Evidence map›Paper›PMID 39677830›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2024

A CT-Based Lung Radiomics Nomogram for Classifying the Severity of Chronic Obstructive Pulmonary Disease.

Taohu Zhou, Xiuxiu Zhou, Jiong Ni, Yu Guan, Xin'ang Jiang, Xiaoqing Lin, Jie Li, Yi Xia, Xiang Wang, Yun Wang and 6 more

Abstract readMulticenter StudyValidation Study
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
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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

16 authors.

Taohu Zhou *Department of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Xiuxiu Zhou *Department of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Jiong NiDepartment of Radiology, Tongji Hospital, School of Medicine, Tongji University, Shanghai, People's Republic of China.
Yu GuanDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.ORCID 0000-0001-9416-058X
Xin'ang JiangDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Xiaoqing LinDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Jie LiDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Yi XiaDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Xiang WangDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Yun WangDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.
Wenjun HuangDepartment of Radiology, The Second People's Hospital of Deyang, Deyang, Sichuan, People's Republic of China.
Wenting TuDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.ORCID 0000-0003-1010-7189
Peng DongSchool of Medical Imaging, Shandong Second Medical University, Weifang, Shandong, People's Republic of China.
Zhaobin LiDepartment of Radiation Oncology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, People's Republic of China.
Shiyuan LiuDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.ORCID 0000-0003-3420-0310
Li FanDepartment of Radiology, Second Affiliated Hospital of Naval Medical University, Shanghai, People's Republic of China.ORCID 0000-0003-4722-3933

Funding

National Natural Science Foundation of China 82430065, 82171926, 81930049the Medical Imaging Database Construction Program of National Health Commission YXFSC2022JJSJ002the National Key Research and Development Program of China 2022YFC2010002, 2022YFC2010000the National Key Research and Development Program of China 2022YFC2010005
6 · The paper itself

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a major global health concern, and while traditional pulmonary function tests are effective, recent radiomics advancements offer enhanced evaluation by providing detailed insights into the heterogeneous lung changes. Purpose: To develop and validate a radiomics nomogram based on clinical and whole-lung computed tomography (CT) radiomics features to stratify COPD severity. Patients and Methods: One thousand ninety-nine patients with COPD (including 308, 132, and 659 in the training, internal and external validation sets, respectively), confirmed by pulmonary function test, were enrolled from two institutions. The whole-lung radiomics features were obtained after a fully automated segmentation. Thereafter, a clinical model, radiomics signature, and radiomics nomogram incorporating radiomics signature as well as independent clinical factors were constructed and validated. Additionally, receiver-operating characteristic (ROC) curve, area under the ROC curve (AUC), decision curve analysis (DCA), and the DeLong test were used for performance assessment and comparison. Results: In comparison with clinical model, both radiomics signature and radiomics nomogram outperformed better on COPD severity (GOLD I-II and GOLD III-IV) in three sets. The AUC of radiomics nomogram integrating age, height and Radscore, was 0.865 (95% CI, 0.818-0.913), 0.851 (95% CI, 0.778-0.923), and 0.781 (95% CI, 0.740-0.823) in three sets, which was the highest among three models (0.857; 0.850; 0.774, respectively) but not significantly different (P > 0.05). Decision curve analysis demonstrated the superiority of the radiomics nomogram in terms of clinical usefulness. Conclusion: The present work constructed and verified the novel, diagnostic radiomics nomogram for identifying the severity of COPD, showing the added value of chest CT to evaluate not only the pulmonary structure but also the lung function status.

Indexed as

LungNomogramsPredictive Value of TestsPulmonary Disease, Chronic ObstructiveSeverity of Illness IndexTomography, X-Ray ComputedAgedDecision Support TechniquesFemaleHumansMaleMiddle AgedRadiomicsReproducibility of ResultsRetrospective Studieschronic obstructive pulmonary diseasecomputed tomographyradiomics

Identifiers

PMID39677830
PMCPMC11646399

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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.