Evidence map›Paper›PMID 41029239›Full record

ArticleBMC cancer2025

A CT-based radiomics nomogram incorporating adipose tissue to differentiate invasive adenocarcinomas among part-solid pulmonary nodules.

Ling Qin, Lin Zhao, Xue-Meng Li, Qing-Chun Jia, Zeng-Yao Liu, Shi-di Miao, Xin Zhang, Yuan-Zhou Li, Rui-Tao Wang, Shuang Fu

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Ling Qin *Department of Pathology, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, 150081, Heilongjiang, China.
Lin Zhao *Department of Internal Medicine, Harbin Medical University Cancer Hospital, Harbin Medical University, NO.150 Haping ST, Nangang District, Harbin, 150081, Heilongjiang, China.
Xue-Meng Li *Department of Internal Medicine, Harbin Medical University Cancer Hospital, Harbin Medical University, NO.150 Haping ST, Nangang District, Harbin, 150081, Heilongjiang, China.
Qing-Chun JiaDepartment of Internal Medicine, Harbin Medical University Cancer Hospital, Harbin Medical University, NO.150 Haping ST, Nangang District, Harbin, 150081, Heilongjiang, China.
Zeng-Yao LiuDepartment of Interventional Medicine, First Affiliated Hospital of Harbin Medical University, Harbin Medical University, Harbin, 150001, Heilongjiang, China.
Shi-di MiaoSchool of Computer Science and Technology, Harbin University of Science and Technology, Harbin, 150008, Heilongjiang, China.
Xin ZhangDepartment of Internal Medicine, Harbin Medical University Cancer Hospital, Harbin Medical University, NO.150 Haping ST, Nangang District, Harbin, 150081, Heilongjiang, China.
Yuan-Zhou LiDepartment of Radiology, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, 150081, Heilongjiang, China.
Rui-Tao WangDepartment of Internal Medicine, Harbin Medical University Cancer Hospital, Harbin Medical University, NO.150 Haping ST, Nangang District, Harbin, 150081, Heilongjiang, China. ruitaowang@126.com.
Shuang FuDepartment of Internal Medicine, Harbin Medical University Cancer Hospital, Harbin Medical University, NO.150 Haping ST, Nangang District, Harbin, 150081, Heilongjiang, China. fushuang.721@163.com.

Funding

Climbing program of Harbin Medical University Cancer Hospital PDTS2024B-01
6 · The paper itself

Abstract

backgroundAccurately assessing the invasiveness of lung adenocarcinoma with part-solid pulmonary nodules is pivotal for the treatment. Recent studies have highlighted the crucial role of adipose in the growth and invasion of tumors. This study aimed to develop and validate a model by integrating radiomic features from intrathoracic adipose tissue (IAT) with clinical factors to classify lung adenocarcinoma invasiveness.

methods608 patients with lung adenocarcinomas were enrolled in three different centers. Radiomic features were extracted from nodules and IAT in computed tomography images. Multivariable logistic regression analysis was used to develop a nomogram model. The nomogram's performance was assessed utilizing accuracy, discrimination, and clinical benefits. The net reclassification index (NRI) and integrated discrimination improvement (IDI) were applied to evaluate changes in model performance after the addition of IAT features.

resultsThe nomogram, incorporating nodule and IAT signature with nodular diameter, was constructed in the training dataset. The nomogram demonstrated area under the receiver operating curve values of 0.927 (95% CI: 0.872,0.983), 0.945 (95% CI: 0.902,0.988), and 0.917 (95% CI: 0.871,0.962) in the internal validation and two external validation cohorts, respectively. The nomogram showed good calibration (Hosmer-Lemeshow test, P>0.05), and adding the IAT signatures did improve nomogram performance in all cohorts (all NRI and IDI >0, P<0.05). Decision curve and stratification analysis revealed that the nomogram was clinically useful and had potential generalization ability.

conclusionsThe nomogram, consisting of nodule signature, IAT signature, and clinical factors, could individualize the classification of invasive adenocarcinomas with part-solid pulmonary nodules.

Indexed as

Adenocarcinoma of LungAdipose TissueLung NeoplasmsMultiple Pulmonary NodulesNomogramsSolitary Pulmonary NoduleTomography, X-Ray ComputedAdultAgedFemaleHumansMaleMiddle AgedNeoplasm InvasivenessRadiomicsROC CurveAdipose tissueInvasivenessLung adenocarcinomasPart-solid pulmonary nodulesRadiomics nomogram

Identifiers

PMID41029239
PMCPMC12482856

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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.