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Artificial intelligence-based CT histogram parameters differentiating bronchiolar adenoma and lung adenocarcinomas: A two-center study

Author

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  • Wen Zhao
  • Ziqian Zhao
  • Yingxia Wang
  • Haiyan Yang
  • Weiyuan Zhang
  • Jianyou Chen
  • Xinhui Yang
  • Zhijie Duan
  • Fengyi Li
  • Zhiquan Han
  • Xin Zhang
  • Zhilin Li
  • Dan Han
  • Tengfei Ke

Abstract

Purpose: Bronchiolar adenoma (BA) is a rare benign pulmonary neoplasm originating from the bronchial mucosal epithelium and mimics lung adenocarcinoma (LAC) both radiographically and microscopically. This study aimed to develop a nomogram for distinguishing BA from LAC by integrating clinical characteristics and artificial intelligence (AI)-derived histogram parameters across two medical centers. Methods: This retrospective study included 215 patients with diagnoses confirmed by postoperative pathology from two medical centers. Medical center 1 provided 151 patients (68 BA and 83 LAC nodules) as the training cohort, while medical center 2 contributed 64 patients (28 BA and 36 LAC nodules) as the external validation cohort. Risk predictors and the nomogram were developed using clinical characteristics and AI-derived histogram parameters. Results: Nodule density (solid, ground glass, and subsolid) exhibited a statistically significant difference between the BA and LAC groups (p

Suggested Citation

  • Wen Zhao & Ziqian Zhao & Yingxia Wang & Haiyan Yang & Weiyuan Zhang & Jianyou Chen & Xinhui Yang & Zhijie Duan & Fengyi Li & Zhiquan Han & Xin Zhang & Zhilin Li & Dan Han & Tengfei Ke, 2025. "Artificial intelligence-based CT histogram parameters differentiating bronchiolar adenoma and lung adenocarcinomas: A two-center study," PLOS ONE, Public Library of Science, vol. 20(9), pages 1-13, September.
  • Handle: RePEc:plo:pone00:0331336
    DOI: 10.1371/journal.pone.0331336
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