Evidence map›Paper›PMID 35332684›Full record

ArticleCancer medicine2022

Predicting Ki-67 labeling index level in early-stage lung adenocarcinomas manifesting as ground-glass opacity nodules using intra-nodular and peri-nodular radiomic features.

Minghui Zhu, Zhen Yang, Wei Zhao, Miaoyu Wang, Wenjia Shi, Zhenshun Cheng, Cheng Ye, Qiang Zhu, Lu Liu, Zhixin Liang and 1 more

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Article in Cancer medicine, 2022. 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.

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9citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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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

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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

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5 · Who and what money

Authors and funding

11 authors.

Minghui ZhuDepartment of Respiratory Medicine, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0003-2251-1496
Zhen YangDepartment of Respiratory Medicine, Chinese People's Liberation Army General Hospital, Beijing, China.
Wei ZhaoDepartment of Respiratory Medicine, Chinese People's Liberation Army General Hospital, Beijing, China.
Miaoyu WangDepartment of Respiratory Medicine, Chinese People's Liberation Army General Hospital, Beijing, China.
Wenjia ShiDepartment of Respiratory Medicine, Chinese People's Liberation Army General Hospital, Beijing, China.
Zhenshun ChengDepartment of Pulmonary and Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Cheng YeDepartment of Immunology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Qiang ZhuDepartment of Respiratory Medicine, Chinese People's Liberation Army General Hospital, Beijing, China.
Lu LiuDepartment of Nutrition, Chinese People's Liberation Army General Hospital, Beijing, China.
Zhixin LiangDepartment of Respiratory Medicine, Chinese People's Liberation Army General Hospital, Beijing, China.
Liangan ChenDepartment of Respiratory Medicine, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0002-7373-0595

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the diagnostic value of radiomics in differentiating between lung adenocarcinomas appearing as ground-glass opacity nodules (GGO) with high- and low Ki-67 expression levels. MATERIALS AND

methodsFrom January 2018 to January 2021, patients with pulmonary GGO who received lung resection were evaluated for potential enrollment. The included GGOs were then randomly divided into a training cohort and a validation cohort with a ratio of 7:3. Logistic regression (LR), decision tree (DT), support vector machines (SVM), and adaboost (AB) were applied for radiomic model construction. Area under the curve (AUC) of the receiver operating characteristic (ROC) curve was used to evaluate the diagnostic efficacy of the established models.

resultsSeven hundred and sixty-nine patients with 769 GGOs were included in this study. Two hundred and forty-five GGOs were confirmed to be of high Ki-67 labeling index (LI). In the training cohort, gender, age, spiculation sign, pleural indentation sign, bubble sign, and maximum 2D diameter of the nodule were found to be significantly different between high- and low Ki-67 LI groups (p < 0.05), and spiculation sign and maximum 2D diameter of the nodule were further confirmed to be risk factors for Ki-67 LI. The radiomic model established using SVM exhibited an AUC of 0.731 in the validation cohort, which was higher than that of the clinical-radiographic model (AUC = 0.675). Moreover, radiomic model combining both intra- and peri-nodular features showed better diagnostic efficacy than using intra-nodular features alone (AUC = 0.731 and 0.720, respectively).

conclusionsThe established radiomic model exhibited good diagnostic efficacy in differentiating between lung adenocarcinoma GGOs with high and low Ki-67 LI, which was higher than the clinical-radiographic model. Peri-nodular radiomic features showed added benefits to the radiomic model. As a novel noninvasive method, radiomics have the potential to be applied in the preliminary classification of Ki-67 expression level in lung adenocarcinoma GGOs.

Indexed as

Adenocarcinoma of LungLung NeoplasmsHumansKi-67 AntigenRetrospective StudiesROC CurveTomography, X-Ray ComputedKi-67 Antigenground-glass opacity noduleKi-67lung cancermachine learningradiomics

Identifiers

PMID35332684
PMCPMC9636499

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