Evidence map›Paper›PMID 24387824›Full record

Trial reportEuropean journal of radiology2014

Interobserver agreement of semi-automated and manual measurements of functional MRI metrics of treatment response in hepatocellular carcinoma.

David Bonekamp, Susanne Bonekamp, Vivek Gowdra Halappa, Jean-Francois H Geschwind, John Eng, Celia Pamela Corona-Villalobos, Timothy M Pawlik, Ihab R Kamel

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of radiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 70 citations in OpenAlex.

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  19. Validation of the Liver Imaging Reporting and Data System Treatment Response Criteria After Thermal Ablation for Hepatocellular Carcinoma.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

David BonekampThe Johns Hopkins School of Medicine, Department of Radiology, Baltimore, MD, United States.
Susanne BonekampThe Johns Hopkins School of Medicine, Department of Radiology, Baltimore, MD, United States.
Vivek Gowdra HalappaThe Johns Hopkins School of Medicine, Department of Radiology, Baltimore, MD, United States.
Jean-Francois H GeschwindThe Johns Hopkins School of Medicine, Department of Radiology, Baltimore, MD, United States.
John EngThe Johns Hopkins School of Medicine, Department of Radiology, Baltimore, MD, United States.
Celia Pamela Corona-VillalobosThe Johns Hopkins School of Medicine, Department of Radiology, Baltimore, MD, United States.
Timothy M PawlikThe Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, MD, United States; The Johns Hopkins School of Medicine, Department of Surgery, Oncology, Baltimore, MD, United States.
Ihab R KamelThe Johns Hopkins School of Medicine, Department of Radiology, Baltimore, MD, United States. Electronic address: ikamel@jhmi.edu.
Johns Hopkins University · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
NCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

purposeTo assess the interobserver agreement in 50 patients with hepatocellular carcinoma (HCC) before and 1 month after intra-arterial therapy (IAT) using two semi-automated methods and a manual approach for the following functional, volumetric and morphologic parameters: (1) apparent diffusion coefficient (ADC), (2) arterial phase enhancement (AE), (3) portal venous phase enhancement (VE), (4) tumor volume, and assessment according to (5) the Response Evaluation Criteria in Solid Tumors (RECIST), and (6) the European Association for the Study of the Liver (EASL). MATERIALS AND

methodsThis HIPAA-compliant retrospective study had institutional review board approval. The requirement for patient informed consent was waived. Tumor ADC, AE, VE, volume, RECIST, and EASL in 50 index lesions was measured by three observers. Interobserver reproducibility was evaluated using intraclass correlation coefficients (ICC). P<0.05 was considered to indicate a significant difference.

resultsSemi-automated volumetric measurements of functional parameters (ADC, AE, and VE) before and after IAT as well as change in tumor ADC, AE, or VE had better interobserver agreement (ICC=0.830-0.974) compared with manual ROI-based axial measurements (ICC=0.157-0.799). Semi-automated measurements of tumor volume and size in the axial plane before and after IAT had better interobserver agreement (ICC=0.854-0.996) compared with manual size measurements (ICC=0.543-0.596), and interobserver agreement for change in tumor RECIST size was also higher using semi-automated measurements (ICC=0.655) compared with manual measurements (ICC=0.169). EASL measurements of tumor enhancement in the axial plane before and after IAT ((ICC=0.758-0.809), and changes in EASL after IAT (ICC=0.653) had good interobserver agreement.

conclusionSemi-automated measurements of functional changes assessed by ADC and VE based on whole-lesion segmentation demonstrated better reproducibility than ROI-based axial measurements, or RECIST or EASL measurements.

Indexed as

Chemoembolization, TherapeuticAlgorithmsCarcinoma, HepatocellularFemaleHumansImage EnhancementImage Interpretation, Computer-AssistedImaging, Three-DimensionalLiver NeoplasmsMagnetic Resonance ImagingMaleObserver VariationPattern Recognition, AutomatedReproducibility of ResultsRetrospective StudiesSensitivity and SpecificityCancer treatment responseFunctional magnetic resonance imagingObserver agreementReproducibilityResponse assessment

Identifiers

PMID24387824
PMCPMC4380187
OpenAlexW1991801291

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.