Self-supervised 3D deep learning on preoperative contrast-enhanced computed tomography for predicting high pathologic nodal burden in esophageal squamous cell carcinoma: temporal and external multicohort validation - Takeaways - MDSpire

Self-supervised 3D deep learning on preoperative contrast-enhanced computed tomography for predicting high pathologic nodal burden in esophageal squamous cell carcinoma: temporal and external multicohort validation

  • By

  • Qian Li

  • Yongxin Li

  • Jing Bai

  • Jinze Zhang

  • Zhenkai Nie

  • Yanxin Ren

  • Zhantao Li

  • Jin Guo

  • Meng Li

  • Tingting Zhang

  • Xinbo Liu

  • June 11, 2026

  • 0 min

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  • 1

    The study involved 1,060 patients with esophageal squamous cell carcinoma undergoing preoperative contrast-enhanced CT and curative-intent surgery.

  • 2

    A self-supervised 3D deep learning model was developed to predict high pathologic nodal burden, achieving high performance across multiple cohorts.

  • 3

    The model demonstrated area under the receiver operating characteristic curve values of 0.881 in the internal test cohort and 0.860 in both temporal and external cohorts.

  • 4

    Sensitivity and specificity for the self-supervised model were 0.581 and 0.845, outperforming a guideline-inspired comparator in the external cohort.

  • 5

    The study highlights the potential of self-supervised learning to improve preoperative nodal staging accuracy in esophageal squamous cell carcinoma.

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