Diagnostic Value of Artificial Intelligence-Assisted Endoscopic Ultrasound for Pancreatic Cancer: A Systematic Review and Meta-Analysis

We performed a meta-analysis of published data to investigate the diagnostic value of artificial intelligence for pancreatic cancer. Systematic research was conducted in the following databases: PubMed, Embase, and Web of Science to identify relevant studies up to October 2021. We extracted or calcu...

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Main Authors: Elena Adriana Dumitrescu, Bogdan Silviu Ungureanu, Irina M. Cazacu, Lucian Mihai Florescu, Liliana Streba, Vlad M. Croitoru, Daniel Sur, Adina Croitoru, Adina Turcu-Stiolica, Cristian Virgil Lungulescu
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/2/309
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author Elena Adriana Dumitrescu
Bogdan Silviu Ungureanu
Irina M. Cazacu
Lucian Mihai Florescu
Liliana Streba
Vlad M. Croitoru
Daniel Sur
Adina Croitoru
Adina Turcu-Stiolica
Cristian Virgil Lungulescu
author_facet Elena Adriana Dumitrescu
Bogdan Silviu Ungureanu
Irina M. Cazacu
Lucian Mihai Florescu
Liliana Streba
Vlad M. Croitoru
Daniel Sur
Adina Croitoru
Adina Turcu-Stiolica
Cristian Virgil Lungulescu
author_sort Elena Adriana Dumitrescu
collection DOAJ
description We performed a meta-analysis of published data to investigate the diagnostic value of artificial intelligence for pancreatic cancer. Systematic research was conducted in the following databases: PubMed, Embase, and Web of Science to identify relevant studies up to October 2021. We extracted or calculated the number of true positives, false positives true negatives, and false negatives from the selected publications. In total, 10 studies, featuring 1871 patients, met our inclusion criteria. The risk of bias in the included studies was assessed using the QUADAS-2 tool. R and RevMan 5.4.1 software were used for calculations and statistical analysis. The studies included in the meta-analysis did not show an overall heterogeneity (I<sup>2</sup> = 0%), and no significant differences were found from the subgroup analysis. The pooled diagnostic sensitivity and specificity were 0.92 (95% CI, 0.89–0.95) and 0.9 (95% CI, 0.83–0.94), respectively. The area under the summary receiver operating characteristics curve was 0.95, and the diagnostic odds ratio was 128.9 (95% CI, 71.2–233.8), indicating very good diagnostic accuracy for the detection of pancreatic cancer. Based on these promising preliminary results and further testing on a larger dataset, artificial intelligence-assisted endoscopic ultrasound could become an important tool for the computer-aided diagnosis of pancreatic cancer.
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spelling doaj.art-49f5ca3945014caaa1f5c7b58fc1c81d2023-11-23T19:29:53ZengMDPI AGDiagnostics2075-44182022-01-0112230910.3390/diagnostics12020309Diagnostic Value of Artificial Intelligence-Assisted Endoscopic Ultrasound for Pancreatic Cancer: A Systematic Review and Meta-AnalysisElena Adriana Dumitrescu0Bogdan Silviu Ungureanu1Irina M. Cazacu2Lucian Mihai Florescu3Liliana Streba4Vlad M. Croitoru5Daniel Sur6Adina Croitoru7Adina Turcu-Stiolica8Cristian Virgil Lungulescu9Institute of Oncology, Prof. Dr. Alexandru Trestioreanu, Șoseaua Fundeni, 022328 Bucharest, RomaniaDepartment of Gastroenterology, University of Medicine and Pharmacy Craiova, 2 Petru Rares Str, 200349 Craiova, RomaniaDepartment of Oncology, Fundeni Clinical Institute, 258 Fundeni St, 022238 Bucharest, RomaniaDepartment of Radiology & Medical Imaging, University of Medicine and Pharmacy Craiova, 2-4 Petru Rares St, 200349 Craiova, RomaniaDepartment of Oncology, University of Medicine and Pharmacy Craiova, 2 Petru Rares Str, 200349 Craiova, RomaniaDepartment of Oncology, Fundeni Clinical Institute, 258 Fundeni St, 022238 Bucharest, Romania11th Department of Medical Oncology, University of Medicine and Pharmacy Iuliu Hatieganu, 400012 Cluj-Napoca, RomaniaDepartment of Oncology, Fundeni Clinical Institute, 258 Fundeni St, 022238 Bucharest, RomaniaDepartment of Pharmacoeconomics, University of Medicine and Pharmacy of Craiova, 2 Petru Rares Str, 200349 Craiova, RomaniaDepartment of Oncology, University of Medicine and Pharmacy Craiova, 2 Petru Rares Str, 200349 Craiova, RomaniaWe performed a meta-analysis of published data to investigate the diagnostic value of artificial intelligence for pancreatic cancer. Systematic research was conducted in the following databases: PubMed, Embase, and Web of Science to identify relevant studies up to October 2021. We extracted or calculated the number of true positives, false positives true negatives, and false negatives from the selected publications. In total, 10 studies, featuring 1871 patients, met our inclusion criteria. The risk of bias in the included studies was assessed using the QUADAS-2 tool. R and RevMan 5.4.1 software were used for calculations and statistical analysis. The studies included in the meta-analysis did not show an overall heterogeneity (I<sup>2</sup> = 0%), and no significant differences were found from the subgroup analysis. The pooled diagnostic sensitivity and specificity were 0.92 (95% CI, 0.89–0.95) and 0.9 (95% CI, 0.83–0.94), respectively. The area under the summary receiver operating characteristics curve was 0.95, and the diagnostic odds ratio was 128.9 (95% CI, 71.2–233.8), indicating very good diagnostic accuracy for the detection of pancreatic cancer. Based on these promising preliminary results and further testing on a larger dataset, artificial intelligence-assisted endoscopic ultrasound could become an important tool for the computer-aided diagnosis of pancreatic cancer.https://www.mdpi.com/2075-4418/12/2/309artificial intelligencedeep learningcomputer-aided diagnosispancreatic cancerendoscopic ultrasound
spellingShingle Elena Adriana Dumitrescu
Bogdan Silviu Ungureanu
Irina M. Cazacu
Lucian Mihai Florescu
Liliana Streba
Vlad M. Croitoru
Daniel Sur
Adina Croitoru
Adina Turcu-Stiolica
Cristian Virgil Lungulescu
Diagnostic Value of Artificial Intelligence-Assisted Endoscopic Ultrasound for Pancreatic Cancer: A Systematic Review and Meta-Analysis
Diagnostics
artificial intelligence
deep learning
computer-aided diagnosis
pancreatic cancer
endoscopic ultrasound
title Diagnostic Value of Artificial Intelligence-Assisted Endoscopic Ultrasound for Pancreatic Cancer: A Systematic Review and Meta-Analysis
title_full Diagnostic Value of Artificial Intelligence-Assisted Endoscopic Ultrasound for Pancreatic Cancer: A Systematic Review and Meta-Analysis
title_fullStr Diagnostic Value of Artificial Intelligence-Assisted Endoscopic Ultrasound for Pancreatic Cancer: A Systematic Review and Meta-Analysis
title_full_unstemmed Diagnostic Value of Artificial Intelligence-Assisted Endoscopic Ultrasound for Pancreatic Cancer: A Systematic Review and Meta-Analysis
title_short Diagnostic Value of Artificial Intelligence-Assisted Endoscopic Ultrasound for Pancreatic Cancer: A Systematic Review and Meta-Analysis
title_sort diagnostic value of artificial intelligence assisted endoscopic ultrasound for pancreatic cancer a systematic review and meta analysis
topic artificial intelligence
deep learning
computer-aided diagnosis
pancreatic cancer
endoscopic ultrasound
url https://www.mdpi.com/2075-4418/12/2/309
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