Evidence map›Paper›PMID 41540808›Full record

ArticleThoracic cancer2026

Study of Imaging Analysis for Distinguishing Alveolar Collapse From Invasive Lesions in Early-Stage Lung Adenocarcinoma.

Shinji Kaneda, Atsushi Ito, Daisuke Ito, Teruhisa Kawaguchi, Motoshi Takao, Koji Kawaguchi

Abstract read
In one paragraph

Article in Thoracic cancer, 2026. 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. 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

6 authors.

Shinji KanedaDepartment of Thoracic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.ORCID https://orcid.org/0000-0003-2035-4335
Atsushi ItoDepartment of Thoracic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Daisuke ItoDepartment of Thoracic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.ORCID https://orcid.org/0009-0009-2940-4803
Teruhisa KawaguchiDepartment of Thoracic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.ORCID https://orcid.org/0009-0002-8743-0718
Motoshi TakaoDepartment of Respiratory Center, Matsusaka Municipal Hospital, Matsusaka, Japan.
Koji KawaguchiDepartment of Thoracic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.ORCID https://orcid.org/0000-0002-5986-9419

Funding

JSPS KAKENHI JP20K09162
6 · The paper itself

Abstract

backgroundNon-invasive lung adenocarcinoma may occasionally contain solid benign components, presenting challenges for making an accurate diagnosis using CT (computed tomography). Therefore, we investigated whether a three-dimensional (3D) volumetric analysis was more effective than CT in distinguishing the presence of invasive lesions in early-stage lung adenocarcinoma. MATERIALS AND

methodsWe retrospectively classified 161 patients preoperatively diagnosed with clinical stage IA1 into two groups: the non-invasive lesion group (50 patients) and the invasive lesion group (111 patients). We conducted a comparative analysis concerning the predictive performance of CT and a 3D volumetric analysis to identify invasive lesions. In addition, a histological review of the pre-invasive lesion group was performed to assess the pathological characteristics of the solid component, as observed on preoperative CT.

resultsA univariate analysis demonstrated that the consolidation diameter, consolidation/tumor (C/T) ratio, consolidation volume, and three-dimensional (3D)-C/T ratio were significant predictors of the presence of invasive lesions. A multivariate analysis identified the consolidation volume as an independent predictor (p = 0.045). Analyses of the receiver operating characteristics showed that the areas under the curve for the consolidation diameter, consolidation volume, C/T ratio, and 3D-C/T ratio were 0.702, 0.634, 0.747, and 0.742, respectively. In addition, a histological review revealed alveolar collapse in 89.2% (25 of the 28) of the preinvasive lesion group.

conclusionsConsolidation diameter, consolidation volume, and 3D-C/T ratio are more reliable predictors for distinguishing alveolar collapse from invasive lesions than the C/T ratio in early-stage lung adenocarcinoma.

Indexed as

Adenocarcinoma of LungLung NeoplasmsAgedFemaleHumansImaging, Three-DimensionalMaleMiddle AgedNeoplasm InvasivenessNeoplasm StagingRetrospective StudiesTomography, X-Ray Computedalveolar collapseearly‐stage lung adenocarcinomathree‐dimensional volumetric analysis

Identifiers

PMID41540808
PMCPMC12897561

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.