Evidence map›Paper›PMID 30887209›Full record

ArticleEuropean radiology2019

Can peritumoral radiomics increase the efficiency of the prediction for lymph node metastasis in clinical stage T1 lung adenocarcinoma on CT?

Xiang Wang, Xingyu Zhao, Qiong Li, Wei Xia, Zhaohui Peng, Rui Zhang, Qingchu Li, Junming Jian, Wei Wang, Yuguo Tang and 2 more

Abstract read
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In one paragraph

Article in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 2 pooled it
16.1field-weighted citation impact, top 1% 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

98 citing papers in PubMed, 2 syntheses or guidelines pooled it, 188 citations in OpenAlex.

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38 more citing papers are in PubMed but not listed here.

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

12 authors at 3 institutions in 1 country.

Xiang WangDepartment of Radiology, Changzheng Hospital, Second Military Medical University , No. 415 Fengyang Road, Shanghai, 200003, China.
Xingyu ZhaoUniversity of Science and Technology of China, Hefei, China.
Qiong LiDepartment of Radiology, Changzheng Hospital, Second Military Medical University , No. 415 Fengyang Road, Shanghai, 200003, China.
Wei XiaSuzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou, China.
Zhaohui PengDepartment of Radiology, Changzheng Hospital, Second Military Medical University , No. 415 Fengyang Road, Shanghai, 200003, China.
Rui ZhangSuzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou, China.
Qingchu LiDepartment of Radiology, Changzheng Hospital, Second Military Medical University , No. 415 Fengyang Road, Shanghai, 200003, China.
Junming JianUniversity of Science and Technology of China, Hefei, China.
Wei WangDepartment of Radiology, Changzheng Hospital, Second Military Medical University , No. 415 Fengyang Road, Shanghai, 200003, China.
Yuguo TangSuzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou, China.
Shiyuan LiuDepartment of Radiology, Changzheng Hospital, Second Military Medical University , No. 415 Fengyang Road, Shanghai, 200003, China. lsy0930@163.com.
Xin GaoSuzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou, China. xingaosam@yahoo.com.ORCID http://orcid.org/0000-0001-9906-0596
Second Military Medical University · CNChinese Academy of Sciences · CNUniversity of Science and Technology of China · CN

Funding

Shanghai Municipal Commission of Health and Family Planning Program 20184Y0037Shanghai Municipal Commission of Health and Family Planning Program 2018ZHYL0101The National Key Research and Development Program of China for Intergovernmental Cooperation 2016YFE0103000
6 · The paper itself

Abstract

objectivesTo evaluate the efficiency of radiomics model on CT images of intratumoral and peritumoral lung parenchyma for preoperative prediction of lymph node (LN) metastasis in clinical stage T1 peripheral lung adenocarcinoma patients.

methodsThree hundred sixty-six peripheral lung adenocarcinoma patients with clinical stage T1 were evaluated using five CT scanners. For each patient, two volumes of interest (VOIs) on CT were defined as the gross tumor volume (GTV) and the peritumoral volume (PTV, 1.5 cm around the tumor). One thousand nine hundred forty-six radiomic features were obtained from each VOI, and then refined for reproducibility and redundancy. The refined features were investigated for usefulness in building radiomic signatures by mRMR feature ranking method and LASSO classifier. Multivariable logistic regression analysis was used to develop a radiomic nomogram incorporating the radiomic signature and clinical parameters. The prediction performance was evaluated on the validation cohort.

resultsThe radiomic signatures using the features of GTV and PTV showed a good ability in predicting LN metastasis with an AUC of 0.829 (95% CI, 0.745-0.913) and 0.825 (95% CI, 0.733-0.918), respectively. By incorporating the features of GTV and PTV, the AUC of radiomic signature increased to 0.843 (95% CI, 0.770-0.916). The AUC of radiomic nomogram was 0.869 (95% CI, 0.800-0.938).

conclusionsRadiomic signatures of GTV and PTV both had a good prediction ability in the prediction of LN metastasis, and there is no significant difference of AUC between the two groups. The proposed nomogram can be conveniently used to facilitate the preoperative prediction of LN metastasis in T1 peripheral lung adenocarcinomas. KEY POINTS: • Radiomics from peritumoral lung parenchyma increase the efficiency of the prediction for lymph node metastasis in clinical stage T1 lung adenocarcinoma on CT. • A radiomic nomogram was developed and validated to predict LN metastasis. • Different scan parameters on CT showed that radiomics signature had good predictive performance.

Indexed as

Adenocarcinoma of LungFemaleHumansLungLung NeoplasmsLymphatic MetastasisLymph NodesMagnetic Resonance ImagingMaleMiddle AgedNeoplasm StagingPredictive Value of TestsReproducibility of ResultsRetrospective StudiesTomography, X-Ray ComputedAdenocarcinomaLungLymph nodeMetastasisRadiomics

Identifiers

PMID30887209
OpenAlexW2921044437

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.