Evidence map›Paper›PMID 40213646›Full record

ArticlePrecision clinical medicine2025

Early-stage lung cancer detection via thin-section low-dose CT reconstruction combined with AI in non-high risk populations: a large-scale real-world retrospective cohort study.

Guiyi Ji, Wenxin Luo, Yuan Zhu, Bojiang Chen, Miye Wang, Lili Jiang, Ming Yang, Weiwei Song, Peiji Yao, Tao Zheng and 14 more

Abstract read
In one paragraph

Article in Precision clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

24 authors.

Guiyi JiHealth Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu 610041, China.
Wenxin LuoState Key Laboratory of Respiratory Health and Multimorbidity, West China Hospital, Sichuan University, Chengdu 610041, China.
Yuan ZhuHealth Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu 610041, China.
Bojiang ChenState Key Laboratory of Respiratory Health and Multimorbidity, West China Hospital, Sichuan University, Chengdu 610041, China.
Miye WangEngineering Research Center of Medical Information Technology, Ministry of Education, West China Hospital, Sichuan University, Chengdu 610041, China.
Lili JiangDepartment of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China.
Ming YangNational Clinical Research Center for Geriatrics (WCH), West China Hospital, Sichuan University, Chengdu 610041, China.
Weiwei SongDepartment of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China.
Peiji YaoDepartment of Pulmonary and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Tao ZhengEngineering Research Center of Medical Information Technology, Ministry of Education, West China Hospital, Sichuan University, Chengdu 610041, China.
He YuHealth Management Center, First Affiliated Hospital of Army Medical University (Third Military Medical University), Chongqing 400900, China.
Rui ZhangGeneral Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu 610041, China.
Chengdi WangState Key Laboratory of Respiratory Health and Multimorbidity, West China Hospital, Sichuan University, Chengdu 610041, China.
Renxin DingEngineering Research Center of Medical Information Technology, Ministry of Education, West China Hospital, Sichuan University, Chengdu 610041, China.
Xuejun ZhuoEngineering Research Center of Medical Information Technology, Ministry of Education, West China Hospital, Sichuan University, Chengdu 610041, China.
Feng ChenIntegrated care management center, West China Hospital, Sichuan University, Chengdu 610041, China.
Jinnan LiDepartment of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China.
Xiaolong TangHealth Management Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu 610041, China.
Jinghong XianDepartment of Clinical Research Management, West China Hospital, Sichuan University, Chengdu 610041, China.
Tingting SongInstitute of Respiratory Health, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu 610041, China.
Jun TangInstitute of Respiratory Health, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu 610041, China.
Min FengDepartment of Clinical Research Management, West China Hospital, Sichuan University, Chengdu 610041, China.
Jun ShaoDepartment of Pulmonary and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Weimin LiState Key Laboratory of Respiratory Health and Multimorbidity, West China Hospital, Sichuan University, Chengdu 610041, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Current lung cancer screening guidelines recommend annual low-dose computed tomography (LDCT) for high-risk individuals. However, the effectiveness of LDCT in non-high-risk individuals remains inadequately explored. With the incidence of lung cancer steadily increasing among non-high-risk individuals, this study aims to assess the risk of lung cancer in non-high-risk individuals and evaluate the potential of thin-section LDCT reconstruction combined with artificial intelligence (LDCT-TRAI) as a screening tool. Methods: A real-world cohort study on lung cancer screening was conducted at the West China Hospital of Sichuan University from January 2010 to July 2021. Participants were screened using either LDCT-TRAI or traditional thick-section LDCT without AI (traditional LDCT) . The AI system employed was the uAI-ChestCare software. Lung cancer diagnoses were confirmed through pathological examination. Results: Among the 259 121 enrolled non-high-risk participants, 87 260 (33.7%) had positive screening results. Within 1 year, 728 (0.3%) participants were diagnosed with lung cancer, of whom 87.1% (634/728) were never-smokers, and 92.7% (675/728) presented with stage I disease. Compared with traditional LDCT, LDCT-TRAI demonstrated a higher lung cancer detection rate (0.3% vs. 0.2%, Conclusion: These findings highlight the importance of expanding lung cancer screening to non-high-risk populations, especially never-smokers. LDCT-TRAI outperformed traditional LDCT in detecting early-stage cancers and improving survival outcomes, underscoring its potential as a more effective screening tool for early lung cancer detection in this population.

Indexed as

artificial intelligencelow-dose computerized tomographylung cancernon-high riskthin-section

Identifiers

PMID40213646
PMCPMC11979592

What OpenQuestion holds

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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.