Evidence map›Paper›PMID 36171571›Full record

ArticleBMC pulmonary medicine2022

Consolidation radiographic morphology can be an indicator of the pathological basis and prognosis of partially solid nodules.

Mei Xie, Jie Gao, Xidong Ma, Chongchong Wu, Xuelei Zang, Yuanyong Wang, Hui Deng, Jie Yao, Tingting Sun, Zhaofeng Yu and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

15 authors at 6 institutions in 1 country.

Mei Xie *Department of Respiratory and Critical Care, Chinese PLA General Hospital, the First Medical Centre, Beijing, 100835, People's Republic of China.
Jie Gao *Department of Pathology, Chinese PLA General Hospital, Beijing, 100835, People's Republic of China.
Xidong Ma *Department of Respiratory and Critical Care, Chinese PLA General Hospital, the First Medical Centre, Beijing, 100835, People's Republic of China.
Chongchong WuDepartment of Radiology, Chinese PLA General Hospital, Beijing, 100835, People's Republic of China.
Xuelei ZangCenter of Clinical Laboratory Medicine, First Medical Centre, Chinese PLA General Hospital, 100835, Beijing, People's Republic of China.
Yuanyong WangDepartment of Thoracic Surgery, Tangdu Hospital of Air Force Military Medical University, Xi'an, 710038, Shanxi, People's Republic of China.
Hui DengDepartment of Respiratory and Critical Care, Beijing Shijitan Hospital, Capital Medical University, 100038, Beijing, People's Republic of China.
Jie YaoDepartment of Respiratory and Critical Care, Beijing Shijitan Hospital, Capital Medical University, 100038, Beijing, People's Republic of China.
Tingting SunDepartment of Radiology, Affiliated Zhongshan Hospital of Dalian University, Dalian, 116001, People's Republic of China.
Zhaofeng YuSchool of Medicine, Peking University, Beijing, 100871, People's Republic of China.
Sanhong LiuInstitute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.
Guanglei ZhuangShanghai Key Laboratory of Gynecologic Oncology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, 200000, Shanghai, People's Republic of China. zhuangguanglei@163.com.
Xinying XueDepartment of Respiratory and Critical Care, Beijing Shijitan Hospital, Capital Medical University, 100038, Beijing, People's Republic of China. xinyingxue2010@163.com.
Jianlin WuDepartment of Radiology, Affiliated Zhongshan Hospital of Dalian University, Dalian, 116001, People's Republic of China. cjr.wujianlin@vip.163.com.
Jianxin WangDepartment of Respiratory and Critical Care, Chinese PLA General Hospital, the First Medical Centre, Beijing, 100835, People's Republic of China. jianxinwang2010@163.com.
Chinese PLA General Hospital · CNBeijing Shijitan Hospital · CNAffiliated Zhongshan Hospital of Dalian University · CNPeking University · CNRenji Hospital · CNShanghai University of Traditional Chinese Medicine · CN

Funding

National Natural Science Foundation of China 81772798National Outstanding Youth Science Fund Project of National Natural Science Foundation of China 81700007
6 · The paper itself

Abstract

backgroundPart-solid nodules (PSNs) have gradually shifted to defining special clinical subtypes. Commonly, the solid portions of PSNs show various radiological morphologies, of which the corresponding pathological basis and prognosis are unclear. We conducted a radiological-pathological evaluation to determine the histopathologic basis of different consolidation radiographic morphologies related to prognosis. MATERIALS AND

methodsA cohort of 275 patients with a surgical pathological diagnosis of lung adenocarcinoma were enrolled. Preoperative computed tomography (CT) images of the PSNs were recorded and assessed. A panel of 103 patients with complete pathological specimens was selected to examine the radiological-pathological associations, and follow-up was performed to identify the prognosis.

resultsOf the 275 patients, punctate consolidation was observed radiologically in 43/275 (15.7%), stripe consolidation in 68/275 (24.7%), and irregular consolidation in 164/275 (59.6%) patients. The radiological morphology of the solid components was significantly associated with the histopathological subtypes (P < 0.001). Visual punctate solid components on CT correlated with tertiary lymphoid structures, stripe solid components on CT correlated with fibrotic scar, and irregular solid components on CT correlated with invasion. PSNs with regular consolidation had a better prognosis than those with irregular consolidation.

conclusionRadiological morphology of solid components in PSNs can indicate the pathological basis and is valuable for prognosis. In particular, irregular solid components in PSNs usually indicate serious invasive growth, which should be taken with caution during assessment.

Indexed as

Adenocarcinoma of LungLung NeoplasmsSolitary Pulmonary NoduleHumansPrognosisRadiographyConsolidationLung adenocarcinomaMorphologyPart-solid nodulePathologyTertiary lymphoid structure

Identifiers

PMID36171571
PMCPMC9520850
OpenAlexW4297493632

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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.