Evidence map›Paper›PMID 39698719›Full record

ArticleQuantitative imaging in medicine and surgery2024

A prediction model based on dual-layer spectral detector computed tomography for distinguishing nonluminal from luminal invasive breast cancer.

Jun Liu, Lanlan Wang, Zhaodong Ai, Lian Jian, Ming Yang, Siye Liu, Xiaoping Yu

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Article in Quantitative imaging in medicine and surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jun Liu *Department of Radiology, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.
Lanlan Wang *Department of Radiology, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.
Zhaodong AiDepartment of Radiology, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.
Lian JianDepartment of Radiology, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.
Ming YangDepartment of Radiology, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.
Siye LiuDepartment of Radiology, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.
Xiaoping YuDepartment of Radiology, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The identification of the molecular subtypes of breast cancer is critical to determining appropriate treatment strategies and assessing prognosis. This study aimed to evaluate the ability of dual-layer spectral detector computed tomography (DLCT) metrics to differentiate luminal from nonluminal invasive breast cancer. Methods: A total of 220 patients with invasive breast cancer who underwent routine DLCT examination were included in the study. The molecular subtypes of breast cancer were identified through immunohistochemical staining of biopsies or postoperative pathological specimens. DLCT quantitative parameters were compared between the luminal and nonluminal types of breast cancer. The diagnostic efficacy of these parameters was determined via receiver operating characteristic (ROC) curves. Univariate and multivariate regression analyses were conducted to identify independent predictors that could differentiate nonluminal from luminal breast cancer. A nomogram prediction model was established based on multivariate regression analysis. The performance of the nomogram model was assessed with ROC curve and calibration curve analyses. Results: Among the DLCT quantitative values, eight were significantly lower in the luminal type than in the nonluminal type of breast cancer (P<0.001-0.011). The area under the curve (AUC) values for these significant DLCT quantitative parameters ranged from 0.604 to 0.694. Multivariate logistic regression analysis identified CT-reported lymph node metastasis status [hazard ratio (HR) =4.214; P<0.001], the Hounsfield unit (HU) value of the virtual monoenergetic image at 40 keV (HU Conclusions: DLCT quantitative parameters are valuable noninvasive indexes for differentiating between the luminal and nonluminal types of invasive breast cancer. Furthermore, the nomogram constructed in this study could guide individualized predictions of molecular subtypes in patients with invasive breast cancer.

Indexed as

breast cancerDual-layer spectral detector computed tomography (DLCT)molecular subtypenomogramnonluminal type

Identifiers

PMID39698719
PMCPMC11651959

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