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Assessment of Clinical Stage IA Lung Adenocarcinoma with pN1/N2 Metastasis Using CT Quantitative Texture Analysis

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单位: [1]Department of Radiology, People’s Hospital of Xinjiang Uyghur Autonomous Region, Urumqi 830001, People’s Republic of China [2]Department of Radiology, China-Japan Friendship Hospital, Beijing 100029, People’s Republic of China
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关键词: lung adenocarcinoma computed tomography texture lymph-node metastasis

摘要:
Objective: To explore the application of texture analysis basing on computed tomography (CT) images in predicting lymph-node metastasis in patients with clinical stage IA lung adenocarcinoma. Methods: In total, 256 patients with clinical stage IA lung adenocarcinoma who had underwentgone preoperative CT examinations were enrolled. A total of 25 texture features using MaZda (version 4.6) software and conventional radiological features were extracted from raw CT data sets. Based on surgical results, patients were stratified into lymph node metastasis-positive and -negative groups. Independent-sample t-tests and Mann-Whitney U tests were used to compare continuous variables between the groups. Continuity-correction and chi(2) tests were used for categorical variable comparison. Univariate and multivariate logistic regression analyses were performed to identify independent predictors of lymphnode metastasis. Results: In total, 256 clinical stage IA lung adenocarcinoma cases were proved by pathology: 39 (15.23%) cases with lymph-node metastasis (14 N1a, seven N1b, six N2a1, ten N2a2, and two N2b) and 217 (84.77%) cases without lymph-node metastasis. Univariate and multivariate logistic regression analyses demonstrated that total volume (OR 3.777, p=0.015), average CT value of whole tumor (OR 16.271, p<0.001), three texture parameters (mean OR 8.473, p<0.001; skewness OR 6.393, p=0.001; and entropy OR 0.343, p=0.049) were independent factors associated with lymph-node status. As such, early-stage lung adenocarcinoma with higher total volume (>4.05 cm(3)), average CT value of whole tumor (>-70 HU), mean (>133.79), entropy (>1.98), and lower skewness (<= 0.02) pointed to positive lymph-node metastasis. Conclusion: Texture parameters were independent factors associated with lymph-node status in clinical stage IA lung adenocarcinoma.

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出版当年[2019]版:
大类 | 3 区 医学
小类 | 3 区 肿瘤学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
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出版当年[2018]版:
Q3 ONCOLOGY
最新[2023]版:
Q3 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2018版] 出版当年五年平均[2014-2018] 出版前一年[2017版] 出版后一年[2019版]

第一作者:
第一作者单位: [1]Department of Radiology, People’s Hospital of Xinjiang Uyghur Autonomous Region, Urumqi 830001, People’s Republic of China [2]Department of Radiology, China-Japan Friendship Hospital, Beijing 100029, People’s Republic of China
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通讯机构: [*1]Department of Radiology, China-Japan Friendship Hospital, Beijing 100029, People’s Republic of China
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