Evidence map›Paper›PMID 40784991›Full record

ArticleNPJ digital medicine2025

Next-generation AI framework for comprehensive oral leukoplakia evaluation and management.

JingWen Li, YaFang Zhou, MengJing Zhang, John Adeoye, Jane JingYa Pu, MiMi Zhou, ChuanXia Liu, LiJie Fan, Colman McGrath, Dian Zhang and 1 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 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

11 authors.

JingWen Li *Division of Oral & Maxillofacial Surgery, Faculty of Dentistry, University of Hong Kong, Hong Kong SAR, China.
YaFang Zhou *Department of Computer Science and Software Engineering, Shenzhen University, Shenzhen, China.
MengJing ZhangDepartment of Computer Science and Software Engineering, Shenzhen University, Shenzhen, China.
John AdeoyeDivision of Applied Oral Sciences & Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
Jane JingYa PuDivision of Oral & Maxillofacial Surgery, Faculty of Dentistry, University of Hong Kong, Hong Kong SAR, China.
MiMi ZhouStomatology Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
ChuanXia LiuStomatology Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
LiJie FanStomatology Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Colman McGrathDivision of Applied Oral Sciences & Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
Dian ZhangDepartment of Computer Science and Software Engineering, Shenzhen University, Shenzhen, China. zhangd@szu.edu.cn.
LiWu ZhengDivision of Oral & Maxillofacial Surgery, Faculty of Dentistry, University of Hong Kong, Hong Kong SAR, China. lwzheng@hku.hk.

Funding

Futian Healthcare Research Project FTWS069, FTWS055Key Research and Development Program of Zhejiang Province 2025C02100Natural Science Foundation of shenzhen Municipality JCYJ20220531091407016Seed Fund for PI Research 2402101364Stable Support Project of Shenzhen 20231122145548001
6 · The paper itself

Abstract

Oral potentially malignant disorder poses a significant risk of malignant transformation, particularly in cases with epithelial dysplasia (OED). Current OED assessment methods are invasive and lack reliable decision-support tools for cancer risk evaluation and follow-up optimization. This study developed and validated OMMT-PredNet, a fully automated multimodal deep learning framework requiring no manual ROI annotation, for non-invasive OED identification and time-dependent cancer risk prediction. Utilizing data from 649 histopathologically confirmed leukoplakia cases across multiple institutions (2003-2024), including 598 cases in the primary cohort and 51 in the external validation set, the model integrated paired high-resolution clinical images and medical records. OMMT-PredNet achieved an AUC of 0.9592 (95% CI: 0.9491-0.9693) for cancer risk prediction and 0.9219 (95% CI: 0.9088-0.9349) for OED identification, with high specificity (MT: 0.9490; OED: 0.9182) and precision (MT: 0.9442; OED: 0.9303). Calibration and decision curve analyses confirmed clinical applicability, while external validation demonstrated robustness. This multidimensional model effectively predicts OED and cancer risk, highlighting its global applicability in enhancing oral cancer screening and improving patient outcomes.

Identifiers

PMID40784991
PMCPMC12336336

What Socratic holds

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LicenceCC BY-NC-ND
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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.