Research Article

Use of a Radiomics Model to Predict Tumor Invasiveness of Pulmonary Adenocarcinomas Appearing as Pulmonary Ground-Glass Nodules

Table 1

Characteristics of patients for preinvasive lesions and IPAs.

All GGNsPreinvasive lesionsIPAsP value
(n=599)(n=201)(n=398)

Sex
 M171(28.5%)57(28.4%)114(28.6%)0.942
 F428(71.5%)144(71.6%)284(71.4%)
Age58.37±11.4057.39±12.0858.86±11.03
Smoking0.137
 yes86(14.4%)23(11.4%)63(15.8%)0.148
 no513(85.6%)178(88.6%)335(84.2%)
Symptom
 yes112(18.7%)76(19.1%)36(17.9%)0.725
 no487(81.3%)322(80.9%)165(82.1%)
History of tumor
 yes44(7.2%)17(8.5%)27(6.5%)0.393
 no555(92.8%)184(91.5%)371(935%)
Location
 Right upper248(41.4%)94(46.8%)154(38.7%)0.445
 Right middle48(8.0%)14(7.0%)34(8.5%)
 Right lower85(14.2%)25(12.4%)60(15.1%)
 Left upper145(24.2%)45(22.4%)100(25.1%)
 Left lower73(12.2%)23(11.4%)50(12.6%)
Surgery
 wedge resection312(52.1%)126(62.7%)186(46.7%)<0.01
 segmentectomy92(15.4%)26(12.9%)66(16.6%
 lobectomy195(32.5%)49(24.4%)146(36.7)
Density
 pure282(47.1%)125(62.2%)157(39.4%)<0.01
 mixed317(52.9%)76(37.8%)241(60.6%)
Shape
 Round or oval363(60.6%)150(74.6%)213(53.5%)<0.01
 irregular236(39.4%)51(25.4%)185(46.5%)
Bubble sign
 yes139(23.2%)39(19.4%)100(25.1%)0.117
 no460(78.8%)162(80.6%)298(74.9%)
Air-bronchogram sign
 yes120(20.0%)21(10.4%)99(24.9%)<0.01
 no479(80.0%)180(89.6%)299(75.1%)
Lobulated border
 yes223(37.2%)26(12.9%)197(49.5%)<0.01
 no376(62.8%)175(87.1%)201(50.5%)
Spiculation sign
 yes94(15.7%)19(9.5%)75(18.8%)<0.01
 no505(84.3%)182(90.5%)323(81.2%)
Clear margin
 yes527(88.0%)171(85.1%)356(89.4%)0.120
 no72(12.0%)30(14.9%)42(10.6%)
Pleural retraction
 yes181(30.2%)34(16.9%)147(36.9%)<0.01
 no418(69.8%)167(83.1%)251(63.1%)
Abnormal vessels
 yes302(50.4%)88(43.8%)214(53.8%)0.021
 no297(49.6%)113(56.2%)184(46.2%)
Pathology
 AAH80 (13.3%)29 (14.4%)51 (12.8%)0.567
 AIS121 (20.2%)38 (18.9%)83 (20.9%)
 MIA174 (29.2%)65 (32.8%)109 (27.4%)
 IAC224 (37.3%)69 (33.9%)155 (38.9%)

means P value is derived from the chi-square test and Student’s t-test between preinvasive lesions and IPAs.
Note: AAH=atypical adenomatous hyperplasia, AIS=adenocarcinoma in situ, MIA=minimally invasive adenocarcinoma, IAC=invasive adenocarcinoma, and IPAs=invasive pulmonary adenocarcinomas.