An Online Model for Central Lymph Node Metastases in Papillary Thyroid Carcinoma With BRAF V600E Mutation

doi:10.1097/COC.0000000000001109

科研成果详情

题名	An Online Model for Central Lymph Node Metastases in Papillary Thyroid Carcinoma With BRAF V600E Mutation
作者	Hao Chen 1; Wen-Kai Pan2; Si-Yan Ren3; Yi-Li Zhou 1
发表日期	2024-04-26
发表期刊	American journal of clinical oncology 影响因子和分区
语种	英语
原始文献类型	Journal Article
关键词	BRAF V600E mutation papillary thyroid carcinoma central lymph node metastases nomogram predictive model risk variables
其他关键词	RISK-FACTORS ; BRAF(V600E) MUTATION ; SURGICAL-MANAGEMENT ; MICROCARCINOMA ; ASSOCIATION ; PREDICTION ; DISSECTION ; SURVIVAL ; FEATURES
摘要	To construct a predictive model to direct the dissection of the central lymph nodes in papillary thyroid cancer (PTC) with BRAF V600E mutation by identifying the risk variables for central lymph node metastases (CLNM)., Data from 466 PTC patients with BRAF V600E mutations underwent thyroid surgery was collected and analyzed retrospectively. For these patients, we conducted univariate and multivariate logistic regression analysis to find risk variables for CLNM. To construct a nomogram, the independent predictors were chosen. The calibration, discrimination, and clinical utility of the predictive model were assessed by training and validation data., CLNM was present in 323/466 PTC patients with BRAF V600E mutations. By using univariate and multivariate logistic regression, we discovered that gender, age, tumor size, multifocality, and pathological subtype were all independent predictors of CLNM in PTC patients with BRAF V600E mutations. A predictive nomogram was created by combining these variables. In both training and validation groups, the nomogram demonstrated great calibration capacities. The training and validation groups' areas under the curve (AUC) were 0.772 (specificity 0.694, sensitivity 0.728, 95% CI: 0.7195-0.8247) and 0.731 (specificity 0.778, sensitivity 0.653, 95% CI: 0.6386-0.8232) respectively. According to the nomogram's decision curve analysis (DCA), the nomogram might be beneficial. As well, an online dynamic calculator was developed to make the application of this nomogram easier in the clinic., An online nomogram model based on the 5 predictors included gender, age, pathological subtype, multifocality, and tumor size was confirmed to predict CLNM and guide the central lymph nodes dissection in PTC patients with BRAF V600E mutations.
资助项目	Wenzhou Municipal Science and Technology Bureau Foundation [Y2020739]
出版者	LIPPINCOTT WILLIAMS & WILKINS
ISSN	0277-3732
EISSN	1537-453X
卷号	47 期号:8 页码:383-390
DOI	10.1097/COC.0000000000001109
页数	8
WOS类目	Oncology
WOS研究方向	Oncology
WOS记录号	WOS:001276246400006
收录类别	PUBMED ; SCIE ; SCOPUS
URL	查看原文
PubMed ID	38664891
SCOPUSEID	2-s2.0-85199499321
通讯作者地址	[Zhou, Yi-li]Wenzhou Med Univ, Affiliated Hosp 1, Dept Thyroid Surg, Wenzhou, Zhejiang, Peoples R China.
Scopus学科分类	Oncology;Cancer Research
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/212820
专题	附属第一医院第一临床医学院（信息与工程学院）、附属第一医院附属第二医院附属第一医院_放化疗科第二临床医学院、附属第二医院、育英儿童医院
作者单位	1.Department of Thyroid Surgery.; 2.Department of Radiotherapy, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province.; 3.Medical and Radiation Oncology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
通讯作者单位	附属第一医院
推荐引用方式 GB/T 7714	Hao Chen,Wen-Kai Pan,Si-Yan Ren,et al. An Online Model for Central Lymph Node Metastases in Papillary Thyroid Carcinoma With BRAF V600E Mutation[J]. American journal of clinical oncology,2024,47(8):383-390.
APA	Hao Chen, Wen-Kai Pan, Si-Yan Ren, & Yi-Li Zhou. (2024). An Online Model for Central Lymph Node Metastases in Papillary Thyroid Carcinoma With BRAF V600E Mutation. American journal of clinical oncology, 47(8), 383-390.
MLA	Hao Chen,et al."An Online Model for Central Lymph Node Metastases in Papillary Thyroid Carcinoma With BRAF V600E Mutation".American journal of clinical oncology 47.8(2024):383-390.