Evidence map›Paper›PMID 41253411›Full record

ArticleBMJ open respiratory research2025

Employment of artificial intelligence for early lung cancer diagnosis: a retrospective cohort study.

Nathan R Hill, Travis Dotson, Sarah E Maus, Christina Bellinger, Vishisht Mehta, Annika Rings, Lyndsey C Pickup, Noah Waterfield Price, Václav Potěšil, David P Carbone and 1 more

Abstract read
In one paragraph

Article in BMJ open respiratory research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

11 authors.

Nathan R HillBristol-Myers Squibb Co R&D Lawrenceville, Lawrenceville, New Jersey, USA.
Travis DotsonPulmonary/Critical Care, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina, USA.
Sarah E MausPulmonary/Critical Care, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina, USA.
Christina BellingerPulmonary/Critical Care, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina, USA.
Vishisht MehtaComprehensive Cancer Centers of Nevada, Henderson, Nevada, USA.ORCID http://orcid.org/0000-0002-2154-802X
Annika RingsOptellum Ltd, Oxford, UK annika.rings@optellum.com.ORCID http://orcid.org/0000-0002-4065-5330
Lyndsey C PickupOptellum Ltd, Oxford, UK.
Noah Waterfield PriceOptellum Ltd, Oxford, UK.ORCID http://orcid.org/0000-0002-7097-4383
Václav PotěšilOptellum Ltd, Oxford, UK.
David P CarboneThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio, USA.ORCID http://orcid.org/0000-0003-3002-1921
Jasleen PannuThe Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aims to evaluate the effectiveness of combined artificial intelligence (AI)-based tools for early patient identification, risk stratification and tracking in increasing the follow-up rate of incidentally detected lung nodules, potentially leading to earlier diagnoses of lung cancer, particularly non-small cell lung cancer (NSCLC). PATIENTS AND

methodsWe conducted a retrospective cohort study involving all patients who underwent CT scans at an academic medical centre over an 8-month period. Real-world practice was compared with modelling of a hypothetical intervention with AI tools. This study was complemented by a multi-reader multi-case analysis to enhance the robustness of our findings.

resultsThe implementation of AI tools significantly increased the rates of guideline-concordant follow-up for detected nodules, rising from 34% without the tool to 94% with the AI intervention (p<0.0001, McNemar's test). Furthermore, the median time to diagnosis of NSCLC was reduced from 129 days to 25 days (p<0.001, Wilcoxon signed-rank test).

conclusionThese findings provide compelling evidence that AI tools can enhance the follow-up rates for patients with incidentally detected lung nodules and expedite the diagnosis of lung cancer. The integration of AI in clinical practice may significantly improve patient outcomes in lung cancer detection and management.

Indexed as

Artificial IntelligenceCarcinoma, Non-Small-Cell LungEarly Detection of CancerLung NeoplasmsAgedFemaleHumansIncidental FindingsMaleMiddle AgedRetrospective StudiesTomography, X-Ray ComputedLung CancerMachine LearningNon-Small Cell Lung Cancer

Identifiers

PMID41253411
PMCPMC12636915

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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.