Radiomics and Clinical Variables Can Differentiate Malignant Nodules and Detect Invasive Adenocarcinoma in Pulmonary Nodules: a Multi-center Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lung Neoplasms
- Sponsor
- Maastricht University
- Enrollment
- 800
- Locations
- 1
- Primary Endpoint
- Malignant nodules classifier
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The investigators aim to investigate the utility of radiomics to differentiate malignant nodules from benign nodules and invasive adenocarcinoma from non-invasive adenocarcinoma.
Detailed Description
With the development of computed tomography (CT) equipment and the increasing use of lung cancer screening programs with low-dose CT, a growing number of early-stage lung cancers were detected so that a large number of patients have undergone surgery. Although a number of radiological studies have been used morphological signs so-called semantic features to make a differential diagnosis, it is still hard to apply by clinician because pulmonary nodules especially ground-glass nodules and small size nodules have atypical radiology signs and have strong subjectivity from different observers. Recently, CT-based radiomics, extracting the quantitative high-throughput features from medical images and facilitating clinical decision-making system, showed a good performance to predict diagnosis and prognosis of diverse cancer. Therefore, the proposed project aims to develop and validate radiomics models based on CT images to identify malignant nodules and then to discriminate the different types of lung adenocarcinoma in patients with pulmonary nodules.
Investigators
Eligibility Criteria
Inclusion Criteria
- •intraoperative frozen section diagnosis and final pathology diagnosis are available
- •preoperative standard non-enhanced CT is available
- •Pathologically confirmed
Exclusion Criteria
- •with a previous history of radiation therapy, chemotherapy or biopsy
- •the time interval between the CT examination and surgery was more than two weeks
Outcomes
Primary Outcomes
Malignant nodules classifier
Time Frame: 30 days
Model based on Radiomic that can differentiate malignant nodules from benign nodules.
Invasive adenocarcinoma classifier
Time Frame: 30 days
Model based on Radiomic that can differentiate invasive adenocarcinoma from non-invasive adenocarcinoma.