Evidence map›Paper›PMID 41275455›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2026

Artificial intelligence for TNM staging in NSCLC: a critical appraisal of segmentation utility in [

Maurice M Heimer, Jakob Dexl, Johanna Ta, Ricarda Ebner, Felix L Herr, Leon Orasanin, Katharina Jeblick, Lisa C Adams, Lalith K Shiyam Sundar, Amanda Tufman and 6 more

Abstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Deep integration of clinical metadata with [European journal of nuclear medicine and molecular imaging · 2026
    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

16 authors.

Maurice M HeimerDepartment of Radiology, LMU University Hospital, LMU Munich, Munich, Germany. maurice.heimer@med.uni-muenchen.de.ORCID 0000-0002-0940-0161
Jakob DexlDepartment of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Johanna TaDepartment of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Ricarda EbnerDepartment of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Felix L HerrDepartment of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Leon OrasaninDepartment of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Katharina JeblickDepartment of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Lisa C AdamsDepartment of Radiology, TUM University Hospital, TU Munich, Munich, Germany.
Lalith K Shiyam SundarDepartment of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Amanda TufmanComprehensive Pneumology Center (CPC-M), Member of the German Center for Lung Research (DZL), Munich, Germany.
Rudolf A WernerDepartment of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Gabriel SheikhDepartment of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Jens RickeDepartment of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Michael IngrischDepartment of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Matthias P Fabritius *Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Clemens C Cyran *Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to investigate whether a diagnostic AI model can effectively support lesion detection and staging in non-small cell lung cancer (NSCLC) [

methodsIn this retrospective single-centre study, [

resultsThe algorithm achieved a mean Dice Similarity Coefficient (DSC) of 0.64. Lesion-level sensitivity was 95.8% across all patients, with a precision of 87.5%. False positive M-category lesions (n = 196) occurred as most frequent error. Of all false positives, 35.7% were benign and 34.7% non-oncologic pathologies. UICC staging matched ground truth in 207/306 patients, with most discordances due to upstaging (88/306).

conclusionClinically driven metrics and cause-based error analysis offer valuable insight into AI segmentation performance. The evaluated model showed excellent lesion sensitivity but a tendency towards systematic overprediction across TNM categories. On a lesion level M-stage false positives and undersegmentation in the hilar region emerged as the main driver of clinically relevant upstaging. Despite promising lesion detection sensitivity, only 67.7% UICC-stagings were accurate using AI masks, indicating that diagnostic AI may support, though not yet replace, manual lesion evaluation in NSCLC [

Indexed as

Artificial IntelligenceCarcinoma, Non-Small-Cell LungFluorodeoxyglucose F18Image Processing, Computer-AssistedLung NeoplasmsPositron Emission Tomography Computed TomographyAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm StagingRadiopharmaceuticalsRetrospective StudiesFluorodeoxyglucose F18Radiopharmaceuticals[¹⁸F] FDG PET/CTArtificial intelligenceExternal validationNon-small cell lung cancerTask-specific evaluation

Identifiers

PMID41275455
PMCPMC13013355

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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.