Evidence map›Paper›PMID 35328296›Full record

ArticleDiagnostics (Basel, Switzerland)2022

The Role of Chest CT Radiomics in Diagnosis of Lung Cancer or Tuberculosis: A Pilot Study.

Lekshmi Thattaamuriyil Padmakumari, Gisella Guido, Damiano Caruso, Ilaria Nacci, Antonella Del Gaudio, Marta Zerunian, Michela Polici, Renuka Gopalakrishnan, Aziz Kallikunnel Sayed Mohamed, Domenico De Santis and 3 more

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Article
  5. Development of anQuantitative imaging in medicine and surgery · 2025
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  13. Review
  14. Radiomics in Oncology III.Diagnostics (Basel, Switzerland) · 2023
    Article
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  16. 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

13 authors at 5 institutions in 2 countries.

Lekshmi Thattaamuriyil PadmakumariDepartment of Radiology, Apollo Adlux Hospital, Kochi 683576, Kerala, India.
Gisella GuidoDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Radiology Unit-Sant'Andrea University Hospital, Via di Grottarossa, 1035, 00189 Rome, Italy.ORCID 0000-0002-0711-2975
Damiano CarusoDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Radiology Unit-Sant'Andrea University Hospital, Via di Grottarossa, 1035, 00189 Rome, Italy.ORCID 0000-0001-9285-4764
Ilaria NacciDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Radiology Unit-Sant'Andrea University Hospital, Via di Grottarossa, 1035, 00189 Rome, Italy.ORCID 0000-0002-8659-131X
Antonella Del GaudioDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Radiology Unit-Sant'Andrea University Hospital, Via di Grottarossa, 1035, 00189 Rome, Italy.
Marta ZerunianDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Radiology Unit-Sant'Andrea University Hospital, Via di Grottarossa, 1035, 00189 Rome, Italy.ORCID 0000-0003-4635-7999
Michela PoliciDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Radiology Unit-Sant'Andrea University Hospital, Via di Grottarossa, 1035, 00189 Rome, Italy.ORCID 0000-0001-7331-6901
Renuka GopalakrishnanDepartment of Radiodiagnosis, Regional Cancer Centre, Thiruvananthapuram 695011, Kerala, India.
Aziz Kallikunnel Sayed MohamedDepartment of Pulmonology, Apollo Adlux Hospital, Kochi 683576, Kerala, India.
Domenico De SantisDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Radiology Unit-Sant'Andrea University Hospital, Via di Grottarossa, 1035, 00189 Rome, Italy.ORCID 0000-0002-1197-456X
Andrea LaghiDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Radiology Unit-Sant'Andrea University Hospital, Via di Grottarossa, 1035, 00189 Rome, Italy.ORCID 0000-0002-3091-7819
Dania CioniItalian Society of Medical and Interventional Radiology, SIRM Foundation, Via della Signora 2, 20122 Milano, Italy.
Emanuele NeriItalian Society of Medical and Interventional Radiology, SIRM Foundation, Via della Signora 2, 20122 Milano, Italy.ORCID 0000-0001-7950-4559
Sapienza University of Rome · ITApollo Hospitals · INUniversity of Pisa · ITRegional Cancer Center, Thiruvananthapuram · INSocietà Italiana di Reumatologia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In many low-income countries, the poor availability of lung biopsy leads to delayed diagnosis of lung cancer (LC), which can appear radiologically similar to tuberculosis (TB). To assess the ability of CT Radiomics in differentiating between TB and LC, and to evaluate the potential predictive role of clinical parameters, from March 2020 to September 2021, patients with histological diagnosis of TB or LC underwent chest CT evaluation and were retrospectively enrolled. Exclusion criteria were: availability of only enhanced CT scans, previous lung surgery and significant CT motion artefacts. After manual 3D segmentation of enhanced CT, two radiologists, in consensus, extracted and compared radiomics features (T-test or Mann−Whitney), and they tested their performance, in differentiating LC from TB, via Receiver operating characteristic (ROC) curves. Forty patients (28 LC and 12 TB) were finally enrolled, and 31 were male, with a mean age of 59 ± 13 years. Significant differences were found in normal WBC count (p < 0.019) and age (p < 0.001), in favor of the LC group (89% vs. 58%) and with an older population in LC group, respectively. Significant differences were found in 16/107 radiomic features (all p < 0.05). LargeDependenceEmphasis and LargeAreaLowGrayLevelEmphasis showed the best performance in discriminating LC from TB, (AUC: 0.92, sensitivity: 85.7%, specificity: 91.7%, p < 0.0001; AUC: 0.92, sensitivity: 75%, specificity: 100%, p < 0.0001, respectively). Radiomics may be a non-invasive imaging tool in many poor nations, for differentiating LC from TB, with a pivotal role in improving oncological patients’ management; however, future prospective studies will be necessary to validate these initial findings.

Indexed as

chest CTlung cancerlung imagingmultidetector computed tomographyoncologyprecision medicineradiomicstexture analysistuberculosis

Identifiers

PMID35328296
PMCPMC8947348
OpenAlexW4220779878

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.