Evidence map›Paper›PMID 40950900›Full record

ReviewJournal of thoracic disease2025

Biomarkers for the diagnosis of indeterminate pulmonary nodules: are we there yet?

Kevin C McGann, Timothy A Khalil, Michael N Kammer, Edwin J Ostrin, Harvey I Pass, Jun-Chieh James Tsay, Leopoldo N Segal, Melissa Potter, Stephen A Deppen, Fabien Maldonado and 1 more

Abstract readReview
In one paragraph

Review in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Leveraging Commercially Available Protein Assays as Biomarkers for Lung Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  2. Review
  3. 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

11 authors.

Kevin C McGannDepartment of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Timothy A KhalilInstitut de recherche en informatique de Toulouse, Université Toulouse Capitole, Toulouse, France.
Michael N KammerInstitut de recherche en informatique de Toulouse, Université Toulouse Capitole, Toulouse, France.ORCID https://orcid.org/0000-0001-7912-8450
Edwin J OstrinDepartment of Pulmonary Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Harvey I PassDepartment of Cardiothoracic Surgery, New York University Langone Medical Center, New York, NY, USA.
Jun-Chieh James TsayDivision of Pulmonary and Critical Care Medicine, New York University Langone Medical Center, New York, NY, USA.
Leopoldo N SegalDivision of Pulmonary and Critical Care Medicine, New York University Langone Medical Center, New York, NY, USA.
Melissa PotterDepartment of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Stephen A DeppenDepartment of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Fabien MaldonadoInstitut de recherche en informatique de Toulouse, Université Toulouse Capitole, Toulouse, France.
Eric L GroganDepartment of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID https://orcid.org/0000-0002-3886-9399

Funding

Validation of Biomarkers of Risk for the Early Detection of Lung CancerU01CA152662 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DEPPEN, STEPHEN, GROGAN, ERIC L · 2010 to 2025
$12.8M
NCI NIH HHS U01 CA152662
6 · The paper itself

Abstract

Indeterminate pulmonary nodules (IPNs), which are nodules that cannot be classified as definitively benign or malignant at the time of detection, are now diagnosed on the order of millions per year. Management of IPNs remains heavily debated, and routine practice ultimately involves some balance of overall clinical risk assessment and additional diagnostic tests or procedures which may generate significant risk, cost, and worry. Biomarkers are biologically based tests or indicators capable of accurately characterizing the physiologic properties of homeostasis and disease that are not otherwise easily evaluated by the clinician. Accurate biomarkers thereby serve as reliable surrogates for biological aberrancy, and importantly for the field of diagnostics, can signal early pathology before it becomes clinically detectable. In the realm of IPNs, biomarker development seeks to address a growing need for noninvasive adjunct tools that can be leveraged clinically to add clarity where diagnostic uncertainty exists. Here, effective diagnostic biomarkers have the potential to hone clinical management, accelerate treatment when indicated, and curb added unnecessary diagnostics. In this review article, the authors highlight the role for biomarkers in the diagnosis of IPNs, outline the methodology for successful biomarker development, and discuss contemporary IPN biomarker research and the remaining challenges and future directions for the field.

Indexed as

BiomarkersEarly Detection Research Network (EDRN)indeterminate pulmonary nodules (IPNs)lung cancer

Identifiers

PMID40950900
PMCPMC12433071

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.