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168                       Ezenekwe et al. | Journal of Clinical and Translational Research 2024; 10(2): 165-171
        the parathyroid group, we found that there were minimal textural   and 12/69 second-order variables differing significantly between
        distinctions between the two groups. We observed 5/18 first-order   the two (P < 0.05), of which only 2 variables were significant
                                                                at the level of  P  <  0.0001. All  significant  variables  and  their
        Table 1. Demographic information                        respective level of significance can be found in Tables 2-4 for
        Characteristics           N         %         Average   each anatomical group.
        Age                       20        -          56.71    4. Discussion
        Sex
         Male                     8         40          -          The carotid  artery and jugular  vein are obvious anatomical
         Female                   12        60          -       landmarks and easily discernable  from lesions for radiologists
        Race                                                    on  4D-CTs but  not  necessarily  for  computers.  The  long-term
         White                    8         40          -       goal from this study is computer automated, texturally informed
         Black/African American   11        55          -       prediction and localization of parathyroid adenomas. With this in
         Asian/Mideast Indian     1         5           -       mind, radiomic data from the carotid artery and jugular vein, often
         Hispanic/Latinx          0         0           -       in close proximity to parathyroid lesion and also hyperattenuating
        Nodule location                                         on post-contrast CT, is required to add to a model’s inventory of
         Ectopic/mediastinum      3         15          -       patterns for predicting and differentiating lesions from surrounding
         Thyroid adjacent         17        85          -       anatomy with increased confidence.

        Table 2. Predictive variables of significance for thyroid group
        Variable                     Variable class Estimated difference in means 95% CI lower limit  95% CI upper limit   P    Significance
                                                                                                      adj
        Id                           gclm              −1.83E-01         −2.96E-01      −7.02E-02   3.29E-04   **
        Idm                          gclm              −4.37E+00         −7.15E+00      −1.59E+00   5.28E-04   *
        Idn                          gclm              −5.45E+00         −7.64E+00      −3.27E+00   3.47E-08   **
        InverseVariance              gclm              −4.04E+00         −6.51E+00      −1.57E+00   2.95E-04   **
        DependenceNonUniformity      gclm              −4.55E+00         −7.24E+00      −1.85E+00   1.79E-04  ****
        GrayLevelNonUniformity       gclm              −4.40E+00         −7.05E+00      −1.75E+00   2.32E-04  ***
        SmallDependenceLowGrayLevelEmphasis gclm       −2.12E+02         −3.22E+02      −1.01E+02   1.82E-05   **
        LongRunEmphasis              gclm              −5.37E+00         −7.32E+00      −3.41E+00   1.92E-09  ****
        RunEntropy                   gclm              −1.86E+02         −2.79E+02      −9.38E+01   6.76E-06  ***
        RunLengthNonUniformityNormalized  gclm         −2.16E+02         −3.29E+02      −1.03E+02   2.05E-05  ***
        RunPercentage                gclm              −6.04E+01         −1.20E+02      −7.89E-01   4.59E-02  ****
        RunVariance                  gclm              −2.38E+07         −4.21E+07      −5.54E+06   5.42E-03  ****
        ShortRunEmphasis             gclm              −7.63E+01         −1.48E+02      −4.77E+00   3.20E-02   **
        LargeAreaEmphasis            gclm              −6.47E+01         −1.29E+02      −3.60E-02   4.98E-02   *
        LargeAreaLowGrayLevelEmphasis  gclm            −1.14E+07         −1.90E+07      −3.78E+06   1.05E-03  ***
        ZonePercentage               gclm              −6.56E-03         −1.18E-02      −1.34E-03   7.91E-03   *
        ZoneVariance                 gclm              −4.72E+01         −7.20E+01      −2.23E+01   2.19E-05   *
        Busyness                     gclm              −1.31E+02         −2.38E+02      −2.43E+01   9.84E-03  ****
        Coarseness                   gclm               1.31E-02          4.04E-03       2.22E-02   1.65E-03   **
        TotalEnergy                  First order       −1.93E+02         −3.29E+02      −5.60E+01   2.23E-03   *
        MajorAxisLength              shape             −6.67E-01         −9.75E-01      −3.59E-01   1.38E-06  ****
        Maximum2DDiameterColumn      shape              8.73E-02          8.15E-03       1.66E-01   2.48E-02  ****
        Maximum2DDiameterRow         shape              5.01E-02          1.36E-02       8.66E-02   3.03E-03  ****
        Maximum2DDiameterSlice       shape             −4.48E+00         −7.53E+00      −1.42E+00   1.37E-03  ****
        Maximum3DDiameter            shape             −9.51E-02         −1.77E-01      −1.34E-02   1.60E-02  ****
        MeshVolume                   shape             −7.79E-01         −1.29E+00      −2.67E-01   8.38E-04  ****
        MinorAxisLength              shape              1.04E-01          2.61E-02       1.81E-01   4.12E-03  ****
        Sphericity                   shape             −1.83E-01         −2.96E-01      −7.02E-02   3.29E-04   *
        SurfaceArea                  shape             −4.37E+00         −7.15E+00      −1.59E+00   5.28E-04  ****
        VoxelVolume                  shape             −5.45E+00         −7.64E+00      −3.27E+00   3.47E-08  ****
        Notes: (i) Parathyroid group is the reference group for all comparisons in the table.
        (ii) Positive values indicate that the mean of the parathyroid group is lower and vice versa.
        (iii) ns: Not significant; *0.01< P < 0.05; ** 0.001< P < 0.01; *** 0.0001< P < 0.001; **** P<0.0001.
                                                DOI: https://doi.org/10.36922/jctr.23.00112
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