ArticleQuantitative imaging in medicine and surgery2026
Nonlinear association between standardized uptake value (SUV) index based on
Article in Quantitative imaging in medicine and surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The new grading system for lung invasive non-mucinous adenocarcinoma (INMA) was proposed by the Pathology Committee of the International Association for the Study of Lung Cancer (IASLC) in 2020. Accurate identification of IASLC grading is crucial for the precise diagnosis, treatment, and prognosis evaluation of lung INMA. We aimed to investigate the association between standardized uptake value (SUV) index, defined as tumor maximum standardized uptake value (SUV Methods: This retrospective study analyzed clinical and imaging data from 782 patients diagnosed with lung INMA via postoperative pathology who underwent preoperative Results: Among all cases, 578 (73.9%) were classified as Grades 1-2, and 204 (26.1%) as Grade 3 according to the IASLC grading system. Multivariable logistic regression adjusted for relevant clinical and imaging covariates revealed that the SUV index was independently associated with an increased risk of Grade 3 lung INMA [odds ratio (OR) =2.086, 95% confidence interval (CI): 1.728-2.517, P<0.001]. A near "S-shaped" curve was observed in the relationship between SUV index and Grade 3 lung INMA (effective degrees of freedom: 2.488, P<0.001). Specifically, when the SUV index was between 5.636 and 8.041, a sharp increase in the risk of Grade 3 lung INMA was evident (OR =3.359, 95% CI: 1.730-6.521, P<0.001), indicating a threshold effect. Beyond 8.041, the association plateaued (OR =1.020, 95% CI: 0.344-3.025, P Conclusions: A higher SUV index was associated with an increased risk of Grade 3 disease, following a nonlinear, S-shaped trend.
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