Evidence map›Paper›PMID 31395012›Full record

ArticleBMC medical imaging2019

Computed tomography-based predictive nomogram for differentiating primary progressive pulmonary tuberculosis from community-acquired pneumonia in children.

Bei Wang, Min Li, He Ma, Fangfang Han, Yan Wang, Shunying Zhao, Zhimin Liu, Tong Yu, Jie Tian, Di Dong and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC medical imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
6.8field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 53 citations in OpenAlex.

  1. CT-based radiomics nomogram for distinguishingTranslational pediatrics · 2026
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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

11 authors at 3 institutions in 1 country.

Bei WangDepartment of Radiology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No.56 Nanlishi Road, Beijing, 100045, China.
Min LiSino-Dutch Biomedical and Information Engineering School, Northeastern University, No. 3-11 Wenhua Road, Shenyang, China.
He MaSino-Dutch Biomedical and Information Engineering School, Northeastern University, No. 3-11 Wenhua Road, Shenyang, China.
Fangfang HanSino-Dutch Biomedical and Information Engineering School, Northeastern University, No. 3-11 Wenhua Road, Shenyang, China.
Yan WangDepartment of Radiology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No.56 Nanlishi Road, Beijing, 100045, China.
Shunying ZhaoDepartment of Respiratory Medicine, Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, No.56 Nanlishi Road, Beijing, 100045, China.
Zhimin LiuDepartment of Radiology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No.56 Nanlishi Road, Beijing, 100045, China.
Tong YuDepartment of Radiology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No.56 Nanlishi Road, Beijing, 100045, China.
Jie TianCAS Key Laboratory of Molecular Imaging, State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, No.95 Zhongguancun East Road, Beijing, 100190, China.
Di DongCAS Key Laboratory of Molecular Imaging, State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, No.95 Zhongguancun East Road, Beijing, 100190, China. di.dong@ia.ac.cn.
Yun PengDepartment of Radiology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No.56 Nanlishi Road, Beijing, 100045, China. ppengyun@hotmail.com.ORCID 0000-0001-8213-9716
Capital Medical University · CNChinese Academy of Sciences · CNNortheastern University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the value of predictive nomogram in optimizing computed tomography (CT)-based differential diagnosis of primary progressive pulmonary tuberculosis (TB) from community-acquired pneumonia (CAP) in children.

methodsThis retrospective study included 53 patients with clinically confirmed pulmonary TB and 62 patients with CAP. Patients were grouped at random according to a 3:1 ratio (primary cohort n = 86, validation cohort n = 29). A total of 970 radiomic features were extracted from CT images and key features were screened out to build radiomic signatures using the least absolute shrinkage and selection operator algorithm. A predictive nomogram was developed based on the signatures and clinical factors, and its performance was assessed by the receiver operating characteristic curve, calibration curve, and decision curve analysis.

resultsInitially, 5 and 6 key features were selected to establish a radiomic signature from the pulmonary consolidation region (RS1) and a signature from lymph node region (RS2), respectively. A predictive nomogram was built combining RS1, RS2, and a clinical factor (duration of fever). Its classification performance (AUC = 0.971, 95% confidence interval [CI]: 0.912-1) was better than the senior radiologist's clinical judgment (AUC = 0.791, 95% CI: 0.636-0.946), the clinical factor (AUC = 0.832, 95% CI: 0.677-0.987), and the combination of RS1 and RS2 (AUC = 0.957, 95% CI: 0.889-1). The calibration curves indicated a good consistency of the nomogram. Decision curve analysis demonstrated that the nomogram was useful in clinical settings.

conclusionsA CT-based predictive nomogram was proposed and could be conveniently used to differentiate pulmonary TB from CAP in children.

Indexed as

NomogramsAlgorithmsChildChild, PreschoolCommunity-Acquired InfectionsDiagnosis, DifferentialFemaleHumansInfantInfant, NewbornLymph NodesMaleRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesROC CurveTomography, X-Ray ComputedChildNomogramPneumoniaPulmonaryRadiomicsTuberculosis

Identifiers

PMID31395012
PMCPMC6688341
OpenAlexW2967345187

What OpenQuestion holds

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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.