Evidence map›Paper›PMID 42000880›Full record

ArticleNPJ digital medicine2026

AI Augmented Confocal Laser Endomicroscopy for Rapid Intraoperative Diagnosis of Brain Tumors.

Yoon Hwan Byun, Hyunseok Seo, Jae-Kyung Won, Boram Lee, Duk Hyun Hong, Sun Mo Nam, Jong Ha Hwang, Min-Sung Kim, Yong-Hwy Kim, Jang Hun Kim and 7 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Obstacles and Trials in Treating Primary Brain Tumors.International journal of molecular sciences · 2026
    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

17 authors.

Yoon Hwan Byun *Department of Neurosurgery, SMG- SNU Boramae Medical Center, Seoul, Republic of Korea.
Hyunseok Seo *Department of Artificial Intelligence, Korea University College of Informatics, Seoul, Republic of Korea.
Jae-Kyung WonDepartment of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Boram LeeDepartment of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Duk Hyun HongDepartment of Neurosurgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
Sun Mo NamDepartment of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Jong Ha HwangDepartment of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Min-Sung KimDepartment of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Yong-Hwy KimDepartment of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Jang Hun KimDepartment of Neurosurgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
Mi Ok YuDepartment of Neurosurgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
Kyung-Jae ParkDepartment of Neurosurgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
HoJoon KimDepartment of Artificial Intelligence, Korea University College of Informatics, Seoul, Republic of Korea.
Sunit DasDivision of Neurosurgery, Li Ka Shing Knowledge Institute, St. Michael's Hospital, University of Toronto, Toronto, Canada.
Doo-Sik KongDepartment of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. kds026@skku.edu.
Chul-Kee ParkDepartment of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea. nsckpark@snu.ac.kr.
Shin-Hyuk KangDepartment of Neurosurgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea. hermes23@kumc.or.kr.

Funding

Korea University Anam Hospital O241376Ministry of Health and Welfare RS-2022-KH129293Ministry of Science and ICT, South Korea RS202400338025Technology Development Program of the Ministry of SMEs and Startups RS-2024-00487593
6 · The paper itself

Abstract

Intraoperative diagnosis is important for brain tumor surgery. Although frozen section (FS) remains the standard, its time demands and logistical limitations hinder real-time decision-making. Confocal laser endomicroscopy (CLE) offers rapid high-resolution imaging for efficient diagnosis. This multicenter prospective trial evaluated the diagnostic performance of CLE while developing a novel Swin Transformer-based AI diagnostic model. A total of 461 biopsies from 376 patients were analyzed. CLE demonstrated non-inferior diagnostic accuracy to FS (0.94 vs 0.92; P = 0.14), with comparable sensitivity (0.96 vs 0.95; P = 0.40) and specificity (0.79 vs 0.68; P = 0.31). CLE achieved a significantly faster median turnaround (5 m 56 s vs 20 m; P < 0.001). The AI model showed diagnostic accuracies of 0.94 for tumor detection and 0.88 for biopsy subtype diagnosis. Overall, CLE demonstrated diagnostic efficacy comparable to FS with significantly shorter turnaround. The AI diagnostic model also showed promising results supporting its potential integration with the CLE platform.

Identifiers

PMID42000880
PMCPMC13276397

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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.