Evidence map›Paper›PMID 41630445›Full record

ArticleAnnals of medicine2026

Artificial intelligence-assisted real-time nasopharyngeal cancer diagnostic model enhances rhinologist performance: a prospective multi-reader study.

Rui He, Pengyu Jie, Zhangfeng Wang, Yaqiong Lu, Huanhuan Lv, Zixuan Huang, Wendong Liu, Yongquan Wang, Wanquan Liu, Wenbin Lei and 2 more

Abstract read
In one paragraph

Article in Annals of medicine, 2026. 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.

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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

12 authors.

Rui HeDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, PR China.
Pengyu JieThe School of Intelligent Engineering, Sun Yat-Sen University-Shenzhen Campus, Shenzhen, PR China.
Zhangfeng WangDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, PR China.
Yaqiong LuDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, PR China.
Huanhuan LvDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, PR China.
Zixuan HuangDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, PR China.
Wendong LiuDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, PR China.
Yongquan WangDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, PR China.
Wanquan LiuThe School of Intelligent Engineering, Sun Yat-Sen University-Shenzhen Campus, Shenzhen, PR China.
Wenbin LeiDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, PR China.
Weiping WenDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, PR China.
Yihui WenDepartment of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNasopharyngeal carcinoma (NPC) poses significant diagnostic challenges due to the anatomical complexity of the nasopharynx and reliance on endoscopic visual interpretation, often leading to delayed detection and unnecessary biopsies. Although artificial intelligence (AI) algorithms have shown promise in enhancing endoscopic cancer diagnosis, their real-world impact on clinician diagnostic performance remains insufficiently characterized.

methodsIn this prospective, multi-reader study, 47 clinicians, including experts, residents, and trainees, interpreted 200 nasoendoscopic images from 100 patients with histopathologically confirmed NPC or benign lesions. Each participant completed two diagnostic sessions: an unassisted evaluation and an AI-assisted assessment using a real-time lesion-annotating model (NPC-SDNet), with a 4-week washout period between sessions.

resultsWithout AI support, the overall diagnostic accuracy was 73.6% (95% CI: 70.1-77.0%), with a sensitivity of 76.1% (95% CI: 70.4-81.4%) and a specificity of 69.9% (95% CI: 63.8-76.0%). AI assistance significantly improved accuracy to 85.6% (95% CI: 83.1-87.6%,

conclusionsAI-assisted nasoendoscopic evaluation significantly enhances diagnostic accuracy, efficiency and interobserver consistency, particularly among less-experienced clinicians. These findings support the clinical integration of real-time AI tools to augment NPC recognition and standardize diagnostic performance across varying expertise levels.

Indexed as

Artificial IntelligenceNasopharyngeal CarcinomaNasopharyngeal NeoplasmsAdultAgedAlgorithmsClinical CompetenceEndoscopyFemaleHumansIntelligent SystemsMaleMiddle AgedNasopharynxProspective StudiesSensitivity and SpecificityArtificial intelligencediagnostic accuracyendoscopymulti-reader studynasopharyngeal carcinoma

Identifiers

PMID41630445
PMCPMC12872077

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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.