Evidence map›Paper›PMID 41102593›Full record

ArticleInsights into imaging2025

Ultrasound-based deep learning model as an assistant improves the diagnosis of ovarian tumors: a multicenter study.

Yanli Wang, Jiansong Zhang, Yifang He, Xiali Wang, Xiuming Wu, Weina Zhang, Min Gong, Dan Gao, Shunlan Liu, Peizhong Liu and 3 more

Abstract read
In one paragraph

Article in Insights into imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

13 authors.

Yanli Wang *Department of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
Jiansong Zhang *School of Artificial Intelligence, Shenzhen University, Shenzhen, China.
Yifang HeDepartment of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
Xiali WangDepartment of Clinical Medicine, Quanzhou Medical College, Quanzhou, China.
Xiuming WuDepartment of Ultrasound, Quanzhou First Hospital, Quanzhou, China.
Weina ZhangDepartment of Ultrasound, Zhangzhou Hospital, Zhangzhou, China.
Min GongDepartment of Ultrasound, Chengdu Third People's Hospital, Chengdu, China.
Dan GaoDepartment of Ultrasound, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Shunlan LiuDepartment of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
Peizhong LiuCollege of Engineering, Huaqiao University, Quanzhou, China.
Ping LiDepartment of Gynecology and Obstetrics, Quanzhou First Hospital, Quanzhou, China. 2165164421@qq.com.
Linlin ShenSchool of Artificial Intelligence, Shenzhen University, Shenzhen, China. llshen@szu.edu.cn.
Guorong LyuDepartment of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China. lgr_feus@sina.com.ORCID http://orcid.org/0000-0003-3123-1138

Funding

National Natural Science Foundation of China 12326610National Natural Science Foundation of China 82261138629Special Fund for Doctoral Supervisors of The Second Affiliated Hospital of Fujian Medical University 2022BD1005
6 · The paper itself

Abstract

backgroundDeep learning (DL) models based on ultrasound (US) images can enhance the ability of radiologists to diagnose ovarian tumors. MATERIALS AND

methodsThis retrospective study included 916 women with ovarian tumors in southeast China who underwent surgery with clear pathology and preoperative US examination. The data set was divided into a training (80%) and a validation (20%) set. The test set consisted of 81 women with ovarian tumors from southwest and northeast China. DL models based on three backbone architectures, ResNet-50 (residual CNN), VGG16 (plain CNN), and Vision Transformer (ViT), were trained to classify benign, borderline, and malignant ovarian tumors. The diagnostic efficiency of primary US doctors combined with the DL model was compared with the ADNEX model and a US expert. Additionally, we compared the diagnostic performance of primary US doctors before and after being assisted by the integrated framework combining visual DL models and large language models.

results(1) The accuracy of the ResNet50-based DL model for benign, malignant, and borderline ovarian tumors was 91.8%, 84.61%, and 82.60% for the test sets, respectively. (2) After visual and linguistic DL assistance, the accuracy of primary US doctors all improved in the test set (doctor A: 76.62% to 90.90%, doctor B: 76.62% to 90.90%, doctor C: 79.22% to 94.54%, doctor D: 76.62% to 95.95%, doctor E: 76.60% to 95.95%, respectively). (3) The diagnostic consistency of primary US doctors for validation and test sets also increased (doctor A: 0.671 to 0.912, doctor B: 0.762 to 0.916, doctor C: 0.412 to 0.629, doctor D: 0.588 to 0.701, doctor E: 0.528 to 0.710, respectively).

conclusionsA DL system combining an image-based model (vision model) and a language model was developed to assist radiologists in classifying ovarian tumors in US images and enhance diagnostic efficacy. CRITICAL RELEVANCE STATEMENT: The established model can assist primary US doctors in preoperative diagnosis and improve the early detection and timely treatment of ovarian tumors. KEY POINTS: An ultrasound-based deep learning (DL) model was developed for ovarian tumors using multi-center patients. An image-based DL model was combined with a large language model to establish a diagnostic framework for ovarian tumor classification. Our DL model can improve the diagnosis of primary US doctors to the level of experts and might assist in surgical decision-making.

Indexed as

Deep learningDiagnosisOvarian tumorsUltrasound

Identifiers

PMID41102593
PMCPMC12532985

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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.