Multi-omics model is an effective means to diagnose benign and malignant pulmonary nodules

In response to the high false positive rate of traditional Low-Dose Computed Tomography (LDCT) in diagnosing pulmonary malignant nodules, this study aimed to investigate the effectiveness of scoring of blood-based noninvasive biological metabolite detection combined with artificial intelligent scori...

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Detalles Bibliográficos
Autores: Zhang, Yunzeng, Zhang, Fan, Shen, Changming, Qiao, Gaofeng, Wang, Cheng, Jin, Feng, Zhao, Xiaogang
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:Brasil
Institución:Universidade de São Paulo (USP)
Repositorio:Clinics
Idioma:inglés
OAI Identifier:oai:revistas.usp.br:article/238463
Acceso en línea:https://revistas.usp.br/clinics/article/view/238463
Access Level:acceso abierto
Palabra clave:Multi-omics model
Diagnose
Benign
Malignant
Pulmonary nodules
Descripción
Sumario:In response to the high false positive rate of traditional Low-Dose Computed Tomography (LDCT) in diagnosing pulmonary malignant nodules, this study aimed to investigate the effectiveness of scoring of blood-based noninvasive biological metabolite detection combined with artificial intelligent scoring of non-invasive imaging in the clinical diagnosis of Pulmonary Nodules (PNs). In this retrospective study, risk scoring was performed in patients positive for pulmonary nodules and subsequently, PNs were sampled by invasive procedures for pathological examinations. The pathological classification was used as the gold standard, and statistical and machine learning methods showed, that in 210 patients (23 benign PN and 187 malignant PN), the risk score of Metabonomics, radiomics, and multi-omics had different levels of performance in different risk groups based on various predictive models. The Area Under the receiver operating Characteristic Curve (AUC) of the multi-omics model was 0.823. The present results indicate that a multi-omics model is more effective than a single model in the non-invasive diagnosis of pulmonary malignant nodules.