Evidence map›Paper›PMID 40411551›Full record

ArticleEuropean radiology2025

Comparative validation of clinical staging based on solid component versus total tumor size in resected lung adenocarcinoma.

Yura Ahn, Jae Kwang Yun, Jooae Choe, Geun Dong Lee, SeHoon Choi, Hyeong Ryul Kim, Yong-Hee Kim, Dong Kwan Kim, Seung-Il Park

Abstract readComparative StudyValidation Study
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In one paragraph

Article in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Yura AhnDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Jae Kwang YunDepartment of Thoracic and Cardiothoracic Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. drjkyun@gmail.com.ORCID http://orcid.org/0000-0001-5364-5548
Jooae ChoeDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Geun Dong LeeDepartment of Thoracic and Cardiothoracic Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
SeHoon ChoiDepartment of Thoracic and Cardiothoracic Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Hyeong Ryul KimDepartment of Thoracic and Cardiothoracic Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Yong-Hee KimDepartment of Thoracic and Cardiothoracic Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Dong Kwan KimDepartment of Thoracic and Cardiothoracic Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Seung-Il ParkDepartment of Thoracic and Cardiothoracic Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare clinical staging based on total tumor size with that of solid component size using the same criteria. MATERIALS AND

methodsPatients who underwent curative resection for clinical stage IA1-IB adenocarcinoma between 2011 and 2021 were retrospectively included. Patients were re-staged according to the criteria of the current TNM staging using total tumor size (cStage

resultsA total of 4680 patients were included. From cStage

conclusionUsing the same size criteria, clinical staging based on solid component size provides enhanced performance and correlation with pathologic risk factors compared to total tumor size. KEY POINTS: Question A direct comparative validation of clinical staging based on solid component size versus total tumor size under the same criteria has not been conducted. Findings Correlation with pathologic risk factors and lymph node metastasis, especially pN2, was stronger in clinical staging based on solid component. Clinical relevance It is reasonable for future revisions to be based on the current scheme using solid component size.

Indexed as

Adenocarcinoma of LungLung NeoplasmsAdultAgedAged, 80 and overFemaleHumansLymphatic MetastasisMaleMiddle AgedNeoplasm StagingPrognosisRetrospective StudiesTomography, X-Ray ComputedTumor BurdenAdenocarcinomaNeoplasm stagingPart-solid noduleSurvival analysisT category

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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.