Evidence map›Paper›PMID 26379272›Full record

ArticlePloS one2015

Reproducibility of Volumetric Computed Tomography of Stable Small Pulmonary Nodules with Implications on Estimated Growth Rate and Optimal Scan Interval.

Gary T Smith, Ahmad R Rahman, Ming Li, Brandon Moore, Hester Gietema, Giulia Veronesi, Pierre P Massion, Ronald C Walker

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. 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
1.0field-weighted citation impact, top 21% of its field
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, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. The impact of the lung EDRN-CVC on Phase 1, 2, & 3 biomarker validation studies.Cancer biomarkers : section A of Disease markers · 2022
    Article
  5. Article
  6. Article
  7. The Pursuit of Noninvasive Diagnosis of Lung Cancer.Seminars in respiratory and critical care medicine · 2016
    Review
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

8 authors at 5 institutions in 3 countries.

Gary T SmithDepartment of Medical Imaging, Department of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, Tennessee, United States of America; Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
Ahmad R RahmanDepartment of Medical Imaging, Department of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, Tennessee, United States of America.
Ming LiCenter for Quantitative Science, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
Brandon MooreDepartment of Medical Imaging, Department of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, Tennessee, United States of America.
Hester GietemaMedisch Spectrum Twente, Enschede, The Netherlands.
Giulia VeronesiEuropean Institute of Oncology, Milano, Italy.
Pierre P MassionSection of Pulmonary and Critical Care Medicine, Medical Services, Tennessee Valley Healthcare System, Nashville, Tennessee, United States of America; Departments of Medicine and Cancer Biology, Thoracic Program at the Vanderbilt-Ingram Cancer Center, Nashville, Tennessee, United States of America.
Ronald C WalkerDepartment of Medical Imaging, Department of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, Tennessee, United States of America; Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
Vanderbilt University Medical Center · USVA Tennessee Valley Healthcare System · USEuropean Institute of Oncology · ITMedisch Spectrum Twente · NLVanderbilt University · US

Funding

Validation of Biomarkers of Risk for the Early Detection of Lung CancerU01CA152662 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DEPPEN, STEPHEN, GROGAN, ERIC L · 2010 to 2025
$12.8M
NCI NIH HHS U01 CA152662NCI NIH HHS U01CA152662
6 · The paper itself

Abstract

purposeTo use clinically measured reproducibility of volumetric CT (vCT) of lung nodules to estimate error in nodule growth rate in order to determine optimal scan interval for patient follow-up.

methodsWe performed quantitative vCT on 89 stable non-calcified nodules and 49 calcified nodules measuring 3-13 mm diameter in 71 patients who underwent 3-9 repeat vCT studies for clinical evaluation of pulmonary nodules. Calculated volume standard deviation as a function of mean nodule volume was used to compute error in estimated growth rate. This error was then used to determine the optimal patient follow-up scan interval while fixing the false positive rate at 5%.

resultsLinear regression of nodule volume standard deviation versus the mean nodule volume for stable non-calcified nodules yielded a slope of 0.057 ± 0.002 (r2 = 0.79, p<0.001). For calcified stable nodules, the regression slope was 0.052 ± 0.005 (r2 = 0.65, p = 0.03). Using this with the error propagation formula, the optimal patient follow-up scan interval was calculated to be 81 days, independent of initial nodule volume.

conclusionsReproducibility of vCT is excellent, and the standard error is proportional to the mean calculated nodule volume for the range of nodules examined. This relationship constrains statistical certainty of vCT calculated doubling times and results in an optimal scan interval that is independent of the initial nodule volume.

Indexed as

AdultAgedCone-Beam Computed TomographyFalse Positive ReactionsFemaleHumansLungMaleMiddle AgedMultiple Pulmonary NodulesReproducibility of ResultsRetrospective Studies

Identifiers

PMID26379272
PMCPMC4575025
OpenAlexW2292823008

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.