Evidence map›Paper›PMID 28293773›Full record

ArticleEuropean radiology2017

Malignancy risk estimation of screen-detected nodules at baseline CT: comparison of the PanCan model, Lung-RADS and NCCN guidelines.

Sarah J van Riel, Francesco Ciompi, Colin Jacobs, Mathilde M Winkler Wille, Ernst Th Scholten, Matiullah Naqibullah, Stephen Lam, Mathias Prokop, Cornelia Schaefer-Prokop, Bram van Ginneken

Abstract read
In one paragraph

Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
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

32 citing papers in PubMed.

  1. Insights for Management of Ground-Glass Opacities From the National Lung Screening Trial.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2019
    Trial
  2. Article
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  4. Article
  5. New developments in the imaging of lung cancer.Breathe (Sheffield, England) · 2024
    Review
  6. Article
  7. Review
  8. Computed tomography-guided biopsy for sub-centimetre pulmonary nodules: a meta-analysis.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2023
    Article
  9. Article
  10. Article
  11. Contemporary issues in the implementation of lung cancer screening.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Validation of the BRODERS classifier (BenignThe European respiratory journal · 2021
    Article
  18. Observational
  19. Review
  20. 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

10 authors.

Sarah J van RielDepartment of Radiology and Nuclear Medicine, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands. s.j.vanriel3@gmail.com.
Francesco CiompiDepartment of Radiology and Nuclear Medicine, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
Colin JacobsDepartment of Radiology and Nuclear Medicine, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
Mathilde M Winkler WilleDepartment of Pulmonology Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.
Ernst Th ScholtenDepartment of Radiology and Nuclear Medicine, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
Matiullah NaqibullahDepartment of Pulmonology Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.
Stephen LamDepartment of Integrative Oncology, British Columbia Cancer Agency, Vancouver, British Columbia, Canada.
Mathias ProkopDepartment of Radiology and Nuclear Medicine, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
Cornelia Schaefer-ProkopDepartment of Radiology and Nuclear Medicine, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
Bram van GinnekenDepartment of Radiology and Nuclear Medicine, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the PanCan model, Lung-RADS and the 1.2016 National Comprehensive Cancer Network (NCCN) guidelines for discriminating malignant from benign pulmonary nodules on baseline screening CT scans and the impact diameter measurement methods have on performances.

methodsFrom the Danish Lung Cancer Screening Trial database, 64 CTs with malignant nodules and 549 baseline CTs with benign nodules were included. Performance of the systems was evaluated applying the system's original diameter definitions: D

resultsPanCan performed superiorly to Lung-RADS and NCCN (AUC 0.874 vs. 0.813, p = 0.003; 0.874 vs. 0.836, p = 0.010), using the original diameter specifications. When uniformly applying D

conclusionsWithout follow-up information, the PanCan model performs significantly superiorly to Lung-RADS and the 1.2016 NCCN guidelines for discriminating benign from malignant nodules. The NCCN guidelines are most sensitive to nodule size definition. KEY POINTS: • PanCan model outperforms Lung-RADS and 1.2016 NCCN guidelines in identifying malignant pulmonary nodules. • Nodule size definition had no significant impact on Lung-RADS and PanCan model. • 1.2016 NCCN guidelines were significantly superior when using mean diameter to longest diameter. • Longest diameter achieved lowest performance for all models. • Mean diameter performed equivalently when derived from axial sections and from volumetry.

Indexed as

AgedArea Under CurveEarly Detection of CancerFemaleHumansLungLung NeoplasmsMaleMiddle AgedMultiple Pulmonary NodulesPractice Guidelines as TopicRetrospective StudiesRiskSolitary Pulmonary NoduleTomography, X-Ray ComputedComputer tomographyDiagnostic imagingLung cancer screeningRiskSolitary pulmonary nodule

Identifiers

PMID28293773
PMCPMC5579178

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LicenceCC BY
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Registered trials

None linked

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.