Evidence map›Paper›PMID 41097672›Full record

ArticleCancers2025

Utility of Same-Modality, Cross-Domain Transfer Learning for Malignant Bone Tumor Detection on Radiographs: A Multi-Faceted Performance Comparison with a Scratch-Trained Model.

Joe Hasei, Ryuichi Nakahara, Yujiro Otsuka, Koichi Takeuchi, Yusuke Nakamura, Kunihiro Ikuta, Shuhei Osaki, Hironari Tamiya, Shinji Miwa, Shusa Ohshika and 7 more

Abstract read
In one paragraph

Article in Cancers, 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

17 authors.

Joe HaseiDepartment of Medical Informatics and Clinical Support Technology Development, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan.ORCID 0000-0002-4028-0786
Ryuichi NakaharaScience of Functional Recovery and Reconstruction, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan.
Yujiro OtsukaDepartment of Radiology, Juntendo University School of Medicine, Tokyo 113-8431, Japan.
Koichi TakeuchiGraduate School of Environmental, Life Natural Science and Technology, Okayama University, Okayama 700-8530, Japan.
Yusuke NakamuraPlusman LCC, Tokyo 103-0023, Japan.
Kunihiro IkutaDepartment of Orthopedic Surgery, Graduate School of Medicine, Nagoya University, Nagoya 466-8550, Japan.
Shuhei OsakiDepartment of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital, Tokyo 104-0045, Japan.ORCID 0000-0002-0498-5017
Hironari TamiyaDepartment of Musculoskeletal Oncology Service, Osaka International Cancer Institute, Osaka 541-8567, Japan.ORCID 0000-0003-0455-8047
Shinji MiwaDepartment of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa 920-8641, Japan.ORCID 0000-0002-5962-8287
Shusa OhshikaDepartment of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Aomori 036-8563, Japan.
Shunji NishimuraDepartment of Orthopaedic Surgery, Kindai University Hospital, Osaka 589-8511, Japan.
Naoaki KaharaDepartment of Orthopedic Surgery, Mizushima Central Hospital, Kurashiki 712-8064, Japan.
Aki YoshidaScience of Functional Recovery and Reconstruction, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan.ORCID 0000-0002-4790-933X
Hiroya KondoScience of Functional Recovery and Reconstruction, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan.
Tomohiro FujiwaraScience of Functional Recovery and Reconstruction, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan.
Toshiyuki KunisadaScience of Functional Recovery and Reconstruction, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan.ORCID 0000-0002-1775-850X
Toshifumi OzakiScience of Functional Recovery and Reconstruction, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan.ORCID 0000-0003-1732-9307

Funding

Japan Agency for Medical Research and Development (AMED) 25hk0102086h0004
6 · The paper itself

Abstract

BACKGROUND/

objectivesDeveloping high-performance artificial intelligence (AI) models for rare diseases like malignant bone tumors is limited by scarce annotated data. This study evaluates same-modality cross-domain transfer learning by comparing an AI model pretrained on chest radiographs with a model trained from scratch for detecting malignant bone tumors on knee radiographs.

methodsTwo YOLOv5-based detectors differed only in initialization (transfer vs. scratch). Both were trained/validated on institutional data and tested on an independent external set of 743 radiographs (268 malignant, 475 normal). The primary outcome was AUC; prespecified operating points were high-sensitivity (≥0.90), high-specificity (≥0.90), and Youden-optimal. Secondary analyses included PR/F1, calibration (Brier, slope), and decision curve analysis (DCA).

resultsAUC was similar (YOLO-TL 0.954 [95% CI 0.937-0.970] vs. YOLO-SC 0.961 [0.948-0.973]; DeLong

conclusionsTransfer learning may not improve overall AUC but can enhance practical performance at clinically crucial thresholds. By maintaining high detection rates while reducing false positives, the transfer learning model offers superior clinical utility. Same-modality cross-domain transfer learning is an efficient strategy for developing robust AI systems for rare diseases, supporting tools more readily acceptable in real-world screening workflows.

Indexed as

artificial intelligencecross-domain learningdiagnostic imagingmalignant bone tumorsradiographstransfer learningYOLO

Identifiers

PMID41097672
PMCPMC12523960

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LicenceCC BY
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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.