Evidence map›Paper›PMID 33841926›Full record

ArticleJournal of thoracic disease2021

Can peritumoral regions increase the efficiency of machine-learning prediction of pathological invasiveness in lung adenocarcinoma manifesting as ground-glass nodules?

Xiang Wang, Kaili Chen, Wei Wang, Qingchu Li, Kai Liu, Qianyun Li, Xing Cui, Wenting Tu, Hongbiao Sun, Shaochun Xu and 4 more

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

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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

14 authors.

Xiang WangDepartment of Radiology, Changzheng Hospital, Naval Medical University, Shanghai, China.
Kaili ChenDepartment of Hematology, The Myeloma & Lymphoma Center, Changzheng Hospital, Naval Medical University, Shanghai, China.
Wei WangDepartment of Radiology, Changzheng Hospital, Naval Medical University, Shanghai, China.
Qingchu LiDepartment of Radiology, Changzheng Hospital, Naval Medical University, Shanghai, China.
Kai LiuDepartment of Radiology, Changzheng Hospital, Naval Medical University, Shanghai, China.
Qianyun LiDepartment of Radiology, Taizhou Hospital of Zhejiang Province, Linhai, China.
Xing CuiBeijing Infervision Technology Co. Ltd., Beijing, China.
Wenting TuDepartment of Radiology, Changzheng Hospital, Naval Medical University, Shanghai, China.
Hongbiao SunDepartment of Radiology, Changzheng Hospital, Naval Medical University, Shanghai, China.
Shaochun XuDepartment of Radiology, Changzheng Hospital, Naval Medical University, Shanghai, China.
Rongguo ZhangBeijing Infervision Technology Co. Ltd., Beijing, China.
Yi XiaoDepartment of Radiology, Changzheng Hospital, Naval Medical University, Shanghai, China.
Li FanDepartment of Radiology, Changzheng Hospital, Naval Medical University, Shanghai, China.
Shiyuan LiuDepartment of Radiology, Changzheng Hospital, Naval Medical University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe peri-tumor microenvironment plays an important role in the occurrence, growth and metastasis of cancer. The aim of this study is to explore the value and application of a CT image-based deep learning model of tumors and peri-tumors in predicting the invasiveness of ground-glass nodules (GGNs).

methodsPreoperative thin-section chest CT images were reviewed retrospectively in 622 patients with a total of 687 pulmonary GGNs. GGNs are classified according to clinical management strategies as invasive lesions (IAC) and non-invasive lesions (AAH, AIS and MIA). The two volumes of interest (VOIs) identified on CT were the gross tumor volume (GTV) and the gross volume of tumor incorporating peritumoral region (GPTV). Three dimensional (3D) DenseNet was used to model and predict GGN invasiveness, and five-fold cross validation was performed. We used GTV and GPTV as inputs for the comparison model. Prediction performance was evaluated by sensitivity, specificity, and area under the receiver operating characteristic curve (AUC).

resultsThe GTV-based model was able to successfully predict GGN invasiveness, with an AUC of 0.921 (95% CI, 0.896-0.937). Using GPTV, the AUC of the model increased to 0.955 (95% CI, 0.939-0.971).

conclusionsThe deep learning method performed well in predicting GGN invasiveness. The predictive ability of the GPTV-based model was more effective than that of the GTV-based model.

Indexed as

deep learningperitumoral regionPulmonary adenocarcinomatumor invasivenessX-ray computed tomography (X-ray CT)

Identifiers

PMID33841926
PMCPMC8024795

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LicenceCC BY-NC-ND
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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.