Radiomics for Distinguishing Benign and Malignant Lung Nodules
Radiomics as a Non-Invasive Adjunct to Chest CT in Distinguishing Benign and Malignant Lung Nodules
Differentiating between benign (non-cancerous) and malignant (cancerous) pulmonary nodules is a critical step in determining appropriate patient management and cancer treatment planning. Conventional evaluation using chest computed tomography (CT) relies on visual inspection of features such as size, shape, and borders; however, benign and malignant nodules frequently exhibit overlapping characteristics, which often necessitates invasive biopsy procedures.
Radiomics is an emerging analytical technique that extracts high-dimensional quantitative data from standard medical images, including tissue texture, density patterns, and complex spatial features, that cannot be detected by visual inspection alone.
The purpose of this observational study is to evaluate the utility of CT-derived radiomics combined with machine learning algorithms to non-invasively differentiate between benign and malignant pulmonary nodules. Researchers will extract quantitative imaging features from chest CT scans of patients presenting with pulmonary nodules measuring less than 5 cm to train and validate predictive machine learning models, with the goal of improving non-invasive diagnostic accuracy and reducing unnecessary biopsy procedures.
調査の概要
研究の種類
入学 (推定)
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
Patients presenting to the Department of Diagnostic and Interventional Radiology at Assiut University Hospitals and the South Egypt Cancer Institute who have confirmed pulmonary nodules measuring less than 5 cm on chest computed tomography (CT) scans acquired within the preceding year.
説明
Inclusion Criteria:
- Patients presenting with pulmonary nodules measuring less than 5 cm in diameter.
- Chest computed tomography (CT) scan acquired within the preceding 1 year.
Exclusion Criteria:
- Patients with pulmonary nodules measuring greater than 5 cm in diameter.
- Chest computed tomography (CT) scan obtained more than 3 years prior.
- Low-quality or artifact-compromised CT images unsuitable for radiomic feature extraction.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 観測モデル：COHORT
- 時間の展望：CROSS_SECTIONAL
コホートと介入
グループ/コホート |
|---|
|
Patients with Pulmonary Nodules
Patients presenting with pulmonary nodules measuring less than 5 cm on chest computed tomography (CT) images obtained within the preceding year. Participants undergo comprehensive clinical history taking, clinical examination, and CT image evaluation. Radiomic features, including nodule intensity, shape, texture analysis, and wavelet decompositions, are extracted from segmented nodule volumes and classified using machine learning algorithms to differentiate benign from malignant pulmonary lesions. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Area Under the Receiver Operating Characteristic Curve (AUC) of the CT Radiomics Model
時間枠：Baseline
|
The primary outcome is the discriminatory performance of the machine learning-based radiomics model in differentiating benign from malignant pulmonary nodules, quantified by the Area Under the Receiver Operating Characteristic Curve (AUC). AUC values range from 0.5 (no discrimination / performance equal to chance) to 1.0 (perfect diagnostic discrimination). Classification accuracy will be validated against histopathological confirmation or established clinical and radiological reference standards. |
Baseline
|
協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。