Evidence map›Paper›PMID 41381738›Full record

ArticleNPJ precision oncology2025

ADNEX-AI: automated extraction of ultrasound predictors for interpretable ovarian cancer risk stratification.

Axel Geysels, Giulia Garofalo, Stefan Timmerman, Jolien Ceusters, Francesca Buonomo, Daniela Fischerová, Antonia Carla Testa, Francesca Moro, Povilas Sladkevicius, Ligita Jokubkiene and 12 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 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. Article
  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

22 authors.

Axel Geysels *STADIUS Center for Dynamical Systems, Signal Processing and Data Analytics, Department of Electrical Engineering (ESAT), KU Leuven, Leuven, Belgium.
Giulia Garofalo *Department of Development and Regeneration, KU Leuven, Leuven, Belgium.
Stefan TimmermanDepartment of Development and Regeneration, KU Leuven, Leuven, Belgium.
Jolien CeustersLaboratory of Tumour Immunology and Immunotherapy, Department of Oncology, KU Leuven, Leuven, Belgium.
Francesca BuonomoInstitute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.
Daniela FischerováGynaecological Oncology Centre, Department of Obstetrics and Gynaecology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czechia.
Antonia Carla TestaDepartment of Woman, Child and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Francesca MoroDepartment of Woman, Child and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Povilas SladkeviciusDepartment of Obstetrics and Gynaecology, Skåne University Hospital, Malmö, Sweden.
Ligita JokubkieneDepartment of Obstetrics and Gynaecology, Skåne University Hospital, Malmö, Sweden.
Caroline Van HolsbekeDepartment of Obstetrics and Gynaecology, Ziekenhuis Oost-Limburg, Genk, Belgium.
Marek KudlaDepartment of Perinatology and Oncological Gynaecology, Faculty of Medical Sciences, Medical University of Silesia, Katowice, Poland.
Artur CzekierdowskiDepartment of Gynaecological Oncology and Gynaecology, Medical University of Lublin, Lublin, Poland.
Elisabeth EpsteinDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Yvette GroszmannDepartment of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Matthew BlaschkoProcessing Speech and Images (PSI), Department of Electrical Engineering (ESAT), KU Leuven, Leuven, Belgium.
Tom BourneDepartment of Development and Regeneration, KU Leuven, Leuven, Belgium.
Bart De MoorProcessing Speech and Images (PSI), Department of Electrical Engineering (ESAT), KU Leuven, Leuven, Belgium.
Lil ValentinDepartment of Obstetrics and Gynaecology, Skåne University Hospital, Malmö, Sweden.
Ben Van CalsterDepartment of Development and Regeneration, KU Leuven, Leuven, Belgium.
Dirk TimmermanDepartment of Development and Regeneration, KU Leuven, Leuven, Belgium. dirk.timmerman@uzleuven.be.ORCID http://orcid.org/0000-0002-3707-6645
Wouter FroymanDepartment of Development and Regeneration, KU Leuven, Leuven, Belgium.

Funding

Agentschap Innoveren en Ondernemen HBC.2021.0076Agentschap voor Innovatie door Wetenschap en Technologie 070706Departement Economie, Wetenschap en Innovatie Flanders AI Research ProgramFonds Wetenschappelijk Onderzoek G049312NFonds Wetenschappelijk Onderzoek G097322NFonds Wetenschappelijk Onderzoek S005319NHorizon 2020 Framework Programme 885682KU Leuven C24/15/037KU Leuven C24M/20/064KU Leuven C3I/21/00316KU Leuven iBOF/23/064Universitaire Ziekenhuizen Leuven, KU Leuven COPREDICTUniversitaire Ziekenhuizen Leuven, KU Leuven KOOR
6 · The paper itself

Abstract

Accurate triage of ovarian masses is facilitated in many centers by the guideline-endorsed, extensively validated IOTA-ADNEX risk model, yet the model still relies on manual measurements of key tumor features. We developed ADNEX-AI, a multi-task deep-learning system that automatically segments four ADNEX ultrasound predictors - lesion, locules, solid tissue, papillary projections - and outputs their quantitative values. The network was trained on 816 annotated images from 369 consecutive women recruited at 11 centers (43% malignancies) and prospectively evaluated on a temporally separate cohort of 1088 patients scanned at 10 of those centers (8008 images; 35% malignancies). ADNEX-AI discriminated benign from malignant tumors with an AUC of 0.930 (95% CI 0.913-0.943), less than but close to examiner-derived ADNEX (0.945; 0.930-0.957; P = 0.004) while delivering better calibration and markedly lower inter-center variability. By removing manual caliper work yet preserving full interpretability, ADNEX-AI could extend high-quality ovarian-cancer risk stratification to clinics that lack specialized ultrasound expertise.

Identifiers

PMID41381738
PMCPMC12796212

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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.