Document Type

Article

Source of Publication

Current Problems in Surgery

Publication Date

3-1-2025

Abstract

Introduction Soft-tissue sarcomas (STSs) constitute a rare group of malignancies. Diagnostic biopsies require experts and are invasive with long diagnostic intervals. Artificial intelligence (AI)-based STS models may serve as accurate detection and categorization tools; however, their diagnostic performance remains questionable. Method The PubMed, Scopus, and Web of Science databases were searched for related studies published until January 10, 2024. Studies that developed or used AI-based models to diagnose STS were included. Results Nine studies were included in this meta-analysis. The common effects model yielded an accuracy of 0.8923 [0.8831; 0.9016], and the random effects model yielded an accuracy of 0.8524 [0.8132; 0.8916]. The Tau ^2 was 0.0094 [0.0055; 0.0202] and the I^2 statistic was 93.2% [91.1%, 94.7%], suggesting a high level of heterogeneity among the studies. The most accurate model was the decision tree (DT) model used in this study, with an accuracy of 0.9900 [0.9675–1.0125]. The least accurate model was the MLP model used in this study, which had an accuracy of 0.5720 [0.5107; 0.6333]. The pooled sensitivity of the AI model was 100%. Radiomics and simple vector-machine-based models are the most sensitive. Conclusion AI-based models show promising results for the diagnosis of STS. However, future studies should address the value of AI in the real-world setting. To provide precise comparisons across various models, it is essential to create a uniform training dataset to mitigate any sources of bias or heterogeneity. This information will assist scientists in identifying the optimal model for diagnosing STS and implementing this model in clinical practice.

ISSN

0011-6337

Publisher

Elsevier BV

First Page

101743

Last Page

101743

Disciplines

Medicine and Health Sciences

Keywords

Artificial Intelligence, Soft Tissue Sarcoma, Diagnostic Performance, Meta-analysis, Machine Learning

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Indexed in Scopus

no

Open Access

yes

Open Access Type

Hybrid: This publication is openly available in a subscription-based journal/series

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