Sjögren's disease & overlap diseases

Deep learning in the precise assessment of primary Sjögren’s syndrome based on ultrasound images

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

The DL model based on greyscale US images showed diagnostic potential in the precise assessment of pSS patients in the SMGs, PGs and LGs, outperforming conventional radiologist evaluation.

Study context

Population
Primary Sjögren's syndrome (pSS) patients diagnosed by 2016 ACR/EULAR criteria and sex- and age-matched healthy controlsdevelopment: 72 pSS + 72 controls
Comparison
Deep learning (DL) model based on greyscale ultrasound (US) images vs two radiologists
Outcome
Diagnostic performance (AUC) of the DL model for pSS
Methodological detailsmulticentre, prospective, sex- and age-matched healthy controls, 864 and 164 greyscale US images collected for development and validation
  • Multicentre
  • Prospective
  • Sex- and age-matched healthy controls
  • 864 and 164 greyscale US images collected for development and validation

Performance

As reported in the abstract

AUC of DL model, model cohort
Test or modelAUC, submandibular glands (SMGs)AUC, parotid glands (PGs)AUC, lacrimal glands (LGs)
DL model0.920.930.91

DL model

AUC, submandibular glands (SMGs)0.92
AUC, parotid glands (PGs)0.93
AUC, lacrimal glands (LGs)0.91

Further findings

AUC of DL model, validation cohort
0.90 · AUC, SMGs · AUC, PGs 0.88 · AUC, LGs 0.87

Calibration

Prediction probability consistent with actual probability in model and validation cohorts

Original publication

Deep learning in the precise assessment of primary Sjögren’s syndrome based on ultrasound images. Rheumatology (Oxford). Published 3 June 2024. doi:10.1093/rheumatology/keae312

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