Evidence map›Paper›PMID 39839524›Full record

ArticleFrontiers in physiology2024

A combined diagnostic model including middle rectal artery visualization for predicting lateral lymph node metastasis in rectal cancer.

Ning Wang, Yiping Li, Kun Lu, Kaikai Wei, Shize Jia, Shuhong Fan, Donglin Ren, Yuanji Fu, Zhimin Liu

Abstract read
In one paragraph

Article in Frontiers in physiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ning Wang *Department of Radiology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Yiping Li *Department of General Surgery (Coloproctology), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Kun Lu *Department of Anesthesia, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Kaikai WeiDepartment of Radiology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Shize JiaSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Shuhong FanDepartment of Radiology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Donglin RenDepartment of General Surgery (Coloproctology), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Yuanji FuDepartment of General Surgery (Coloproctology), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Zhimin LiuDepartment of General Surgery (Coloproctology), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study attempted to establish a combined diagnostic model encompassing visualization of the middle rectal artery (MRA) and other imaging features to improve the diagnostic efficiency of lateral lymph node (LLN) metastasis, which is crucial for clinical decision-making in rectal cancer. Method: One hundred eleven patients receiving bilateral or unilateral lymph node dissection were enrolled, and 140 cases of LLN status on a certain unilateral pelvic sidewall were selected. Enhanced computed tomography (CT) was used to determine whether MRA was visible. Multivariable regression was used to establish a diagnostic model combining MRA visualization with other imaging features to predict LLN metastasis. Receiver operating characteristic (ROC) curve and area under the ROC curve (AUC) were used to test the diagnostic efficacy for LLN metastasis. Ten-fold cross-validation was completed to internally validate the diagnostic model. Results: Of the 140 LLNs harvested from 111 patients, 76 were positive and 64 were negative for metastases, respectively. The diagnostic model combining the MRA visualization and lymph node short diameter showed a greater efficiency than a single scale (AUC = 0.945, 95% confidence interval = 0.893-0.976, Conclusion: Our results establish a combined diagnostic model with the help of MRA visualization to yield a high diagnostic efficiency of LLN metastasis in rectal cancer.

Indexed as

computed tomographydiagnostic testlateral lymph nodemiddle rectal arteryrectal cancer

Identifiers

PMID39839524
PMCPMC11747483

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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.