Evidence map›Paper›PMID 34026629›Full record

ArticleFrontiers in oncology2021

Development and Prospective Validation of an Ultrasound Prediction Model for the Differential Diagnosis of Benign and Malignant Subpleural Pulmonary Lesions: A Large Ambispective Cohort Study.

Ke Bi, De-Meng Xia, Lin Fan, Xiao-Fei Ye, Yi Zhang, Meng-Jun Shen, Hong-Wei Chen, Yang Cong, Hui-Ming Zhu, Chun-Hong Tang and 2 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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

12 authors.

Ke BiDepartment of Ultrasound, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
De-Meng XiaDepartment of Emergency, Changhai Hospital, The Naval Medical University, Shanghai, China.
Lin FanShanghai Clinic and Research Center of Tuberculosis, Department of Tuberculosis, Shanghai Key Laboratory of Tuberculosis, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Xiao-Fei YeDepartment of Health Statistics, The Naval Medical University, Shanghai, China.
Yi ZhangDepartment of Ultrasound, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Meng-Jun ShenDepartment of Ultrasound, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Hong-Wei ChenDepartment of Ultrasound, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Yang CongDepartment of Ultrasound, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Hui-Ming ZhuDepartment of Ultrasound, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Chun-Hong TangDepartment of Ultrasound, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Jing YuanDepartment of Ultrasound, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Yin WangDepartment of Ultrasound, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop and prospective validate an ultrasound (US) prediction model to differentiate between benign and malignant subpleural pulmonary lesions (SPLs).

methodsThis study was conducted retrospectively from July 2017 to December 2018 (development cohort [DC], n = 592) and prospectively from January to April 2019 (validation cohort [VC], n = 220). A total of 18 parameters of B-mode US and contrast-enhanced US (CEUS) were acquired. Based on the DC, a model was developed using binary logistic regression. Then its discrimination and calibration were verified internally in the DC and externally in the VC, and its diagnostic performance was compared with those of the existing US diagnostic criteria in the two cohorts. The reference criteria were from the comprehensive diagnosis of clinical-radiological-pathological made by two senior respiratory physicians.

resultsThe model was eventually constructed with 6 parameters: the angle between lesion border and thoracic wall, basic intensity, lung-lesion arrival time difference, ratio of arrival time difference, vascular sign, and non-enhancing region type. In both internal and external validation, the model provided excellent discrimination of benign and malignant SPLs (C-statistic: 0.974 and 0.980 respectively), which is higher than that of "lesion-lung AT difference ≥ 2.5 s" (C-statistic: 0.842 and 0.777 respectively,

conclusionThe prediction model integrating multiple parameters of B-mode US and CEUS can accurately predict the malignancy probability, so as to effectively differentiate between benign and malignant SPLs, and has better diagnostic performance than the existing US diagnostic criteria. CLINICAL

trial registrationwww.chictr.org.cn, identifier ChiCTR1800019828.

Indexed as

contrast-enhanced ultrasounddifferential diagnosislung ultrasoundprediction modelpulmonary lesion

Identifiers

PMID34026629
PMCPMC8132998

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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.