Evidence map›Paper›PMID 40839309›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2026

Spatial imaging features derived from SUVmax location in resectable NSCLC are associated with tumor aggressiveness.

Zewen Jiang, Clemens Spielvogel, David Haberl, Josef Yu, Maximilian Krisch, Szabolcs Szakall, Peter Molnar, Janos Fillinger, Lilla Horvath, Ferenc Renyi-Vamos and 6 more

Abstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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

16 authors.

Zewen JiangDepartment of Biomedical Imaging and Image-Guided Therapy, Division of Nuclear Medicine, Medical University of Vienna, Währinger Gürtel 18-20, Vienna, 1090, Austria.ORCID 0009-0005-0172-868X
Clemens SpielvogelDepartment of Biomedical Imaging and Image-Guided Therapy, Division of Nuclear Medicine, Medical University of Vienna, Währinger Gürtel 18-20, Vienna, 1090, Austria.
David HaberlDepartment of Biomedical Imaging and Image-Guided Therapy, Division of Nuclear Medicine, Medical University of Vienna, Währinger Gürtel 18-20, Vienna, 1090, Austria.
Josef YuDepartment of Biomedical Imaging and Image-Guided Therapy, Division of Nuclear Medicine, Medical University of Vienna, Währinger Gürtel 18-20, Vienna, 1090, Austria.
Maximilian KrischDepartment of Biomedical Imaging and Image-Guided Therapy, Division of Nuclear Medicine, Medical University of Vienna, Währinger Gürtel 18-20, Vienna, 1090, Austria.
Szabolcs SzakallPozitron PET/CT Center, Budapest, Hungary.
Peter MolnarPozitron PET/CT Center, Budapest, Hungary.
Janos FillingerNational Koranyi Institute of Pulmonology, Budapest, Hungary.
Lilla HorvathNational Koranyi Institute of Pulmonology, Budapest, Hungary.
Ferenc Renyi-VamosNational Koranyi Institute of Pulmonology, Budapest, Hungary.
Clemens AignerDepartment of Thoracic Surgery, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Balazs DomeNational Koranyi Institute of Pulmonology, Budapest, Hungary.
Christian LangDepartment of Thoracic Surgery, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Zsolt MegyesfalviNational Koranyi Institute of Pulmonology, Budapest, Hungary.
Lukas KennerChristian Doppler Laboratory of Applied Metabolomics, Medical University of Vienna, Vienna, Austria.
Marcus HackerDepartment of Biomedical Imaging and Image-Guided Therapy, Division of Nuclear Medicine, Medical University of Vienna, Währinger Gürtel 18-20, Vienna, 1090, Austria. marcus.hacker@meduniwien.ac.at.ORCID 0000-0002-4222-4083

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAccurate non-invasive prediction of histopathologic invasiveness and recurrence risk remains a clinical challenge in resectable non-small cell lung cancer (NSCLC). We developed and validated the Edge Proximity Score (EPS), a novel [

methodsThis retrospective study included 244 NSCLC patients with preoperative [

resultsEPS was significantly elevated in tumors with LVI, VPI, and STAS (P < 0.001), consistently ranked among the top SHAP features, and was an independent predictor of PFS (HR = 2.667, P = 0.015). The EPS-based nomogram achieved AUCs of 0.67, 0.70, and 0.68 for predicting 1-, 3-, and 5-year PFS in the TCIA validation cohort. High EPS was associated with proliferative and metabolic gene signatures, whereas low EPS was linked to immune activation and neutrophil infiltration.

conclusionEPS is a biologically relevant, non-invasive imaging biomarker that may improve risk stratification in NSCLC.

Indexed as

Carcinoma, Non-Small-Cell LungFluorodeoxyglucose F18Lung NeoplasmsPositron Emission Tomography Computed TomographyAgedFemaleHumansMaleMiddle AgedNeoplasm InvasivenessRetrospective StudiesFluorodeoxyglucose F18[18F]FDG PET/CTNSCLCRadiomicsTumor invasiveness

Identifiers

PMID40839309
PMCPMC12860873

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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.