Evidence map›Paper›PMID 41541641›Full record

ArticleTherapeutic advances in gastroenterology2026

Differentiating cytology of pancreatic ductal adenocarcinoma and pancreatic neuroendocrine tumors by EUS-FNA through hyperspectral imaging technology combined with artificial intelligence.

Xianzheng Qin, Lili Gao, Kui Wang, Taojing Ran, Yundi Pan, Yingjiao Deng, Xingran Xie, Yao Zhang, Tingting Gong, Benyan Zhang and 6 more

Abstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2026. 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. Review
  2. 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

16 authors.

Xianzheng QinDepartment of Gastroenterology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Lili GaoDepartment of Pathology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Kui WangDepartment of Gastroenterology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Taojing RanDepartment of Gastroenterology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Yundi PanDepartment of Gastroenterology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Yingjiao DengShanghai Key Laboratory of Multidimensional Information Processing, East China Normal University, Shanghai, China.
Xingran XieShanghai Key Laboratory of Multidimensional Information Processing, East China Normal University, Shanghai, China.
Yao ZhangDepartment of Gastroenterology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Tingting GongDepartment of Gastroenterology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Benyan ZhangDepartment of Pathology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Ling ZhangDepartment of Gastroenterology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Yan WangShanghai Key Laboratory of Multidimensional Information Processing, East China Normal University, Shanghai, China.
Qingli LiShanghai Key Laboratory of Multidimensional Information Processing, East China Normal University, Shanghai, China.
Dong WangDepartment of Gastroenterology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Chunhua ZhouDepartment of Gastroenterology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, 197 Ruijin Second Road, Shanghai 200025, China.
Duowu ZouDepartment of Gastroenterology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, 197 Ruijin Second Road, Shanghai 200025, China.ORCID https://orcid.org/0000-0002-2461-5304

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pancreatic cancer is a common and lethal malignancy, with the two primary subtypes being pancreatic ductal adenocarcinoma (PDAC) and pancreatic neuroendocrine tumors (pNET). Accurate diagnosis and effective treatment are crucial. Hyperspectral imaging (HSI) is a novel optical diagnostic technology that can capture spectral features inaccessible by traditional imaging techniques. With the aid of artificial intelligence (AI), HSI can provide richer information. Objectives: This study aims to develop a convolutional neural network (CNN) based on HSI to assist in the diagnosis of liquid-based cytology (LBC) specimens of PDAC and pNET obtained by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). Design: We designed a deep learning model using HSI data to differentiate between PDAC and pNET specimens. The CNN model was developed and evaluated using a dataset of LBC slides. Methods: During the EUS-FNA procedure, we prepared LBC slides of PDAC and pNET specimens. These slides were scanned using HSI technology to acquire both spectral and spatial information. We employed a modified ResNet18 model to analyze this information and perform classifications. In addition, we used attribute-guided factorization visualization (AGF-visualization) to visualize the CNN's decision-making process. Results: Based on samples from 59 patients, 2014 HSI images were acquired. The spectral curves of PDAC and pNET cells exhibited recognizable differences in the wavelength range of 520-600 nm. Our modified ResNet18 model processes images at approximately 9 images/s and achieves a sensitivity of 90.80%, a specificity of 94.68%, and an accuracy rate of 92.82% (area under the receiver operating characteristic curve = 0.9721). AGF-visualization confirmed that our CNN model classifies based on the features of the tumor cell nucleus. Conclusion: Our HSI-CNN model accurately differentiates PDAC and pNET in EUS-FNA specimens, aiding pathologists in diagnosis and reducing their workload.

Indexed as

artificial intelligenceendoscopic ultrasound-guided fine-needle aspirationhyperspectral imagingpancreatic ductal adenocarcinomapancreatic neuroendocrine tumor

Identifiers

PMID41541641
PMCPMC12799998

What OpenQuestion holds

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LicenceCC BY-NC
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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.