Evidence map›Paper›PMID 34870220›Full record

ArticleRadiology. Artificial intelligence2021

Cancer Risk Estimation Combining Lung Screening CT with Clinical Data Elements.

Riqiang Gao, Yucheng Tang, Mirza S Khan, Kaiwen Xu, Alexis B Paulson, Shelbi Sullivan, Yuankai Huo, Stephen Deppen, Pierre P Massion, Kim L Sandler and 1 more

Open access · greenAbstract read
In one paragraph

Article in Radiology. Artificial intelligence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Risk prediction for lung cancer screening: a systematic review and meta-regression.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
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  14. Cross-scale Attention Guided Multi-instance Learning for Crohn's Disease Diagnosis with Pathological Images.Multiscale multimodal medical imaging : Third International Workshop, MMMI 2022, held in conjunction with MICCAI 2022, Singapore, September 22, 2022, proceedings · 2022
    Article
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 1 institution in 1 country.

Riqiang GaoDepartments of Computer Science (R.G., K.X., Y.H., B.A.L.) and Electrical and Computer Engineering (Y.T., Y.H., B.A.L.), Vanderbilt University, 400 24th Ave S, Featheringill Hall, Room 371, Nashville, TN 37235; and Departments of Radiology and Radiological Sciences (A.B.P., K.L.S.), Thoracic Surgery (S.S., S.D.), General Internal Medicine and Public Health (M.S.K.), Biomedical Informatics (M.S.K.), and Medicine, Division of Allergy, Pulmonary and Critical Care Medicine (P.P.M.), Vanderbilt University Medical Center, Nashville, Tenn.ORCID 0000-0002-8729-1941
Yucheng TangDepartments of Computer Science (R.G., K.X., Y.H., B.A.L.) and Electrical and Computer Engineering (Y.T., Y.H., B.A.L.), Vanderbilt University, 400 24th Ave S, Featheringill Hall, Room 371, Nashville, TN 37235; and Departments of Radiology and Radiological Sciences (A.B.P., K.L.S.), Thoracic Surgery (S.S., S.D.), General Internal Medicine and Public Health (M.S.K.), Biomedical Informatics (M.S.K.), and Medicine, Division of Allergy, Pulmonary and Critical Care Medicine (P.P.M.), Vanderbilt University Medical Center, Nashville, Tenn.ORCID 0000-0002-6008-9700
Mirza S KhanDepartments of Computer Science (R.G., K.X., Y.H., B.A.L.) and Electrical and Computer Engineering (Y.T., Y.H., B.A.L.), Vanderbilt University, 400 24th Ave S, Featheringill Hall, Room 371, Nashville, TN 37235; and Departments of Radiology and Radiological Sciences (A.B.P., K.L.S.), Thoracic Surgery (S.S., S.D.), General Internal Medicine and Public Health (M.S.K.), Biomedical Informatics (M.S.K.), and Medicine, Division of Allergy, Pulmonary and Critical Care Medicine (P.P.M.), Vanderbilt University Medical Center, Nashville, Tenn.ORCID 0000-0001-7007-9437
Kaiwen XuDepartments of Computer Science (R.G., K.X., Y.H., B.A.L.) and Electrical and Computer Engineering (Y.T., Y.H., B.A.L.), Vanderbilt University, 400 24th Ave S, Featheringill Hall, Room 371, Nashville, TN 37235; and Departments of Radiology and Radiological Sciences (A.B.P., K.L.S.), Thoracic Surgery (S.S., S.D.), General Internal Medicine and Public Health (M.S.K.), Biomedical Informatics (M.S.K.), and Medicine, Division of Allergy, Pulmonary and Critical Care Medicine (P.P.M.), Vanderbilt University Medical Center, Nashville, Tenn.ORCID https://orcid.org/0000-0002-2664-255X
Alexis B PaulsonDepartments of Computer Science (R.G., K.X., Y.H., B.A.L.) and Electrical and Computer Engineering (Y.T., Y.H., B.A.L.), Vanderbilt University, 400 24th Ave S, Featheringill Hall, Room 371, Nashville, TN 37235; and Departments of Radiology and Radiological Sciences (A.B.P., K.L.S.), Thoracic Surgery (S.S., S.D.), General Internal Medicine and Public Health (M.S.K.), Biomedical Informatics (M.S.K.), and Medicine, Division of Allergy, Pulmonary and Critical Care Medicine (P.P.M.), Vanderbilt University Medical Center, Nashville, Tenn.
Shelbi SullivanDepartments of Computer Science (R.G., K.X., Y.H., B.A.L.) and Electrical and Computer Engineering (Y.T., Y.H., B.A.L.), Vanderbilt University, 400 24th Ave S, Featheringill Hall, Room 371, Nashville, TN 37235; and Departments of Radiology and Radiological Sciences (A.B.P., K.L.S.), Thoracic Surgery (S.S., S.D.), General Internal Medicine and Public Health (M.S.K.), Biomedical Informatics (M.S.K.), and Medicine, Division of Allergy, Pulmonary and Critical Care Medicine (P.P.M.), Vanderbilt University Medical Center, Nashville, Tenn.ORCID 0000-0001-6358-5518
Yuankai HuoDepartments of Computer Science (R.G., K.X., Y.H., B.A.L.) and Electrical and Computer Engineering (Y.T., Y.H., B.A.L.), Vanderbilt University, 400 24th Ave S, Featheringill Hall, Room 371, Nashville, TN 37235; and Departments of Radiology and Radiological Sciences (A.B.P., K.L.S.), Thoracic Surgery (S.S., S.D.), General Internal Medicine and Public Health (M.S.K.), Biomedical Informatics (M.S.K.), and Medicine, Division of Allergy, Pulmonary and Critical Care Medicine (P.P.M.), Vanderbilt University Medical Center, Nashville, Tenn.
Stephen DeppenDepartments of Computer Science (R.G., K.X., Y.H., B.A.L.) and Electrical and Computer Engineering (Y.T., Y.H., B.A.L.), Vanderbilt University, 400 24th Ave S, Featheringill Hall, Room 371, Nashville, TN 37235; and Departments of Radiology and Radiological Sciences (A.B.P., K.L.S.), Thoracic Surgery (S.S., S.D.), General Internal Medicine and Public Health (M.S.K.), Biomedical Informatics (M.S.K.), and Medicine, Division of Allergy, Pulmonary and Critical Care Medicine (P.P.M.), Vanderbilt University Medical Center, Nashville, Tenn.
Pierre P MassionDepartments of Computer Science (R.G., K.X., Y.H., B.A.L.) and Electrical and Computer Engineering (Y.T., Y.H., B.A.L.), Vanderbilt University, 400 24th Ave S, Featheringill Hall, Room 371, Nashville, TN 37235; and Departments of Radiology and Radiological Sciences (A.B.P., K.L.S.), Thoracic Surgery (S.S., S.D.), General Internal Medicine and Public Health (M.S.K.), Biomedical Informatics (M.S.K.), and Medicine, Division of Allergy, Pulmonary and Critical Care Medicine (P.P.M.), Vanderbilt University Medical Center, Nashville, Tenn.
Kim L SandlerDepartments of Computer Science (R.G., K.X., Y.H., B.A.L.) and Electrical and Computer Engineering (Y.T., Y.H., B.A.L.), Vanderbilt University, 400 24th Ave S, Featheringill Hall, Room 371, Nashville, TN 37235; and Departments of Radiology and Radiological Sciences (A.B.P., K.L.S.), Thoracic Surgery (S.S., S.D.), General Internal Medicine and Public Health (M.S.K.), Biomedical Informatics (M.S.K.), and Medicine, Division of Allergy, Pulmonary and Critical Care Medicine (P.P.M.), Vanderbilt University Medical Center, Nashville, Tenn.ORCID 0000-0003-2989-248X
Bennett A LandmanDepartments of Computer Science (R.G., K.X., Y.H., B.A.L.) and Electrical and Computer Engineering (Y.T., Y.H., B.A.L.), Vanderbilt University, 400 24th Ave S, Featheringill Hall, Room 371, Nashville, TN 37235; and Departments of Radiology and Radiological Sciences (A.B.P., K.L.S.), Thoracic Surgery (S.S., S.D.), General Internal Medicine and Public Health (M.S.K.), Biomedical Informatics (M.S.K.), and Medicine, Division of Allergy, Pulmonary and Critical Care Medicine (P.P.M.), Vanderbilt University Medical Center, Nashville, Tenn.ORCID 0000-0001-5733-2127
Vanderbilt University · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
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
Cellular, molecular and quantitative imaging analysis of screening-detected lung adenocarcinomaU01CA196405 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MALDONADO, FABIEN · 2015 to 2020
$5.4M
Controlling Quality and Capturing Uncertainty in Advanced Diffusion Weighted MRIR01EB017230 · NIBIB · VANDERBILT UNIVERSITY · PI LANDMAN, BENNETT A. · 2015 to 2024
$5.1M
NCATS NIH HHS UL1 TR000445NCI NIH HHS U01 CA152662NCI NIH HHS U01 CA196405NCRR NIH HHS UL1 RR024975NIBIB NIH HHS R01 EB017230
6 · The paper itself

Abstract

purposeTo develop a model to estimate lung cancer risk using lung cancer screening CT and clinical data elements (CDEs) without manual reading efforts. MATERIALS AND

methodsTwo screening cohorts were retrospectively studied: the National Lung Screening Trial (NLST; participants enrolled between August 2002 and April 2004) and the Vanderbilt Lung Screening Program (VLSP; participants enrolled between 2015 and 2018). Fivefold cross-validation using the NLST dataset was used for initial development and assessment of the co-learning model using whole CT scans and CDEs. The VLSP dataset was used for external testing of the developed model. Area under the receiver operating characteristic curve (AUC) and area under the precision-recall curve were used to measure the performance of the model. The developed model was compared with published risk-prediction models that used only CDEs or imaging data alone. The Brock model was also included for comparison by imputing missing values for patients without a dominant pulmonary nodule.

resultsA total of 23 505 patients from the NLST (mean age, 62 years ± 5 [standard deviation]; 13 838 men, 9667 women) and 147 patients from the VLSP (mean age, 65 years ± 5; 82 men, 65 women) were included. Using cross-validation on the NLST dataset, the AUC of the proposed co-learning model (AUC, 0.88) was higher than the published models predicted with CDEs only (AUC, 0.69;

conclusionThe proposed co-learning predictive model combining chest CT images and CDEs had a higher performance for lung cancer risk prediction than models that contained only CDE or only image data; the proposed model also had a higher performance than the Brock model.

Indexed as

Computer-aided Diagnosis (CAD)CTLungThorax

Identifiers

PMID34870220
PMCPMC8637232
OpenAlexW3206754686

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.