Evidence map›Paper›PMID 42887293›Full record

ArticleClinics (Sao Paulo, Brazil)2026

A multimodal MRI radiomics sonata for differentiating small renal masses: a two-center retrospective study.

Chao Fang, Li Tian, Ming Gao, Xiaohui Duan, Qi Liu, Zixin Xu, Junjiong Zheng, Yushu Chen, Ming Huang, Xu Chen and 3 more

Abstract read
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In one paragraph

Article in Clinics (Sao Paulo, Brazil), 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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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

13 authors.

Chao FangDepartment of Urology, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Li TianDepartment of Medical Imaging, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center, Guangzhou, Guangdong, China.
Ming GaoDepartment of Radiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Xiaohui DuanDepartment of Radiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Qi LiuDepartment of Urology, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Zixin XuDepartment of Urology, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Junjiong ZhengDepartment of Urology, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Yushu ChenDepartment of Urology, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Ming HuangDepartment of Urology, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Xu ChenDepartment of Urology, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Wei JiangDepartment of Radiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Jianqiu KongDepartment of Urology, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. Electronic address: kongjq5@mail.sysu.edu.cn.
Wen DongDepartment of Urology, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. Electronic address: dongwen@mail.sysu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurately distinguishing benign from malignant small renal masses (SRMs) is crucial to avoid unnecessary surgeries, yet reliable preoperative diagnostic tools remain limited.

methodsA total of 189 patients with SRMs from two hospitals (2018-2022) were enrolled. Clinical data and MRI features were analyzed by two radiologists. Radiomics features were automatically extracted from manually segmented ROIs using dedicated software. Significant features were selected via univariate analysis, multivariate regression, and Lasso to develop three models: radiomics, clinical, and combined nomogram. Diagnostic performance was evaluated using the Area Under the receiver operating characteristic Curve (AUC).

resultsThe radiomics-clinical nomogram was constructed using T2WI signal intensity (p < 0.001), pseudocapsule (p = 0.001), and radiomics score (Rad-score, p = 0.001) via multivariate logistic regression. In the training set, the nomogram achieved an AUC of 0.962 (95% CI: 0.931-0.993), outperforming both the radiomics model (AUC = 0.918, 95% CI: 0.862-0.974) and the clinical model (AUC = 0.856, 95% CI: 0.780-0.933). Favorable performance was observed in the internal validation set (nomogram: AUC = 0.981, 95% CI: 0.944-1.000; radiomics model: AUC = 0.912, 95% CI: 0.750-1.000; clinical model: AUC = 0.844, 95% CI: 0.578-1.000) and external validation set (nomogram: AUC = 0.971, 95% CI: 0.886-1.000; radiomics model: AUC = 0.928, 95% CI: 0.841-0.989; clinical model: AUC = 0.916,95% CI: 0.760-0.976).

conclusionAll three models enable effective and non-invasive preoperative differentiation of benign from malignant SRMs, with the radiomics-clinical nomogram exhibiting the highest diagnostic accuracy, supporting its potential as a valuable clinical tool.

Indexed as

DiagnosisMagnetic resonance imagingRadiomicsSmall Renal Masses

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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.