Evidence map›Paper›PMID 35054823›Full record

SynthesisInternational journal of molecular sciences2022

Diagnostic Accuracy of CT Texture Analysis in Adrenal Masses: A Systematic Review.

Filippo Crimì, Emilio Quaia, Giulio Cabrelle, Chiara Zanon, Alessia Pepe, Daniela Regazzo, Irene Tizianel, Carla Scaroni, Filippo Ceccato

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

  1. Pooled it
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  7. Review
  8. An interpretableFrontiers in oncology · 2025
    Article
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  11. Prediction of 2-[Cancers · 2023
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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

9 authors.

Filippo CrimìDepartment of Medicine DIMED, University of Padova, 35128 Padua, Italy.ORCID 0000-0001-6822-1430
Emilio QuaiaDepartment of Medicine DIMED, University of Padova, 35128 Padua, Italy.ORCID 0000-0003-2020-9365
Giulio CabrelleDepartment of Medicine DIMED, University of Padova, 35128 Padua, Italy.ORCID 0000-0002-9430-1036
Chiara ZanonDepartment of Medicine DIMED, University of Padova, 35128 Padua, Italy.
Alessia PepeDepartment of Medicine DIMED, University of Padova, 35128 Padua, Italy.
Daniela RegazzoDepartment of Medicine DIMED, University of Padova, 35128 Padua, Italy.ORCID 0000-0002-1942-7202
Irene TizianelDepartment of Medicine DIMED, University of Padova, 35128 Padua, Italy.
Carla ScaroniDepartment of Medicine DIMED, University of Padova, 35128 Padua, Italy.
Filippo CeccatoDepartment of Medicine DIMED, University of Padova, 35128 Padua, Italy.ORCID 0000-0003-1456-8716

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adrenal incidentalomas (AIs) are incidentally discovered adrenal neoplasms. Overt endocrine secretion (glucocorticoids, mineralocorticoids, and catecholamines) and malignancy (primary or metastatic disease) are assessed at baseline evaluation. Size, lipid content, and washout characterise benign AIs (respectively, <4 cm, <10 Hounsfield unit, and rapid release); nonetheless, 30% of adrenal lesions are not correctly indicated. Recently, image-based texture analysis from computed tomography (CT) may be useful to assess the behaviour of indeterminate adrenal lesions. We performed a systematic review to provide the state-of-the-art of texture analysis in patients with AI. We considered 9 papers (from 70 selected), with a median of 125 patients (range 20-356). Histological confirmation was the most used criteria to differentiate benign from the malignant adrenal mass. Unenhanced or contrast-enhanced data were available in all papers; TexRAD and PyRadiomics were the most used software. Four papers analysed the whole volume, and five considered a region of interest. Different texture features were reported, considering first- and second-order statistics. The pooled median area under the ROC curve in all studies was 0.85, depicting a high diagnostic accuracy, up to 93% in differentiating adrenal adenoma from adrenocortical carcinomas. Despite heterogeneous methodology, texture analysis is a promising diagnostic tool in the first assessment of patients with adrenal lesions.

Indexed as

Adrenal Gland NeoplasmsContrast MediaDiagnosis, DifferentialHumansRadiographic Image Interpretation, Computer-AssistedSensitivity and SpecificityTomography, X-Ray ComputedContrast Mediaadrenal glandscomputed tomographyradiomicstexture analysis

Identifiers

PMID35054823
PMCPMC8776161

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.