Evidence map›Paper›PMID 38757628›Full record

ArticleTherapeutic advances in respiratory disease

A combination of radiomic features, clinic characteristics, and serum tumor biomarkers to predict the possibility of the micropapillary/solid component of lung adenocarcinoma.

Xiaowei Xing, Liangping Li, Mingxia Sun, Xinhai Zhu, Yue Feng

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Article in Therapeutic advances in respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

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16citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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  15. Translational lung cancer research · 2024
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xiaowei XingCancer Center, Department of Radiology, Zhejiang Provincial People's Hospital, (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Liangping LiDepartment of Radiology, Zhejiang Hospital, Hangzhou, Zhejiang, China.
Mingxia SunDepartment of Radiology, Zhejiang Hospital, Hangzhou, Zhejiang, China.
Xinhai ZhuDepartment of Thoracic Surgery, Zhejiang Hospital, Hangzhou, Zhejiang, China.
Yue FengCancer Center, Department of Radiology, Zhejiang Provincial People's Hospital, (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.ORCID 0000-0001-6251-9199

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive lung adenocarcinoma with MPP/SOL components has a poor prognosis and often shows a tendency to recurrence and metastasis. This poor prognosis may require adjustment of treatment strategies. Preoperative identification is essential for decision-making for subsequent treatment.

objectiveThis study aimed to preoperatively predict the probability of MPP/SOL components in lung adenocarcinomas by a comprehensive model that includes radiomics features, clinical characteristics, and serum tumor biomarkers.

designA retrospective case control, diagnostic accuracy study.

methodsThis study retrospectively recruited 273 patients (males: females, 130: 143; mean age ± standard deviation, 63.29 ± 10.03 years; range 21-83 years) who underwent resection of invasive lung adenocarcinoma. Sixty-one patients (22.3%) were diagnosed with lung adenocarcinoma with MPP/SOL components. Radiomic features were extracted from CT before surgery. Clinical, radiomic, and combined models were developed using the logistic regression algorithm. The clinical and radiomic signatures were integrated into a nomogram. The diagnostic performance of the models was evaluated using the area under the curve (AUC). Studies were scored according to the Radiomics Quality Score and Transparent Reporting of a Multivariable Prediction Model for Individual Prognosis or Diagnosis guidelines.

resultsThe radiomics model achieved the best AUC values of 0.858 and 0.822 in the training and test cohort, respectively. Tumor size (T_size), solid tumor size (ST_size), consolidation-to-tumor ratio (CTR), years of smoking, CYFRA 21-1, and squamous cell carcinoma antigen were used to construct the clinical model. The clinical model achieved AUC values of 0.741 and 0.705 in the training and test cohort, respectively. The nomogram showed higher AUCs of 0.894 and 0.843 in the training and test cohort, respectively.

conclusionThis study has developed and validated a combined nomogram, a visual tool that integrates CT radiomics features with clinical indicators and serum tumor biomarkers. This innovative model facilitates the differentiation of micropapillary or solid components within lung adenocarcinoma and achieves a higher AUC, indicating superior predictive accuracy.

Indexed as

Adenocarcinoma of LungBiomarkers, TumorLung NeoplasmsNomogramsPredictive Value of TestsAdenocarcinoma, PapillaryAdultAgedAged, 80 and overAntigens, NeoplasmFemaleHumansKeratin-19MaleMiddle AgedNeoplasm Invasivenessantigen CYFRA21.1Antigens, NeoplasmBiomarkers, TumorKeratin-19CTlung adenocarcinomapreoperative differentialradiomics

Identifiers

PMID38757628
PMCPMC11102675

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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.