Evidence map›Paper›PMID 41326678›Full record

ArticleScientific reports2025

A generalized heterogeneous federated model for identifying patients with postoperative progression of early-stage non-small cell lung cancer.

Jun Xu, Bao Feng, Xiaojuan Chen, Senliang Lu, Fei Wu, Zhaole Yu, Kunwei Li, Qiong Li, Qinggeng Jin, Wansheng Long and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 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. Article
  3. Review
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.

Jun Xu *School of Computer and Electronic Information, Guangxi University, Nanning, China.
Bao Feng *Laboratory of Intelligent Detection and Information Processing, Guilin University of Aerospace Technology, Guilin, China.
Xiaojuan ChenDepartment of Radiology, Jiangmen Central Hospital, Jiangmen, 529030, Guangdong, China.
Senliang LuLaboratory of Intelligent Detection and Information Processing, Guilin University of Aerospace Technology, Guilin, China.
Fei WuIFlytek Technology Co., Ltd., Artificial Intelligence Cloud Service Platform R&D Building, No. 666 Wangjiang West Road, High-Tech Zone, Free Trade Pilot Zone, Hefei, Anhui, China.
Zhaole YuLaboratory of Intelligent Detection and Information Processing, Guilin University of Aerospace Technology, Guilin, China.
Kunwei LiDepartment of Radiology, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, China.
Qiong LiDepartment of Radiology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Qinggeng JinSchool of Electrical Engineering, Guangxi University, Nanning, China.
Wansheng LongJiangmen Key Laboratory of Artificial Intelligence in Medical Image Computation and Application, Jiangmen Central Hospital, Jiangmen, Guangdong, China.
Huan LinDepartment of Radiology, Guangdong General Hospital, Guangzhou, China. linhuan@gdph.org.cn.
Yehang ChenLaboratory of Intelligent Detection and Information Processing, Guilin University of Aerospace Technology, Guilin, China. cyh93yl@163.com.
Xiangmeng ChenDepartment of Radiology, Jiangmen Central Hospital, Jiangmen, 529030, Guangdong, China. 181970902@qq.com.

Funding

National Natural Science Foundation of China 62176104National Natural Science Foundation of China 82460361
6 · The paper itself

Abstract

In the postoperative management of early-stage non-small cell lung cancer (NSCLC), accurate identification of patients at high risk of progression is essential for developing personalized follow-up schedules and adjuvant treatment strategies. However, in multi-center settings, model and data heterogeneity limit the flexibility and generalizability of traditional federated learning. To address this, we propose a heterogeneous federated learning model (HFLM) that enables centers to adopt different model architectures while using a robust feature transfer strategy to alleviate the impact of heterogeneous data. Using CT images from 892 early-stage NSCLC patients across four medical institutions, HFLM achieved AUCs of 0.863 (95% CI, 0.8072–0.9192), 0.837 (95% CI, 0.7204–0.9530), 0.846 (95% CI, 0.7349–0.9564), and 0.847 (95% CI, 0.6971–0.9963). Cross-validation and stratified analyses further confirm its strong generalization and stability across centers.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsDisease ProgressionFederated LearningFemaleHumansNeoplasm StagingTomography, X-Ray ComputedCT image classificationEarly-stage non-small cell lung cancerFederated learningRobust feature transfer

Identifiers

PMID41326678
PMCPMC12783761

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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.