Evidence map›Paper›PMID 28871322›Full record

ArticlePediatric radiology2017

Frequency and characteristics of pulmonary nodules in children at computed tomography.

Atia Samim, Annemieke S Littooij, Marry M van den Heuvel-Eibrink, Frank J Wessels, Rutger A J Nievelstein, Pim A de Jong

Abstract read
In one paragraph

Article in Pediatric radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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  10. Primary lung cancer in children and adolescents.Journal of cancer research and clinical oncology · 2024
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  19. Typical CT Features of Intrapulmonary Lymph Nodes: A Review.Radiology. Cardiothoracic imaging · 2020
    Review
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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.

Atia SamimDepartment of Radiology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, HP E01.132, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0001-6165-0902
Annemieke S LittooijDepartment of Radiology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, HP E01.132, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands. a.s.littooij-2@umcutrecht.nl.
Marry M van den Heuvel-EibrinkDepartment of Pediatric Oncology, Princess Máxima Centre for Pediatric Oncology, Lundlaan 6, 3584 EA, Utrecht, The Netherlands.
Frank J WesselsDepartment of Radiology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, HP E01.132, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Rutger A J NievelsteinDepartment of Radiology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, HP E01.132, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Pim A de JongDepartment of Radiology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, HP E01.132, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNormative data on pulmonary nodules in children without malignancy are limited. Knowledge of the frequency and characteristics of pulmonary nodules in healthy children can influence care decisions in children with malignant disease.

objectiveTo provide normative data concerning the frequency and characteristics of pulmonary nodules on computed tomography (CT) in young children. MATERIALS AND

methodsAll children ages 1 year-12 years who underwent chest CT after high-energy trauma were retrospectively investigated. Exclusion criteria were a history of malignancy, thick image slices, motion artefacts and extensive post-traumatic pulmonary changes. Two radiologists were asked to independently identify all nodules and to characterize each nodule with respect to location, size, perifissural location and calcification. Discrepancies were adjudicated by a third reader, who set the reference standard in this study. Interobserver agreement in detection and characterization was assessed using the kappa coefficient (κ).

resultsIdentified were 120 patients, of whom 72 (75% male; median age: 8.0 years [interquartile range: 4-11]) were included. A total of 59 pulmonary nodules were present in 27 patients (38%; 95% confidence interval: 26-49%; range: 1-5 nodules per patient, with a mean diameter of 3.2 mm [standard deviation: 0.9 mm]). For nodule detection, the per-patient interobserver agreement was substantial (κ=0.78) and per-lobe agreement was moderate (κ=0.40). For characterization, there was fair to substantial agreement (κ=0.36-0.74).

conclusionSmall pulmonary nodules on chest CT are a common finding in otherwise healthy children, but detection and characterization have only moderate interobserver agreement.

Indexed as

ChildChild, PreschoolFemaleHumansInfantMaleObserver VariationRetrospective StudiesSolitary Pulmonary NoduleTomography, X-Ray ComputedChildDetection rateLungsMultidetector computed tomographyObserver variabilityPulmonary nodule

Identifiers

PMID28871322
PMCPMC5693979

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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.