Evidence map›Paper›PMID 41376964›Full record

ReviewJournal of thoracic disease2025

Advantages of integrating artificial intelligence and spectral CT for lung nodule classification and prognostic judgment: a narrative review.

Minyuan Zhong, Silong Li, Yi Wang, Yiyang Ma, Sixue Mao, Zonghui Huang, Huiyun Xiao, Yuguang Wang, Tianyu Zhang

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 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

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

1 citing paper in PubMed.

  1. Review
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.

Minyuan ZhongMedical Imaging, School of Medical Technology, Qiqihar Medical University, Qiqihar, China.
Silong LiMedical Imaging, School of Medical Technology, Qiqihar Medical University, Qiqihar, China.
Yi WangMedical Imaging, School of Medical Technology, Qiqihar Medical University, Qiqihar, China.
Yiyang MaMedical Imaging, School of Medical Technology, Qiqihar Medical University, Qiqihar, China.
Sixue MaoMedical Imaging, School of Medical Technology, Qiqihar Medical University, Qiqihar, China.
Zonghui HuangMedical Imaging Center, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China.
Huiyun XiaoMedical Imaging Center, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China.
Yuguang WangMedical Imaging Center, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China.
Tianyu ZhangMedical Imaging Center, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: The accurate diagnosis of lung nodules remains a significant challenge in clinical practice due to their diverse and often nonspecific imaging characteristics. This limitation underscores the need for more advanced analytical approaches. The present review aims to summarise and discuss the advancements and applications of integrating artificial intelligence (AI) with spectral computed tomography (CT) for diagnosing lung nodules with diverse characteristics. Methods: This narrative review sourced literature from PubMed/MEDLINE, Web of Science, and Google Scholar (2010-2025) using keywords "spectral CT", "pulmonary nodule", and "artificial intelligence". Inclusion criteria focused on studies applying spectral CT and/or AI to lung nodule characterization. Two reviewers independently screened and selected studies, with a third resolving discrepancies. A total of 25 studies were included for analysis. Key Content and Finding: This review highlights the advances in applying this dual strategy to the multiparametric analysis of pulmonary nodules. Studies indicate that combining the rich parametric information provided by spectral CT [e.g., iodine concentration (IC), spectral curves] with AI's powerful pattern recognition and quantitative analysis capabilities can significantly enhance diagnostic efficacy for pulmonary nodules exhibiting diverse characteristics (e.g., varying sizes, densities, locations). This integrated approach demonstrates considerable potential for improving diagnostic accuracy in lung nodules. It significantly enhances diagnostic efficacy for nodules exhibiting diverse characteristics (e.g., varying size, density, and location). This combined methodology shows significant promise in improving the accuracy of benign-malignant differentiation and prognosis prediction. Conclusions: The synergistic application of AI and energy-spectrum CT is recognized as an emerging frontier in pulmonary nodule diagnosis. This dual-strategy approach overcomes the limitations of traditional imaging and single-technology methods, providing a more comprehensive and reliable tool for the precise identification, qualitative diagnosis, and prognostic assessment of pulmonary nodules. It demonstrates significant clinical value and broad application prospects.

Indexed as

artificial intelligence (AI)diagnosisdifferentiationEnergy spectrum computed tomography (energy spectrum CT)lung nodule

Identifiers

PMID41376964
PMCPMC12688506

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LicenceCC BY-NC-ND
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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.