Evidence map›Paper›PMID 34654966›Full record

Trial reportEuropean radiology2022

Development and validation of a preoperative CT-based radiomic nomogram to predict pathology invasiveness in patients with a solitary pulmonary nodule: a machine learning approach, multicenter, diagnostic study.

Luyu Huang, Weihuan Lin, Daipeng Xie, Yunfang Yu, Hanbo Cao, Guoqing Liao, Shaowei Wu, Lintong Yao, Zhaoyu Wang, Mei Wang and 12 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
6.5field-weighted citation impact, top 3% of its field
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

41 citing papers in PubMed, 54 citations in OpenAlex.

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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

22 authors at 8 institutions in 2 countries.

Luyu Huang *Division of Thoracic Surgery, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, The Second School of Clinical Medicine, Southern Medical University, Shantou University Medical College, Guangzhou, China.
Weihuan Lin *Division of Thoracic Surgery, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, The Second School of Clinical Medicine, Southern Medical University, Shantou University Medical College, Guangzhou, China.
Daipeng XieDivision of Thoracic Surgery, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, The Second School of Clinical Medicine, Southern Medical University, Shantou University Medical College, Guangzhou, China.
Yunfang YuGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Department of Medical Oncology, Phase I Clinical Trial Centre, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
Hanbo CaoDepartment of Radiology, Zhoushan Hospital, Zhoushan City, Zhejiang Province, China.
Guoqing LiaoDivision of Thoracic Surgery, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, The Second School of Clinical Medicine, Southern Medical University, Shantou University Medical College, Guangzhou, China.
Shaowei WuDivision of Thoracic Surgery, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, The Second School of Clinical Medicine, Southern Medical University, Shantou University Medical College, Guangzhou, China.
Lintong YaoDivision of Thoracic Surgery, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, The Second School of Clinical Medicine, Southern Medical University, Shantou University Medical College, Guangzhou, China.
Zhaoyu WangDepartment of Pathology, Zhoushan Hospital, Zhoushan City, Zhejiang Province, China.
Mei WangDepartment of Radiology, Department of PET Center, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, Guangzhou, China.
Siyun WangDepartment of Radiology, Department of PET Center, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, Guangzhou, China.
Guangyi WangDepartment of Radiology, Department of PET Center, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, Guangzhou, China.
Dongkun ZhangDivision of Thoracic Surgery, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, The Second School of Clinical Medicine, Southern Medical University, Shantou University Medical College, Guangzhou, China.
Su YaoDepartment of Pathology, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, Guangzhou, China.
Zifan HeGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Department of Medical Oncology, Phase I Clinical Trial Centre, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
William Chi-Shing ChoDepartment of Clinical Oncology, Queen Elizabeth Hospital, Hong Kong, China.
Duo ChenDepartment of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Zhengjie ZhangDivision of Thoracic Surgery, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, The Second School of Clinical Medicine, Southern Medical University, Shantou University Medical College, Guangzhou, China.
Wanshan LiClinical Medicine, Zhongshan School of Medicine, Yat-Sen University, Guangzhou, China.
Guibin QiaoDivision of Thoracic Surgery, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, The Second School of Clinical Medicine, Southern Medical University, Shantou University Medical College, Guangzhou, China. guibinqiao@126.com.
Lawrence Wing-Chi ChanDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, China. wing.chi.chan@polyu.edu.hk.
Haiyu ZhouDivision of Thoracic Surgery, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, The Second School of Clinical Medicine, Southern Medical University, Shantou University Medical College, Guangzhou, China. zhouhaiyu@gdph.org.cn.ORCID http://orcid.org/0000-0002-3328-6792
Shantou University · CNGuangdong Academy of Medical Sciences · CNSun Yat-sen University · CNZhoushan Hospital · CNBeijing Normal-Hong Kong Baptist University · CNCapital Medical University · CNHong Kong Polytechnic University · HKQueen Elizabeth Hospital · CN

Funding

Guangdong Province Medical Scientific Research Foundation B2018148Guangdong Provincial People's Hospital Intermural Program KJ012019447Health and Medical Research Fund of Food and Health Bureau HMRF ‪02131026;‬HMRF ‪16172561‬Natural Science Foundation of Guangdong 2018A0303130113Science and Technology Program of Guangzhou 201903010028
6 · The paper itself

Abstract

objectivesTo develop and validate a preoperative CT-based nomogram combined with radiomic and clinical-radiological signatures to distinguish preinvasive lesions from pulmonary invasive lesions.

methodsThis was a retrospective, diagnostic study conducted from August 1, 2018, to May 1, 2020, at three centers. Patients with a solitary pulmonary nodule were enrolled in the GDPH center and were divided into two groups (7:3) randomly: development (n = 149) and internal validation (n = 54). The SYSMH center and the ZSLC Center formed an external validation cohort of 170 patients. The least absolute shrinkage and selection operator (LASSO) algorithm and logistic regression analysis were used to feature signatures and transform them into models.

resultsThe study comprised 373 individuals from three independent centers (female: 225/373, 60.3%; median [IQR] age, 57.0 [48.0-65.0] years). The AUCs for the combined radiomic signature selected from the nodular area and the perinodular area were 0.93, 0.91, and 0.90 in the three cohorts. The nomogram combining the clinical and combined radiomic signatures could accurately predict interstitial invasion in patients with a solitary pulmonary nodule (AUC, 0.94, 0.90, 0.92) in the three cohorts, respectively. The radiomic nomogram outperformed any clinical or radiomic signature in terms of clinical predictive abilities, according to a decision curve analysis and the Akaike information criteria.

conclusionsThis study demonstrated that a nomogram constructed by identified clinical-radiological signatures and combined radiomic signatures has the potential to precisely predict pathology invasiveness. KEY POINTS: • The radiomic signature from the perinodular area has the potential to predict pathology invasiveness of the solitary pulmonary nodule. • The new radiomic nomogram was useful in clinical decision-making associated with personalized surgical intervention and therapeutic regimen selection in patients with early-stage non-small-cell lung cancer.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsSolitary Pulmonary NoduleFemaleHumansMachine LearningMiddle AgedNomogramsRetrospective StudiesTomography, X-Ray ComputedAlgorithmsLungNomogramsSolitary pulmonary noduleTomography, X-ray computed

Identifiers

PMID34654966
PMCPMC8831242
OpenAlexW3207625206

What Socratic holds

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LicenceCC BY
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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 Socratic graph.