The infiltration risk prediction models by logistic regression for ground-glass pulmonary nodules: a systematic review and meta-analysis

MethodsCNKI, Wanfang, VIP, Sinomed, Pubmed, Web of Science, Embase, and other databases were searched. The retrieval time was from the establishment of the database to January 31, 2024. We included all predictive models for the invasion of ground-glass pulmonary nodules established. The modeling gro...

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Main Authors: Mengqian Li, Xiaomei Zhang, Yuxin Lai, Yunlong Sun, Tianshu Yang, Xinlei Tan
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1477730/full
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author Mengqian Li
Mengqian Li
Xiaomei Zhang
Yuxin Lai
Yunlong Sun
Tianshu Yang
Xinlei Tan
author_facet Mengqian Li
Mengqian Li
Xiaomei Zhang
Yuxin Lai
Yunlong Sun
Tianshu Yang
Xinlei Tan
author_sort Mengqian Li
collection DOAJ
description MethodsCNKI, Wanfang, VIP, Sinomed, Pubmed, Web of Science, Embase, and other databases were searched. The retrieval time was from the establishment of the database to January 31, 2024. We included all predictive models for the invasion of ground-glass pulmonary nodules established. The modeling group was patients with a pathological diagnosis of ground-glass pulmonary nodules. Two researchers screened the literature, established an Excel table for information extraction, used SPSS 25.0 to perform frequency statistics of each independent risk factor, and used Revman 5.4 software for meta-analysis.ResultsA total of 29 articles were included, involving 30 independent risk factors, with a cumulative frequency of 99 times. There were 16 risk factors with a frequency of ≥2 times, a total of 85 times, accounting for 85.86%. The meta-analysis showed the following: average CT value (MD = 75.57 HU, 95%CI: 44.40–106.75), maximum diameter (MD = 4.99 mm, 95%CI: 4.22–5.77), vascular convergence sign (OR = 11.16, 95%CI: 6.71–18.56), lobulation sign (OR = 3.80, 95%CI: 1.59–9.09), average diameter (MD = 4.46 mm, 95%CI: 3.44–5.48), maximum CT value (MD = 112.52 HU, 95%CI: 8.08–216.96), spiculation sign (OR = 4.46, 95%CI: 2.03–9.81), volume (MD = 1,069.37 mm3, 95%CI: 1,025.75–1,112.99), vacuole sign (OR = 6.15, 95%CI: 2.70–14.01), CTR ≥0.5 (OR = 7.24, 95%CI: 3.35–15.65), vascular type [types III and IV] (OR = 13.62, 95%CI: 8.85–20.94), pleural indentation (OR = 6.92, 95%CI: 2.69–17.82), age (MD = 4.18years, 95%CI: 1.70–6.65), and mGGN (OR = 3.62, 95%CI: 2.36–5.56) were risk factors for infiltration of ground-glass nodules. The overall risk of bias in the methodological quality evaluation of the included studies was small, and the AUC value of the model was 0.736–0.977.ConclusionThe included model has a good predictive performance for the invasion of ground-glass nodules. The independent risk factors included in the model can help medical workers to identify the high-risk groups of invasive lung cancer in ground-glass nodules in time and improve the prognosis.
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spelling doaj-art-1ee884a5309f45458a6e4c141cc50cf32025-01-29T05:21:20ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-01-011410.3389/fonc.2024.14777301477730The infiltration risk prediction models by logistic regression for ground-glass pulmonary nodules: a systematic review and meta-analysisMengqian Li0Mengqian Li1Xiaomei Zhang2Yuxin Lai3Yunlong Sun4Tianshu Yang5Xinlei Tan6Department of Internal Medicine of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Pulmonary Nodules and Chest Diseases Center, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Pulmonary Nodules and Chest Diseases Center, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Internal Medicine of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Internal Medicine of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Internal Medicine of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Internal Medicine of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaMethodsCNKI, Wanfang, VIP, Sinomed, Pubmed, Web of Science, Embase, and other databases were searched. The retrieval time was from the establishment of the database to January 31, 2024. We included all predictive models for the invasion of ground-glass pulmonary nodules established. The modeling group was patients with a pathological diagnosis of ground-glass pulmonary nodules. Two researchers screened the literature, established an Excel table for information extraction, used SPSS 25.0 to perform frequency statistics of each independent risk factor, and used Revman 5.4 software for meta-analysis.ResultsA total of 29 articles were included, involving 30 independent risk factors, with a cumulative frequency of 99 times. There were 16 risk factors with a frequency of ≥2 times, a total of 85 times, accounting for 85.86%. The meta-analysis showed the following: average CT value (MD = 75.57 HU, 95%CI: 44.40–106.75), maximum diameter (MD = 4.99 mm, 95%CI: 4.22–5.77), vascular convergence sign (OR = 11.16, 95%CI: 6.71–18.56), lobulation sign (OR = 3.80, 95%CI: 1.59–9.09), average diameter (MD = 4.46 mm, 95%CI: 3.44–5.48), maximum CT value (MD = 112.52 HU, 95%CI: 8.08–216.96), spiculation sign (OR = 4.46, 95%CI: 2.03–9.81), volume (MD = 1,069.37 mm3, 95%CI: 1,025.75–1,112.99), vacuole sign (OR = 6.15, 95%CI: 2.70–14.01), CTR ≥0.5 (OR = 7.24, 95%CI: 3.35–15.65), vascular type [types III and IV] (OR = 13.62, 95%CI: 8.85–20.94), pleural indentation (OR = 6.92, 95%CI: 2.69–17.82), age (MD = 4.18years, 95%CI: 1.70–6.65), and mGGN (OR = 3.62, 95%CI: 2.36–5.56) were risk factors for infiltration of ground-glass nodules. The overall risk of bias in the methodological quality evaluation of the included studies was small, and the AUC value of the model was 0.736–0.977.ConclusionThe included model has a good predictive performance for the invasion of ground-glass nodules. The independent risk factors included in the model can help medical workers to identify the high-risk groups of invasive lung cancer in ground-glass nodules in time and improve the prognosis.https://www.frontiersin.org/articles/10.3389/fonc.2024.1477730/fullinfiltrationindependent risk factorslogistic regressionprediction modelsystematic review and meta-analysisground glass pulmonary nodules
spellingShingle Mengqian Li
Mengqian Li
Xiaomei Zhang
Yuxin Lai
Yunlong Sun
Tianshu Yang
Xinlei Tan
The infiltration risk prediction models by logistic regression for ground-glass pulmonary nodules: a systematic review and meta-analysis
Frontiers in Oncology
infiltration
independent risk factors
logistic regression
prediction model
systematic review and meta-analysis
ground glass pulmonary nodules
title The infiltration risk prediction models by logistic regression for ground-glass pulmonary nodules: a systematic review and meta-analysis
title_full The infiltration risk prediction models by logistic regression for ground-glass pulmonary nodules: a systematic review and meta-analysis
title_fullStr The infiltration risk prediction models by logistic regression for ground-glass pulmonary nodules: a systematic review and meta-analysis
title_full_unstemmed The infiltration risk prediction models by logistic regression for ground-glass pulmonary nodules: a systematic review and meta-analysis
title_short The infiltration risk prediction models by logistic regression for ground-glass pulmonary nodules: a systematic review and meta-analysis
title_sort infiltration risk prediction models by logistic regression for ground glass pulmonary nodules a systematic review and meta analysis
topic infiltration
independent risk factors
logistic regression
prediction model
systematic review and meta-analysis
ground glass pulmonary nodules
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1477730/full
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