Evidence map›Paper›PMID 41163976›Full record

ArticlePrecision radiation oncology2025

Deep learning with attention modules and residual transformations improves hepatocellular carcinoma (HCC) differentiation using multiphase CT.

Yuenan Wang, Wanwei Jian, Zhidong Yuan, Fada Guan, David Carlson

Abstract read
In one paragraph

Article in Precision radiation oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

5 authors.

Yuenan WangDepartment of Therapeutic Radiology Yale University School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0001-6280-6956
Wanwei JianDepartment of Radiotherapy the Second Affiliated Hospital of Guangzhou University of Chinese Medicine Guangzhou China.
Zhidong YuanDepartment of Diagnostic Radiology Peking University Shenzhen Hospital Shenzhen China.
Fada GuanDepartment of Therapeutic Radiology Yale University School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0001-8477-7391
David CarlsonDepartment of Therapeutic Radiology Yale University School of Medicine New Haven Connecticut USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We hypothesize generative adversarial networks (GAN) combined with self-attention (SA) and aggregated residual transformations (ResNeXt) perform better than conventional deep learning models in differentiating hepatocellular carcinoma (HCC). Attention modules facilitate concentrating on salient features and suppressing redundancies, while residual transformations can reuse relevant features. Therefore, we aim to propose a GAN+SA+ResNeXt deep learning model to improve HCC prediction accuracy. Methods: 228 multiphase CTs from 57 patients were retrospectively analyzed with local IRB's approval, where 30 patients were pathologically confirmed with HCC and the rest 27 were non-HCC. Pre-processing of automatic liver segmentation and Hounsfield unit (HU) normalization was performed, followed by deep learning training with five-fold cross validation in a conventional 3D GAN, a 3D GAN+A, and a 3D GAN+A+ ResNeXt, respectively (training: testing ∼ 4:1). Area under receiver operating characteristics curves (AUROC), accuracy, sensitivity and specificity of HCC prediction were evaluated. Results: Results showed the proposed method had larger AUROC (95%), better accuracy (91%) and sensitivity (93%) with acceptable specificity (88%) and prediction time (0.04s). Deep GAN with attentions and residual transformations for HCC diagnosis using multiphase CT is feasible and favorable with improved accuracy and efficiency, which harbors clinical potentials in differentiating HCC from other benign or malignant liver lesions.

Indexed as

dynamic contrast enhanced (DCE) CTgenerative adversarial networks (GAN)hepatocellular carcinoma (HCC)

Identifiers

PMID41163976
PMCPMC12559918

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.