Evidence mapPaperPMID 40866819Full record

ArticleBMC medical imaging2025

Development and validation of a nomogram for diabetic tibial neuropathy based on ultrasound radiomics: a multicenter study.

Yanqiu Chen, Zhen Sun, Yuwei Chen, Huohu Zhong, Xiuming Wu, Liyang Su, Tao Zheng, Guorong Lyu, Qichen Su

Abstract readMulticenter StudyValidation Study
In one paragraph

Article in BMC medical imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Yanqiu Chen *Department of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, 950 Donghai Street, Fengze District, Quanzhou City, Fujian Province, China.
Zhen Sun *Department of Clinical Medicine, Quanzhou Medical College, Quanzhou, Fujian, China.
Yuwei ChenDepartment of Cardiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Huohu ZhongDepartment of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, 950 Donghai Street, Fengze District, Quanzhou City, Fujian Province, China.
Xiuming WuDepartment of Ultrasound, Quanzhou First Hospital, Quanzhou, Fujian, China.
Liyang SuDepartment of Ultrasound, Quanzhou First Hospital, Quanzhou, Fujian, China.
Tao ZhengDepartment of Ultrasound, Quanzhou Strait Hospital, Quanzhou, Fujian, China.
Guorong LyuDepartment of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, 950 Donghai Street, Fengze District, Quanzhou City, Fujian Province, China. lgr_feus@sina.com.
Qichen SuDepartment of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, 950 Donghai Street, Fengze District, Quanzhou City, Fujian Province, China. sqc.us@fjmu.edu.cn.

Funding

Natural Science Foundation of Fujian Province 2023J01716
6 · The paper itself

Abstract

objectiveDiabetic tibial nerve neuropathy (DTN), a severe subtype of diabetic peripheral neuropathy, is often underdiagnosed in the early stages. This significantly raises the risks of foot ulcers and amputations. This study aims to develop and validate a novel nomogram prediction model integrating clinical characteristics and ultrasound radiomics features for early identification of DTN patients.

methodsFrom January 2024 to April 2025, 300 patients with type 2 diabetes who visited the Second Affiliated Hospital of Fujian Medical University were prospectively collected and randomly divided into training and validation cohorts at a ratio of 7:3. The study collected 134 patients from two other tertiary hospitals as the external validation set. The differences among the three cohorts were evaluated by single-factor ANOVA analysis of variance or χ² test. Tibial nerve ultrasound cross-sectional images were analyzed to extract radiomics features. Optimal features were selected using t-tests and least absolute shrinkage and selection operator (LASSO) regression, generating a weighted ultrasound radiomics score (Rad-score). A nomogram integrating clinical variables and Rad-score was developed through univariate and multivariate logistic regression. Performance was evaluated using AUC, calibration curves, decision/clinical impact curves.

resultsThe nomogram incorporated three clinical variables (age, smoking history, and hypertension history) and Rad-score derived from seven optimal ultrasound radiomics features. The model demonstrated AUCs of 0.947 (training set), 0.910 (internal validation set) and 0.887 (external validation set). Calibration and decision curves indicated strong consistency and clinical utility.

conclusionThe clinical-ultrasound radiomics nomogram effectively predicts DTN risk, potentially serving as a reference tool for early diagnosis.

Indexed as

Diabetic NeuropathiesNomogramsTibial NerveAgedDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedRadiomicsUltrasonographyDiabetic tibial nerve neuropathyMulticenter studyNomogramRadiomicsType 2 diabetesUltrasound

Identifiers

PMID40866819
PMCPMC12382110

What Socratic 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 Socratic graph.