Evidence map›Paper›PMID 28710575›Full record

ArticleEuropean radiology2018

Software-based risk stratification of pulmonary adenocarcinomas manifesting as pure ground glass nodules on computed tomography.

Ursula Nemec, Benedikt H Heidinger, Kevin R Anderson, Michael S Westmore, Paul A VanderLaan, Alexander A Bankier

Abstract read
In one paragraph

Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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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

6 authors.

Ursula NemecDepartment of Biomedical Imaging and Image-guided Therapy, Vienna General Hospital, Medical University of Vienna, Waehringer Guertel 18-20, Vienna, Austria. ursula.nemec@meduniwien.ac.at.
Benedikt H HeidingerRadiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Kevin R AndersonPathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Michael S WestmoreImbio, Delafield, WI, USA.
Paul A VanderLaanPathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Alexander A BankierRadiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the performance of the "Computer-Aided Nodule Assessment and Risk Yield" (CANARY) software in the differentiation and risk assessment of histological subtypes of lung adenocarcinomas manifesting as pure ground glass nodules on computed tomography (CT).

methods64 surgically resected and histologically proven adenocarcinomas manifesting as pure ground-glass nodules on CT were assessed using CANARY software, which classifies voxel-densities into three risk components (low, intermediate, and high risk). Differences in risk components between histological adenocarcinoma subtypes were analysed. To determine the optimal threshold reflecting the presence of an invasive focus, sensitivity, specificity, negative predictive value, and positive predictive value were calculated.

results28/64 (44%) were adenocarcinomas in situ (AIS); 26/64 (41%) were minimally invasive adenocarcinomas (MIA); and 10/64 (16%) were invasive ACs (IAC). The software showed significant differences in risk components between histological subtypes (P<0.001-0.003). A relative volume of 45% or less of low-risk components was associated with histological invasiveness (specificity 100%, positive predictive value 100%).

conclusionsCANARY-based risk assessment of ACs manifesting as pure ground glass nodules on CT allows the differentiation of their histological subtypes. A threshold of 45% of low-risk components reflects invasiveness in these groups. KEY POINTS: • CANARY-based risk assessment allows the differentiation of their histological subtypes. • 45% or less of low-risk component reflects histological invasiveness. • CANARY has potential role in suspected adenocarcinomas manifesting as pure ground-glass nodules.

Indexed as

AdenocarcinomaAdenocarcinoma of LungAgedAged, 80 and overDiagnosis, Computer-AssistedFemaleHumansLungLung NeoplasmsMaleMiddle AgedReproducibility of ResultsRetrospective StudiesRisk AssessmentSensitivity and SpecificityTomography, X-Ray ComputedComputed tomographyLung adenocarcinomaPure ground glass noduleRisk stratificationSoftware based

Identifiers

PMID28710575
PMCPMC5717124

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