Evidence map›Paper›PMID 40579612›Full record

ArticleInsights into imaging2025

A radiomics-based model for predicting lymph nodes metastasis of pancreatic ductal adenocarcinoma: a multicenter study.

Liwen Zhu, Ben Zhao, Tianyi Xia, Di Chang, Cong Xia, Mengqiu Liu, Ridong Li, Buyue Cao, Yue Qiu, Yaoyao Yu and 11 more

Abstract read
In one paragraph

Article in Insights into imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

21 authors.

Liwen Zhu *Nurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Ben Zhao *Nurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Tianyi XiaNurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Di ChangNurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Cong XiaNurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Mengqiu LiuDepartment of Radiology, The First Affiliated Hospital of University of Science and Technology of China, Hefei, China.
Ridong LiDepartment of Radiology, Northern Jiangsu People's Hospital, Yangzhou, China.
Buyue CaoNurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Yue QiuNurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Yaoyao YuNurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Shuwei ZhouNurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Huayu ChenNurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Wu CaiDepartment of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Zhimin DingDepartment of Radiology, Yijishan Hospital of Wannan Medical College, Wuhu, China.
Chunqiang LuNurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Tianyu TangNurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Yang SongMR Scientific Marketing, Siemens Healthineers, Shanghai, China.
Yuancheng WangNurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China.
Jing YeDepartment of Radiology, Northern Jiangsu People's Hospital, Yangzhou, China.
Ying LiuDepartment of Radiology, The First Affiliated Hospital of University of Science and Technology of China, Hefei, China.
Shenghong JuNurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology, Department of Radiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China. jsh@seu.edu.cn.ORCID http://orcid.org/0000-0001-5041-7865

Funding

National Key R&D Program of China 2021YFF0501504 / 2021YFA1101304National Natural Science Foundation of China 82330060, 92359304, 92059202, 61821002National Natural Science Foundation of China 82372024National Natural Science Foundation of China 823B2040
6 · The paper itself

Abstract

purposeTo develop a radiomics model to predict lymph nodes metastasis (LNM) in patients with pancreatic ductal adenocarcinoma (PDAC) and assess its value for clinical management.

methodsPatients with pathologically confirmed PDAC from four centers were retrospectively enrolled and split into four cohorts: training (n = 192), validation (n = 82), testing (n = 100), and clinical utilization (n = 163). A radiomics model was constructed based on contrast-enhanced CT (CECT) to predict LNM, and its performance was evaluated using the areas under the curve (AUC). Kaplan-Meier analysis was used to assess the prognostic and therapeutic decision-assisting value of the radiomics model.

resultsA total of 437 patients (mean age: 63.1 years ± 9.2 standard deviation; 253 men) were included. The radiomics model outperformed other models with AUCs of 0.84, 0.82, and 0.78 in the training, validation, and testing cohorts (all p < 0.05), respectively. LNM predicted by the radiomics model was significantly associated with overall survival (p < 0.001). Kaplan-Meier analysis revealed that patients with a higher risk of LNM also had worse outcomes (all p < 0.05). Additionally, among the high-risk subgroup identified by the radiomics model in the clinical utilization cohort, patients who underwent dissection of ≥ 15 lymph nodes exhibited better overall survival compared to those with fewer lymph nodes dissected (p = 0.002).

conclusionThe radiomics model we constructed demonstrated impressive performance in predicting LNM and prognosis, suggesting its potential for optimizing the clinical management of PDAC. CRITICAL RELEVANCE STATEMENT: This radiomics model can predict the risk of lymph nodes metastasis and prognosis of patients in pancreatic ductal adenocarcinoma and has potential value in selecting patients who can benefit from different extents of lymph nodes dissection. KEY POINTS: Thorough lymph node dissection is important for achieving the best prognosis in pancreatic ductal adenocarcinoma (PDAC). The radiomics model can accurately predict lymph node status and stratify patients' prognosis. This radiomics model enhances the clinical management of PDAC.

Indexed as

Computed tomographyLymph nodes metastasisPancreatic ductal adenocarcinomaPrognosisRadiomics

Identifiers

PMID40579612
PMCPMC12204970

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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.