Evidence map›Paper›PMID 40034568›Full record

ArticleEClinicalMedicine2025

Development and validation of an ultrasound-based interpretable machine learning model for the classification of ≤3 cm hepatocellular carcinoma: a multicentre retrospective diagnostic study.

Zhicheng Du, Fangying Fan, Jun Ma, Jing Liu, Xing Yan, Xuexue Chen, Yangfang Dong, Jiapeng Wu, Wenzhen Ding, Qinxian Zhao and 4 more

Abstract read
In one paragraph

Article in EClinicalMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  13. [New progress in the technology of non-invasive diagnosis for small hepatocellular carcinoma].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
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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

14 authors.

Zhicheng DuDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Fangying FanDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Jun MaDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Jing LiuDepartment of Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Xing YanDepartment of Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Xuexue ChenDepartment of Ultrasound, Guangxi Zhuang Autonomous Region People's Hospital, Nanning, China.
Yangfang DongDepartment of Ultrasound, Fuzhou First General Hospital, Fuzhou, China.
Jiapeng WuDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Wenzhen DingDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Qinxian ZhaoDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Yuling WangDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Guojun ZhangFujian Key Laboratory of Precision Diagnosis and Treatment in Breast Cancer & Xiamen Key Laboratory of Endocrine-Related Cancer Precision Medicine, Xiang'an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Jie YuDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Ping LiangDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Our study aimed to develop a machine learning (ML) model utilizing grayscale ultrasound (US) to distinguish ≤3 cm small hepatocellular carcinoma (sHCC) from non-HCC lesions. Methods: A total of 1052 patients with 1058 liver lesions ≤3 cm from 55 hospitals were collected between May 2017 and June 2021, and 756 liver lesions were randomly allocated into train and internal validation cohorts at a 8:2 ratio for the development and evaluation of ML models based on multilayer perceptron (MLP) and extreme gradient boosting (XGBoost) methods (Model Findings: Model Interpretation: A diagnostic model for sHCC was developed and validated using ML and grayscale US from large cohorts. This model significantly improved the diagnostic performance of grayscale US for sHCC compared with experts. Funding: This work was supported by National Key Research and Development Program of China (2022YFC2405500), Major Research Program of the National Natural Science Foundation of China (92159305), National Science Fund for Distinguished Young Scholars (82325027), Key project of National Natural Science Foundation of China (82030047), Military Fund for Geriatric Diseases (20BJZ42), National Natural Science Foundation of China Special Program (82441011). National Natural Science Foundation of China (82402280), National Natural Science Foundation of China (32171363), Key Research and Development Program for Social Development of Yunnan Science and Technology Department (202403AC100014).

Indexed as

Multi-centerRadiomicsSHAPsHCCUltrasound

Identifiers

PMID40034568
PMCPMC11872562

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.