Evidence map›Paper›PMID 41892923›Full record

ArticleJournal of imaging2026

Deep Learning Based Computer-Aided Detection of Prostate Cancer Metastases in Bone Scintigraphy: An Experimental Analysis.

Eslam Jabali, Omar Almomani, Louai Qatawneh, Sinan Badwan, Yazan Almomani, Mohammad Al-Soreeky, Alia Ibrahim, Natalie Khalil

Abstract read
In one paragraph

Article in Journal of imaging, 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. 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

8 authors.

Eslam JabaliDepartment of Nuclear Medicine, King Hussein Medical Center, Royal Medical Services, Amman 11855, Jordan.
Omar AlmomaniDepartment of Networks and Cybersecurity, Faculty of Information Technology, Al-Ahliyya Amman University, Amman 19111, Jordan.ORCID 0000-0003-3160-6542
Louai QatawnehDepartment of Nuclear Medicine, King Hussein Medical Center, Royal Medical Services, Amman 11855, Jordan.
Sinan BadwanDepartment of Clinical Oncology, Military Cancer Center, King Hussein Medical Center, Royal Medical Services, Amman 11855, Jordan.
Yazan AlmomaniDepartment of Clinical Oncology, Military Cancer Center, King Hussein Medical Center, Royal Medical Services, Amman 11855, Jordan.
Mohammad Al-SoreekyDepartment of Clinical Oncology, Military Cancer Center, King Hussein Medical Center, Royal Medical Services, Amman 11855, Jordan.
Alia IbrahimDepartment of Internal Medicine, King Hussein Medical Center, Royal Medical Services, Amman 11855, Jordan.
Natalie KhalilDepartment of Internal Medicine, King Hussein Medical Center, Royal Medical Services, Amman 11855, Jordan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bone scintigraphy is a widely available and cost-effective modality for detecting skeletal metastases in prostate cancer, yet visual interpretation can be challenging due to heterogeneous uptake patterns, benign mimickers, and a high reporting workload, motivating robust computer-aided decision support. In this study, we present an experimental evaluation of fourteen convolutional neural network (CNN) architectures for binary metastasis classification in planar bone scintigraphy using a unified protocol. Fourteen models, CNN (baseline), AlexNet, VGG16, VGG19, ResNet18, ResNet34, ResNet50, ResNet50-attention, DenseNet121, DenseNet169, DenseNet121-attention, WideResNet50_2, EfficientNet-B0, and ConvNeXt-Tiny, were trained and tested on 600 scan images (300 normal, 300 metastatic) from the Jordanian Royal Medical Services under identical preprocessing and augmentation with stratified five-fold cross-validation. We report mean ± SD for AUC-ROC, accuracy, precision, sensitivity (recall), F1-score, specificity, and Cohen's κ, alongside calibration via the Brier score and deployment indicators (parameters, FLOPs, model size, and inference time). DenseNet121 achieved the best overall balance of diagnostic performance and reliability, reaching AUC-ROC 96.0 ± 1.2, accuracy 89.2 ± 2.2, sensitivity 83.7 ± 3.4, specificity 94.7 ± 2.2, F1-score 88.5 ± 2.5, κ = 0.783 ± 0.045, and the strongest calibration (Brier 0.080 ± 0.013), with stable fold-to-fold behaviour. DenseNet121-attention produced the highest AUC-ROC (96.3 ± 1.1) but exhibited greater variability in specificity, indicating less consistent false-alarm control. Complexity analysis supported DenseNet121 as deployable (~7.0 M parameters, ~26.9 MB, ~92 ms/image), whereas heavier models yielded only limited additional clinical value. These results support DenseNet121 as a reliable backbone for automated metastasis detection in planar scintigraphy, with future work focusing on external validation, threshold optimisation, interpretability, and model compression for clinical adoption.

Indexed as

bone scintigraphycancercomputer-aided detection (CAD)convolutional neural networks (CNNs)deep learning

Identifiers

PMID41892923
PMCPMC13027952

What OpenQuestion holds

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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.