Evidence map›Paper›PMID 40050945›Full record

ArticleCancer imaging : the official publication of the International Cancer Imaging Society2025

Preoperative multiclass classification of thymic mass lesions based on radiomics and machine learning.

Yan Zhu, Li Wang, Aichao Ruan, Zhiyu Peng, Zhenzhong Zhang

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Article in Cancer imaging : the official publication of the International Cancer Imaging Society, 2025. 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

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yan ZhuRadiologic Department, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, Huai'an, PR China.
Li WangGeneral surgery Department, Huai'an Cancer Hospital, Huai'an, PR China.
Aichao RuanThoracic Surgical Department, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, Huai'an, PR China.
Zhiyu PengThoracic Surgery Department, West China Hospital, Sichuan University, Chengdu, PR China.
Zhenzhong ZhangThoracic Surgical Department, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, Huai'an, PR China. zhang_zhenzhong@outlook.com.ORCID http://orcid.org/0000-0001-5235-583X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApart from rare cases such as lymphomas, germ cell tumors, neuroendocrine neoplasms, and thymic hyperplasia, thymic mass lesions (TMLs) are typically categorized into cysts, and thymomas. However, the classification results cannot be determined in advance and can only be confirmed through postoperative pathology. Therefore, the objective of this study is to rely on clinical parameters and radiomic features extracted from chest computed tomography (CT) scans to facilitate the preoperative classification of TMLs. The model development specifically focused on thymic cysts and thymomas, as these are the most commonly encountered anterior mediastinal tumors in clinical practice. MATERIALS AND

methodsThis retrospective study included 400 participants from 3 hospitals between September 2017 and September 2024 due to TMLs. The participants were classified into 7 groups based on the ultimately confirmed etiology: thymic cysts and thymomas, including types A, AB, B1, B2, B3, and C. All participants underwent contrast-enhanced chest CT scans, with senior radiologists delineating regions of interest to extract radiomic features. Additionally, the participants' ages were also collected as clinical parameters for analysis. The participants were randomly allocated into a training set and a validation set at a 7:3 ratio. A classifier models were developed using the data from the training set, and their performances were evaluated on the validation set.

resultsThe model exhibited good classification performance with accuracies of 0.8547.

conclusionThe model can assist in early diagnosis and the development of personalized treatment strategies for patients with TMLs.

Indexed as

Machine LearningMediastinal CystThymomaThymus NeoplasmsTomography, X-Ray ComputedAdolescentAdultAgedFemaleHumansMaleMiddle AgedRadiomicsRetrospective StudiesYoung AdultClassifier modelEarly diagnosisRadiomicsThymic mass lesions

Identifiers

PMID40050945
PMCPMC11884038

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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.