Evidence map›Paper›PMID 37875818›Full record

Trial reportBMC cancer2023

Construction of a comprehensive predictive model for axillary lymph node metastasis in breast cancer: a retrospective study.

Yan Li, Dong Han, Cong Shen, Xiaoyi Duan

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05826197 (A Study on the Construction of a Comprehensive Predictive Model for Axillary Lymph Node Metastasis in Breast Cancer), which is not on this map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 6% 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.

NCT05826197 unknown statusnot on this map

A Study on the Construction of a Comprehensive Predictive Model for Axillary Lymph Node Metastasis in Breast Cancer

TypeobservationalSponsorFirst Affiliated Hospital Xi'an Jiaotong UniversityRan2023 to 2024Enrolled100ConditionsBreast NeoplasmsArmsRadiomics
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  4. Diagnostic performance ofEuropean journal of nuclear medicine and molecular imaging · 2026
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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

4 authors at 1 institution in 1 country.

Yan LiPET/CT Center, The First Affiliated Hospital of Xi'an Jiaotong University, 277 Yanta West Road, Xi'an Shaanxi, 710061, China.
Dong HanPET/CT Center, The First Affiliated Hospital of Xi'an Jiaotong University, 277 Yanta West Road, Xi'an Shaanxi, 710061, China.
Cong ShenPET/CT Center, The First Affiliated Hospital of Xi'an Jiaotong University, 277 Yanta West Road, Xi'an Shaanxi, 710061, China.
Xiaoyi DuanPET/CT Center, The First Affiliated Hospital of Xi'an Jiaotong University, 277 Yanta West Road, Xi'an Shaanxi, 710061, China. duanxyi@yeah.net.
First Affiliated Hospital of Xi'an Jiaotong University · CN

Funding

Key Research and Development Plan of Shaanxi Province 2023-YBSF-480
6 · The paper itself

Abstract

purposeThe accurate assessment of axillary lymph node metastasis (LNM) in early-stage breast cancer (BC) is of great importance. This study aimed to construct an integrated model based on clinicopathology, ultrasound, PET/CT, and PET radiomics for predicting axillary LNM in early stage of BC. MATERIALS AND

methods124 BC patients who underwent 18 F-fluorodeoxyglucose (18 F-FDG) PET/CT and whose diagnosis were confirmed by surgical pathology were retrospectively analyzed and included in this study. Ultrasound, PET and clinicopathological features of all patients were analyzed, and PET radiomics features were extracted to establish an ultrasound model (clinicopathology and ultrasound; model 1), a PET model (clinicopathology, ultrasound, and PET; model 2), and a comprehensive model (clinicopathology, ultrasound, PET, and radiomics; model 3), and the diagnostic efficacy of each model was evaluated and compared.

resultsThe T stage, US_BIRADS, US_LNM, and PET_LNM in the positive axillary LNM group was significantly higher than that of in the negative LNM group (P = 0.013, P = 0.049, P < 0.001, P < 0.001, respectively). Radiomics score for predicting LNM (RS_LNM) for the negative LNM and positive LNM were statistically significant difference (-1.090 ± 0.448 vs. -0.693 ± 0.344, t = -4.720, P < 0.001), and the AUC was 0.767 (95% CI: 0.674-0.861). The ROC curves showed that model 3 outperformed model 1 for the sensitivity (model 3 vs. model 1, 82.86% vs. 48.57%), and outperformed model 2 for the specificity (model 3 vs. model 2, 82.02% vs. 68.54%) in the prediction of LNM. The AUC of mode 1, model 2 and model 3 was 0.687, 0.826 and 0.874, and the Delong test showed the AUC of model 3 was significantly higher than that of model 1 and model 2 (P < 0.05). Decision curve analysis showed that model 3 resulted in a higher degree of net benefit for all the patients than model 1 and model 2.

conclusionThe use of a comprehensive model based on clinicopathology, ultrasound, PET/CT, and PET radiomics can effectively improve the diagnostic efficacy of axillary LNM in BC.

trial registrationThis study was registered at ClinicalTrials Gov (number NCT05826197) on 7th, May 2023.

Indexed as

Breast NeoplasmsPositron Emission Tomography Computed TomographyFemaleHumansLymphatic MetastasisLymph NodesPositron-Emission TomographyRetrospective StudiesBreast cancerLymph node MetastasisPET/CTRadiomicsUltrasound

Identifiers

PMID37875818
PMCPMC10594862
OpenAlexW4387906673

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.