Evidence map›Paper›PMID 41466236›Full record

ArticleBMC cancer2025

Deep learning based on ultrasound for differential diagnosis of pancreatic serous cystic neoplasm and mucinous cystic neoplasm.

Zhiqiang Yuan, Yingyu Shi, Shuang Chen, Jiali Yang, Juan Chen, Jiawu Li, Yang Pu, Xiaojuan Ma, Qianru Yang, Xing Zhao and 3 more

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Zhiqiang YuanDepartment of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China.
Yingyu ShiDepartment of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China.
Shuang ChenDepartment of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China.
Jiali YangDepartment of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China.
Juan ChenDepartment of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China.
Jiawu LiDepartment of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China.
Yang PuDepartment of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China.
Xiaojuan MaDepartment of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China.
Qianru YangDepartment of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China.
Xing ZhaoMedAI Technology (Wuxi) Co., Ltd, Wuxi, China.
Lichao MouMedAI Technology (Wuxi) Co., Ltd, Wuxi, China.
Yilei ShiMedAI Technology (Wuxi) Co., Ltd, Wuxi, China. yilei.shi@medimagingai.com.
Yan LuoDepartment of Medical Ultrasound, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China. yanluo@scu.edu.cn.

Funding

National Natural Science Foundation of China 82371977the Doctoral Research Foundation of West China Hospital, Sichuan University 21hxbh039the Sichuan Science and Technology Program 2023NSFSC1712
6 · The paper itself

Abstract

purposeThis study aims to develop a deep learning (DL) model based on conventional ultrasound images for differentiating pancreatic serous neoplasms (SCN) from mucinous cystic neoplasms (MCN). We seek to determine if such a model can surpass the diagnostic performance of routine sonographic evaluation and provide a valuable, cost-effective decision-support tool.

methodsData from 459 patients with histopathologically confirmed SCN and MCN from center 1 (n = 345) and center 2 (n = 114) were retrospectively collected. Five DL models (EfficientNet-B3, Resnet-101, Densenet-121, Se-resnext-50, Inception-v3) were constructed for differential diagnosis. Simultaneously compare the diagnostic performance of DL model with that of junior radiologists (JR) and senior radiologists (SR), and determine whether DL can assist radiologists in making better diagnoses.

resultsThe EfficientNet-B3 model demonstrated the optimal predictive performance, with an area under the receiver operating curve (AUC) of 0.904 (95% CI:0.814–0.973) in the internal validation set and 0.866 (95% CI:0.783–0.936) in the external test set. In the external test set, the EfficientNet-B3 model demonstrated significantly superior diagnostic performance compared to both JR in both F1-score and specificity (all P < 0.0125), while showing fully comparable performance to both SR in these precise metrics (all P > 0.0125). With the EfficientNet-B3 model assistance, both JR showed statistically significant improvements in F1-score and specificity (all P < 0.0125), whereas both SR exhibited no statistically significant changes in either performance metric (all P > 0.0125).

conclusionsThe EfficientNet-B3 model demonstrated comparable diagnostic performance to SR while significantly enhancing the diagnostic accuracy of JR.

Indexed as

Deep LearningNeoplasms, Cystic, Mucinous, and SerousPancreatic NeoplasmsAdultAgedConvolutional Neural NetworksDiagnosis, DifferentialFemaleHumansMaleMiddle AgedRetrospective StudiesROC CurveUltrasonographyDeep learningDifferential diagnosisMucinous cystic neoplasmsPancreaticSerous cystic neoplasmsUltrasound

Identifiers

PMID41466236
PMCPMC12751444

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.