Evidence map›Paper›PMID 41482562›Full record

Trial reportNature medicine2026

Generative AI-based low-dose digital subtraction angiography for intra-operative radiation dose reduction: a randomized controlled trial.

Huangxuan Zhao, Yaowei Bai, Lei Chen, Jinqiang Ma, Yu Lei, Tao Sun, Linxia Wu, Ruiheng Zhang, Ziyang Xu, Xiaoyun Liang and 21 more

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. 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

31 authors.

Huangxuan Zhao *Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. zhao_huangxuan@sina.com.ORCID 0000-0002-9995-7528
Yaowei Bai *Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Lei Chen *Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Jinqiang Ma *Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID 0000-0001-6917-6029
Yu LeiDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID 0009-0005-4618-0822
Tao SunDepartment of Interventional Radiology, The First Affiliated Hospital of University of Science and Technology of China, Hefei, China.
Linxia WuDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Ruiheng ZhangSchool of Computer Science, Wuhan University, Wuhan, China.
Ziyang XuSchool of Electronic Information and Communications, Huazhong University of Science and Technology, Wuhan, China.ORCID 0009-0002-7682-6995
Xiaoyun LiangInstitute of Research and Clinical Innovations, Neusoft Medical Systems, Shanghai, China.ORCID 0000-0002-1851-3408
Yi LiInstitute of Research and Clinical Innovations, Neusoft Medical Systems, Shanghai, China.
Yan HuangCV Business Unit, Neusoft Medical Systems, Shenyang, China.
Yun FengCenter for Biological Imaging, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China.
Cheng HongThe First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Zhongrong MiaoDepartment of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Lin LongDepartment of Interventional and Vascular Surgery, Hunan Provincial People's Hospital, Hunan Normal University, Changsha, China.
Haidong ZhuCenter of Interventional Radiology Vascular Surgery, Department of Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China.
Jiahe ZhengDepartment of Radiology, Shengjing Hospital of China Medical University, Shenyang, China.
Lin FanDepartment of Cardiology, Union Hospital, Fujian Medical University, Fuzhou, China.
Zhuting FangDepartment of Interventional Radiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.ORCID 0000-0003-3350-2210
Peng DongDepartment of Cardiology, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, China.
Lefei ZhangSchool of Computer Science, Wuhan University, Wuhan, China.
Xiaoyu HanDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Bin WangSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Bin LiangDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xiangwen XiaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xuefeng KanDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. xkliulang1314@163.com.ORCID 0000-0003-3597-4166
Chengcheng ZhuDepartment of Radiology, University of Washington, Seattle, WA, USA. zhucheng@uw.edu.ORCID 0000-0001-6898-549X
Bo DuSchool of Computer Science, Wuhan University, Wuhan, China. dubo@whu.edu.cn.ORCID 0000-0002-0059-8458
Xinggang WangSchool of Electronic Information and Communications, Huazhong University of Science and Technology, Wuhan, China. xgwang@hust.edu.cn.ORCID 0000-0001-6732-7823
Chuansheng ZhengDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. hqzcsxh@sina.com.ORCID 0000-0002-2435-1417

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82402411National Natural Science Foundation of China (National Science Foundation of China) 82472070
6 · The paper itself

Abstract

Digital subtraction angiography (DSA) devices guide procedures across numerous diseases, performed on more than 100,000 patients daily worldwide. However, these procedures expose patients and healthcare providers to radiation, increasing the risk of health issues. Despite many low-dose DSA imaging methods proposed, none have been prospectively clinically validated. In this study, 46,829 patients (over 5 million DSA images) from 70 centers were used to iterate our previously developed generative artificial intelligence system (named GenDSA-V2). A total of 1,068 patients (533 in intervention arm and 535 in control arm), with suspected cerebral aneurysms (n = 435), lung cancer (n = 417) or advanced liver cancer (n = 216), meeting surgical criteria, were enrolled to validate the GenDSA-V2. The primary outcome was radiation dose, while secondary outcomes included efficiency, operation time and intraoperative complications. Group assignments were blinded to patients, surgeons and investigators, while technicians were aware but not involved in data collection or analysis. The GenDSA-V2 group showed substantially reduced radiation exposure, with an air kerma (AK) of 151.3 ± 125.1 mGy compared to 457.4 ± 407.4 mGy in the standard clinical protocols (SCP) group (mean difference = -306.1 mGy, 95% confidence interval (CI) = -342.3 to -269.9, P < 0.001 for superiority) and a dose-area product (DAP) of 4009.7 ± 2767.9 μGy m

Indexed as

Angiography, Digital SubtractionArtificial IntelligenceRadiation DosageAdultAgedFemaleHumansIntracranial AneurysmLiver NeoplasmsLung NeoplasmsMaleMiddle Aged

Identifiers

What OpenQuestion holds

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Read underepoch 390

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.