Evidence map›Paper›PMID 33303552›Full record

ArticleThe European respiratory journal2021

Validation of the BRODERS classifier (Benign

Fabien Maldonado, Cyril Varghese, Srinivasan Rajagopalan, Fenghai Duan, Aneri B Balar, Dhairya A Lakhani, Sanja L Antic, Pierre P Massion, Tucker F Johnson, Ronald A Karwoski and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The European respiratory journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  12. Improving Lung Cancer Diagnosis with CT Radiomics and Serum Histoplasmosis Testing.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  13. The Intervention Probability Curve: Modeling the Practical Application of Threshold-Guided Decision-Making, Evaluated in Lung, Prostate, and Ovarian Cancers.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Article
  14. Review
  15. The impact of the lung EDRN-CVC on Phase 1, 2, & 3 biomarker validation studies.Cancer biomarkers : section A of Disease markers · 2022
    Article
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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

13 authors at 5 institutions in 1 country.

Fabien MaldonadoDivision of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Cyril VargheseDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA.
Srinivasan RajagopalanDept of Physiology and Biomechanical Engineering, Mayo Clinic, Rochester, MN, USA.
Fenghai DuanPulmonary Section, Medical Service, Tennessee Valley Healthcare Systems, Nashville Campus, Nashville, TN, USA.ORCID https://orcid.org/0000-0002-5084-0070
Aneri B BalarDivision of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID https://orcid.org/0000-0002-3592-708X
Dhairya A LakhaniDivision of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID https://orcid.org/0000-0001-7577-1887
Sanja L AnticDivision of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Pierre P MassionDivision of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Tucker F JohnsonDept of Radiology, Mayo Clinic, Rochester, MN, USA.
Ronald A KarwoskiDept of Physiology and Biomechanical Engineering, Mayo Clinic, Rochester, MN, USA.
Richard A RobbDept of Physiology and Biomechanical Engineering, Mayo Clinic, Rochester, MN, USA.
Brian J BartholmaiDept of Radiology, Mayo Clinic, Rochester, MN, USA.
Tobias PeikertDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA peikert.tobias@mayo.edu.
Mayo Clinic in Arizona · USVanderbilt University Medical Center · USMayo Clinic · USBrown University · USVA Tennessee Valley Healthcare System · US

Funding

Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
Statistics CoreU10CA180794 · NCI · DANA-FARBER CANCER INST · PI PAUL J CATALANO, CONSTANTINE A. GATSONIS · 2014 to 2026
$111.2M
West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
Validation of Biomarkers of Risk for the Early Detection of Lung CancerU01CA152662 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DEPPEN, STEPHEN, GROGAN, ERIC L · 2010 to 2025
$12.8M
Non-invasive evaluation of indeterminate pulmonary nodulesU01CA186145 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MASSION, PIERRE P. · 2015 to 2019
$2.0M
NCI NIH HHS U01 CA152662NCI NIH HHS U01 CA186145NCI NIH HHS U10 CA180794NCI NIH HHS U10 CA180820NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

introductionImplementation of low-dose chest computed tomography (CT) lung cancer screening and the ever-increasing use of cross-sectional imaging are resulting in the identification of many screen- and incidentally detected indeterminate pulmonary nodules. While the management of nodules with low or high pre-test probability of malignancy is relatively straightforward, those with intermediate pre-test probability commonly require advanced imaging or biopsy. Noninvasive risk stratification tools are highly desirable.

methodsWe previously developed the BRODERS classifier (Benign

resultsFor the entire Vanderbilt validation set (n=170, 54% malignant), the AUC was 0.87 (95% CI 0.81-0.92) for the Brock model and 0.90 (95% CI 0.85-0.94) for the BRODERS model. Using the optimal cut-off determined by Youden's index, the sensitivity was 92.3%, the specificity was 62.0%, the positive (PPV) and negative predictive values (NPV) were 73.7% and 87.5%, respectively. For nodules with intermediate pre-test probability of malignancy, Brock score of 5-65% (n=97), the sensitivity and specificity were 94% and 46%, respectively, the PPV was 78.4% and the NPV was 79.2%.

conclusionsThe BRODERS radiomic predictive model performs well on an independent dataset and may facilitate the management of indeterminate pulmonary nodules.

Indexed as

Lung NeoplasmsMultiple Pulmonary NodulesSolitary Pulmonary NoduleArea Under CurveEarly Detection of CancerHumansTomography, X-Ray Computed

Identifiers

PMID33303552
PMCPMC8375083
OpenAlexW3113298793

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.