Evidence map›Paper›PMID 41586985›Full record

ArticleInsights into imaging2026

Contrast-enhanced CT-based radiomics for predicting visceral pleural invasion in early-stage non-small cell lung cancer.

Qinyue Luo, Hanting Li, Yuting Zheng, Yuting Lu, Lin Teng, Jun Fan, Xiaoyu Han, Heshui Shi

Abstract read
In one paragraph

Article in Insights into imaging, 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

8 authors.

Qinyue Luo *Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hanting Li *Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Yuting Zheng *Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Yuting Lu *Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Lin TengDepartment of Medical Imaging, Henan Provincial People's Hospital & People's Hospital of Zhengzhou University, Zhengzhou, China.
Jun FanDepartment of Pathology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xiaoyu HanDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. xiaoyuhan1123@163.com.
Heshui ShiDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. heshuishi@hust.edu.cn.ORCID http://orcid.org/0000-0001-7644-3711

Funding

the National Natural Science Foundation of China 82402259the Nature Science Foundation of Hubei Province 2024AFB094
6 · The paper itself

Abstract

objectivesWaiting for postoperative pathologic confirmation of visceral pleural invasion (VPI) may delay treatment decisions. This study aimed to develop a contrast-enhanced CT-based radiomics model for preoperative prediction of VPI in early-stage non-small cell lung cancer (NSCLC). MATERIALS AND

methodsWe retrospectively enrolled 523 surgically resected NSCLC patients (195 with VPI, 328 without VPI) with clinically staged IA based on preoperative imaging between December 2019 and June 2022. Patients were randomly divided into training, validation, and testing sets at a ratio of 5:2:3. For each patient, 13 CT features were recorded, including the types I-V tumor relationships to the pleura. Regions of interest (ROIs) were segmented semi-automatically using deep learning. Least absolute shrinkage and selection operator (LASSO) regression was applied to select key radiomics features. Three models were developed: a CT-feature model, a radiomics model, and a combined model. The performance and clinical utility of these models were evaluated using the area under the curve (AUC) and decision curve analysis.

resultsThe tumor relationship to the pleura, density, maximum diameter, and spiculation were selected to construct the CT-feature model. A total of 10 optimal features formed the radiomics model. The radiomics model achieved an AUC of 0.812 in the testing set, outperforming the CT-feature model (0.714). Furthermore, the combined model showed a slightly higher AUC (0.825) compared to the radiomics model.

conclusionsThe radiomics model demonstrated satisfactory performance for predicting VPI in early-stage NSCLC, outperforming the CT-feature model. The integration of radiomics and CT features may provide enhanced predictive value. CRITICAL RELEVANCE STATEMENT: This study constructed a contrast-enhanced CT-based radiomics model with promising performance for the preoperative prediction of VPI, which aims to guide treatment planning for early-stage NSCLC. KEY POINTS: VPI affects the tumor-node-metastasis (TNM) staging of tumors and subsequent treatment strategies. The radiomics model outperformed the CT-feature model in predicting VPI. The contrast-enhanced CT-based radiomics model may be valuable for optimizing clinical decision-making.

Indexed as

Computed tomographyEarly-stageNon-small cell lung cancerRadiomicsVisceral pleural invasion

Identifiers

PMID41586985
PMCPMC12834855

What OpenQuestion holds

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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.