{"id":"https://openalex.org/W4413371153","doi":"https://doi.org/10.1186/s12880-025-01890-z","title":"A non-invasive preoperative model for predicting sentinel lymph node metastasis in breast cancer using clinical data and MRI","display_name":"A non-invasive preoperative model for predicting sentinel lymph node metastasis in breast cancer using clinical data and MRI","publication_year":2025,"publication_date":"2025-08-21","ids":{"openalex":"https://openalex.org/W4413371153","doi":"https://doi.org/10.1186/s12880-025-01890-z","pmid":"https://pubmed.ncbi.nlm.nih.gov/40841933"},"language":"en","primary_location":{"id":"doi:10.1186/s12880-025-01890-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12880-025-01890-z","pdf_url":"https://bmcmedimaging.biomedcentral.com/counter/pdf/10.1186/s12880-025-01890-z","source":{"id":"https://openalex.org/S6505649","display_name":"BMC Medical Imaging","issn_l":"1471-2342","issn":["1471-2342"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Imaging","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcmedimaging.biomedcentral.com/counter/pdf/10.1186/s12880-025-01890-z","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101763941","display_name":"Yunqing Yang","orcid":"https://orcid.org/0000-0002-6077-7757"},"institutions":[{"id":"https://openalex.org/I4210156804","display_name":"First Affiliated Hospital of Zhengzhou University","ror":"https://ror.org/056swr059","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156804"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yunqing Yang","raw_affiliation_strings":["Department of Breast Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China","institution_ids":["https://openalex.org/I4210156804"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016042173","display_name":"Zhulin Wang","orcid":null},"institutions":[{"id":"https://openalex.org/I4210086248","display_name":"Affiliated Hospital of Southwest Medical University","ror":"https://ror.org/0014a0n68","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210086248"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhulin Wang","raw_affiliation_strings":["Department of Thoracic Surgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thoracic Surgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China","institution_ids":["https://openalex.org/I4210086248"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100703726","display_name":"Haidong Wang","orcid":"https://orcid.org/0009-0002-6907-7172"},"institutions":[{"id":"https://openalex.org/I4210096186","display_name":"The Fifth People's Hospital of Anyang","ror":"https://ror.org/00ty48v44","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210096186"]},{"id":"https://openalex.org/I4210163319","display_name":"Anyang Tumor Hospital","ror":"https://ror.org/01hs21r74","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210163319"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Haidong Wang","raw_affiliation_strings":["Department of General Surgery, Anyang Dengta Hospital, Anyang, Henan Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Surgery, Anyang Dengta Hospital, Anyang, Henan Province, China","institution_ids":["https://openalex.org/I4210163319","https://openalex.org/I4210096186"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100377674","display_name":"Yun Wang","orcid":"https://orcid.org/0009-0005-3803-7014"},"institutions":[{"id":"https://openalex.org/I4210156804","display_name":"First Affiliated Hospital of Zhengzhou University","ror":"https://ror.org/056swr059","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156804"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yun Wang","raw_affiliation_strings":["Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China","institution_ids":["https://openalex.org/I4210156804"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100643780","display_name":"Yang Fu","orcid":"https://orcid.org/0000-0002-8221-3354"},"institutions":[{"id":"https://openalex.org/I4210156804","display_name":"First Affiliated Hospital of Zhengzhou University","ror":"https://ror.org/056swr059","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156804"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Yang Fu","raw_affiliation_strings":["Department of Gastrointestinal Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China. fuyang@zzu.edu.cn","Department of Gastrointestinal Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gastrointestinal Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China. fuyang@zzu.edu.cn","institution_ids":[]},{"raw_affiliation_string":"Department of Gastrointestinal Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China","institution_ids":["https://openalex.org/I4210156804"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5100643780"],"corresponding_institution_ids":["https://openalex.org/I4210156804"],"apc_list":{"value":1690,"currency":"GBP","value_usd":2072},"apc_paid":{"value":1690,"currency":"GBP","value_usd":2072},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.24201176,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"25","issue":"1","first_page":"343","last_page":"343"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.9998999834060669,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.9998999834060669,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":0.9991000294685364,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12422","display_name":"Radiomics and Machine Learning in Medical Imaging","score":0.9991000294685364,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.8673467636108398},{"id":"https://openalex.org/keywords/nomogram","display_name":"Nomogram","score":0.8532711267471313},{"id":"https://openalex.org/keywords/breast-cancer","display_name":"Breast cancer","score":0.7342270612716675},{"id":"https://openalex.org/keywords/sentinel-lymph-node","display_name":"Sentinel lymph node","score":0.7288080453872681},{"id":"https://openalex.org/keywords/metastasis","display_name":"Metastasis","score":0.5899701714515686},{"id":"https://openalex.org/keywords/logistic-regression","display_name":"Logistic regression","score":0.5728513598442078},{"id":"https://openalex.org/keywords/radiology","display_name":"Radiology","score":0.4885926842689514},{"id":"https://openalex.org/keywords/brain-metastasis","display_name":"Brain metastasis","score":0.4515872597694397},{"id":"https://openalex.org/keywords/oncology","display_name":"Oncology","score":0.44584429264068604},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.38466426730155945},{"id":"https://openalex.org/keywords/cancer","display_name":"Cancer","score":0.3521280288696289}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8673467636108398},{"id":"https://openalex.org/C34626388","wikidata":"https://www.wikidata.org/wiki/Q721129","display_name":"Nomogram","level":2,"score":0.8532711267471313},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.7342270612716675},{"id":"https://openalex.org/C2780212769","wikidata":"https://www.wikidata.org/wiki/Q776290","display_name":"Sentinel lymph node","level":4,"score":0.7288080453872681},{"id":"https://openalex.org/C2779013556","wikidata":"https://www.wikidata.org/wiki/Q181876","display_name":"Metastasis","level":3,"score":0.5899701714515686},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5728513598442078},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4885926842689514},{"id":"https://openalex.org/C2778164965","wikidata":"https://www.wikidata.org/wiki/Q1620196","display_name":"Brain metastasis","level":4,"score":0.4515872597694397},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.44584429264068604},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.38466426730155945},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.3521280288696289}],"mesh":[{"descriptor_ui":"D000071036","descriptor_name":"Sentinel Lymph Node","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D000071036","descriptor_name":"Sentinel Lymph Node","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008207","descriptor_name":"Lymphatic Metastasis","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D008207","descriptor_name":"Lymphatic Metastasis","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D021701","descriptor_name":"Sentinel Lymph Node Biopsy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D049451","descriptor_name":"Nomograms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12880-025-01890-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12880-025-01890-z","pdf_url":"https://bmcmedimaging.biomedcentral.com/counter/pdf/10.1186/s12880-025-01890-z","source":{"id":"https://openalex.org/S6505649","display_name":"BMC Medical Imaging","issn_l":"1471-2342","issn":["1471-2342"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Imaging","raw_type":"journal-article"},{"id":"pmid:40841933","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40841933","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC medical imaging","raw_type":null},{"id":"pmh:oai:doaj.org/article:c6cc8633c236404badd03898aae8b311","is_oa":true,"landing_page_url":"https://doaj.org/article/c6cc8633c236404badd03898aae8b311","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Medical Imaging, Vol 25, Iss 1, Pp 1-9 (2025)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12369150","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12369150","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Med Imaging","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1186/s12880-025-01890-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12880-025-01890-z","pdf_url":"https://bmcmedimaging.biomedcentral.com/counter/pdf/10.1186/s12880-025-01890-z","source":{"id":"https://openalex.org/S6505649","display_name":"BMC Medical Imaging","issn_l":"1471-2342","issn":["1471-2342"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Imaging","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4413371153.pdf","grobid_xml":"https://content.openalex.org/works/W4413371153.grobid-xml"},"referenced_works_count":29,"referenced_works":["https://openalex.org/W1506524041","https://openalex.org/W1844205403","https://openalex.org/W1968339465","https://openalex.org/W1969979121","https://openalex.org/W2018930582","https://openalex.org/W2096911515","https://openalex.org/W2273243499","https://openalex.org/W2286751031","https://openalex.org/W2729417784","https://openalex.org/W2976185279","https://openalex.org/W3011137482","https://openalex.org/W3177007485","https://openalex.org/W3190111329","https://openalex.org/W3202197205","https://openalex.org/W3209230626","https://openalex.org/W3214544516","https://openalex.org/W4200069490","https://openalex.org/W4220738813","https://openalex.org/W4221027080","https://openalex.org/W4225915953","https://openalex.org/W4300690596","https://openalex.org/W4315754639","https://openalex.org/W4361305321","https://openalex.org/W4377197074","https://openalex.org/W4385231026","https://openalex.org/W4387798873","https://openalex.org/W4390052076","https://openalex.org/W4391278122","https://openalex.org/W6845138867"],"related_works":["https://openalex.org/W2911441101","https://openalex.org/W1970018641","https://openalex.org/W1993821226","https://openalex.org/W2063908487","https://openalex.org/W3014240535","https://openalex.org/W4226494765","https://openalex.org/W2004029742","https://openalex.org/W4233588653","https://openalex.org/W3152118942","https://openalex.org/W2029101088"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Breast":[1],"cancer":[2,59],"is":[3,26],"the":[4,16,97,188],"leading":[5],"cause":[6],"of":[7,18,80,115,145,162],"cancer-related":[8],"death":[9],"among":[10],"women,":[11],"with":[12,142,157],"metastasis":[13,45,117,160,171],"accounting":[14],"for":[15,28,42,182,190],"majority":[17],"these":[19,202],"deaths.":[20],"Sentinel":[21],"lymph":[22],"node":[23],"(SLN)":[24],"status":[25],"crucial":[27],"staging":[29],"and":[30,49,73,91,130,154,165,174],"treatment":[31],"planning.":[32],"This":[33,168],"study":[34,55],"aims":[35],"to":[36,86,106,200],"develop":[37],"a":[38,108,179],"non-invasive":[39,169],"preoperative":[40,50],"model":[41,173],"predicting":[43],"SLN":[44,81,116,159,170,191],"using":[46],"clinical":[47,184],"data":[48],"MRI.":[51],"METHODS:":[52],"A":[53],"retrospective":[54],"included":[56,118],"4,276":[57],"breast":[58],"patients":[60,69,150],"who":[61],"underwent":[62],"surgery":[63],"were":[64,70,84],"enrolled.":[65],"After":[66],"exclusions,":[67],"999":[68],"analyzed.":[71],"Univariable":[72],"multivariable":[74],"logistic":[75],"regression":[76],"identified":[77],"significant":[78],"predictors":[79,114],"metastasis,":[82],"which":[83],"used":[85,105],"construct":[87],"nomograms.":[88],"Calibration":[89],"curves":[90],"decision":[92],"curve":[93],"analysis":[94,102],"(DCA)":[95],"validated":[96],"model\u2019s":[98],"accuracy.":[99],"Recursive":[100],"partitioning":[101],"(RPA)":[103],"was":[104],"create":[107],"risk":[109,175],"stratification":[110,176],"system.":[111],"RESULTS:":[112],"Significant":[113],"tumor":[119],"size":[120],"on":[121],"MRI,":[122],"multifocality,":[123],"MRI-BIRADS":[124],"classification,":[125],"ADC":[126],"value,":[127],"short":[128],"axis,":[129],"cortical":[131],"thickness":[132],"(P":[133],"<":[134],"0.05).":[135],"The":[136,147],"nomogram":[137],"showed":[138],"excellent":[139],"discriminatory":[140],"power":[141],"an":[143],"AUC":[144],"0.847.":[146],"RPA":[148],"stratified":[149],"into":[151],"low-,":[152],"intermediate-,":[153],"high-risk":[155],"groups,":[156],"respective":[158],"probabilities":[161],"15.8%,":[163],"28.6%,":[164],"69.8%.":[166],"CONCLUSIONS:":[167],"prediction":[172],"system":[177],"provide":[178],"valuable":[180],"tool":[181],"personalized":[183],"decision-making,":[185],"potentially":[186],"reducing":[187],"need":[189],"biopsy":[192],"in":[193],"low-risk":[194],"patients.":[195],"Further":[196],"studies":[197],"are":[198],"needed":[199],"validate":[201],"findings.":[203]},"counts_by_year":[],"updated_date":"2026-01-13T01:12:25.745995","created_date":"2025-10-10T00:00:00"}
