03 minutes/case). Radiologists accepted AI recommendations in 87.14% of cases. In a prospective real-world cohort, PCN-AI outperformed radiologist double-reading, providing actionable diagnostic benefits to 45.45% of patients (5/11) by correctly identifying missed malignant PCN cases, enabling timely intervention, and simultaneously reducing clinical workload by 39.3%. PCN-AI achieved robust performance across tasks (AUCs: 0.845-0.988), demonstrating its potential to enhance early detection, precision management, and diagnostic efficiency in clinical practice.

Identifiers

PMID41083668
PMCPMC12518521

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.