Evidence map›Paper›PMID 37679806›Full record

ArticleCancer imaging : the official publication of the International Cancer Imaging Society2023

Preoperative CT-based radiomics combined with tumour spread through air spaces can accurately predict early recurrence of stage I lung adenocarcinoma: a multicentre retrospective cohort study.

Yuhang Wang, Yun Ding, Xin Liu, Xin Li, Xiaoteng Jia, Jiuzhen Li, Han Zhang, Zhenchun Song, Meilin Xu, Jie Ren and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Cancer imaging : the official publication of the International Cancer Imaging Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

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

11 authors at 4 institutions in 1 country.

Yuhang Wang *Graduate School, Tianjin Medical University, Tianjin, China.
Yun Ding *Graduate School, Tianjin Medical University, Tianjin, China.
Xin Liu *Graduate School, Tianjin Medical University, Tianjin, China.
Xin LiDepartment of Thoracic Surgery, Tianjin Chest Hospital of Tianjin University, No. 261, Taierzhuang South Road, Jinnan District, Tianjin, 300222, China.
Xiaoteng JiaGraduate School, Tianjin Medical University, Tianjin, China.
Jiuzhen LiGraduate School, Tianjin Medical University, Tianjin, China.
Han ZhangGraduate School, Tianjin Medical University, Tianjin, China.
Zhenchun SongDepartment of Imaging, Tianjin Chest Hospital of Tianjin University, Tianjin, China.
Meilin XuDepartment of Pathology, Tianjin Chest Hospital of Tianjin University, Tianjin, China.
Jie RenGraduate School, Tianjin Medical University, Tianjin, China.
Daqiang SunGraduate School, Tianjin Medical University, Tianjin, China. sdqmd@tju.edu.cn.ORCID http://orcid.org/0009-0000-6602-357X
Tianjin Medical University · CNTianjin Chest Hospital · CNTianjin University · CNTianjin Hospital · CN

Funding

Natural Science Foundation of Tianjin City 21JCYBJC00260Tianjin Research Innovation Project for Postgraduate Students 2022BKY167Tianjin Science and Technology Program 20JCYBJC01350
6 · The paper itself

Abstract

objectiveTo develop and validate a prediction model for early recurrence of stage I lung adenocarcinoma (LUAD) that combines radiomics features based on preoperative CT with tumour spread through air spaces (STAS). MATERIALS AND

methodsThe most recent preoperative thin-section chest CT scans and postoperative pathological haematoxylin and eosin-stained sections were retrospectively collected from patients with a postoperative pathological diagnosis of stage I LUAD. Regions of interest were manually segmented, and radiomics features were extracted from the tumour and peritumoral regions extended by 3 voxel units, 6 voxel units, and 12 voxel units, and 2D and 3D deep learning image features were extracted by convolutional neural networks. Then, the RAdiomics Integrated with STAS model (RAISm) was constructed. The performance of RAISm was then evaluated in a development cohort and validation cohort.

resultsA total of 226 patients from two medical centres from January 2015 to December 2018 were retrospectively included as the development cohort for the model and were randomly split into a training set (72.6%, n = 164) and a test set (27.4%, n = 62). From June 2019 to December 2019, 51 patients were included in the validation cohort. RAISm had excellent discrimination in predicting the early recurrence of stage I LUAD in the training cohort (AUC = 0.847, 95% CI 0.762-0.932) and validation cohort (AUC = 0.817, 95% CI 0.625-1.000). RAISm outperformed single modality signatures and other combinations of signatures in terms of discrimination and clinical net benefits.

conclusionWe pioneered combining preoperative CT-based radiomics with STAS to predict stage I LUAD recurrence postoperatively and confirmed the superior effect of the model in validation cohorts, showing its potential to assist in postoperative treatment strategies.

Indexed as

Adenocarcinoma of LungLung NeoplasmsEosine Yellowish-(YS)HumansRetrospective StudiesTomography, X-Ray ComputedEosine Yellowish-(YS)Deep learningLung adenocarcinomaPreoperative CTRadiomicsSTAS

Identifiers

PMID37679806
PMCPMC10485937
OpenAlexW4386498729

What OpenQuestion holds

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LicenceCC BY
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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.