Evidence map›Paper›PMID 26192734›Full record

ArticleRadiology2016

Computer-extracted Features Can Distinguish Noncancerous Confounding Disease from Prostatic Adenocarcinoma at Multiparametric MR Imaging.

Geert J S Litjens, Robin Elliott, Natalie N C Shih, Michael D Feldman, Thiele Kobus, Christina Hulsbergen-van de Kaa, Jelle O Barentsz, Henkjan J Huisman, Anant Madabhushi

Abstract read
In one paragraph

Article in Radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
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

31 citing papers in PubMed.

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  10. MRI-based radiomics models to assess prostate cancer, extracapsular extension and positive surgical margins.Cancer imaging : the official publication of the International Cancer Imaging Society · 2021
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  20. Radio-pathomic Maps of Epithelium and Lumen Density Predict the Location of High-Grade Prostate Cancer.International journal of radiation oncology, biology, physics · 2018
    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

9 authors.

Geert J S LitjensFrom the Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands (G.J.S.L., T.K., C.H.v.d.K., J.O.B., H.J.H.); Departments of Pathology (R.E.) and Biomedical Engineering (A.M.), Case Western University Hospitals, Cleveland, Ohio; and Department of Pathology, University of Pennsylvania, Philadelphia, Pa (N.N.C.S., M.D.F.).
Robin ElliottFrom the Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands (G.J.S.L., T.K., C.H.v.d.K., J.O.B., H.J.H.); Departments of Pathology (R.E.) and Biomedical Engineering (A.M.), Case Western University Hospitals, Cleveland, Ohio; and Department of Pathology, University of Pennsylvania, Philadelphia, Pa (N.N.C.S., M.D.F.).
Natalie N C ShihFrom the Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands (G.J.S.L., T.K., C.H.v.d.K., J.O.B., H.J.H.); Departments of Pathology (R.E.) and Biomedical Engineering (A.M.), Case Western University Hospitals, Cleveland, Ohio; and Department of Pathology, University of Pennsylvania, Philadelphia, Pa (N.N.C.S., M.D.F.).
Michael D FeldmanFrom the Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands (G.J.S.L., T.K., C.H.v.d.K., J.O.B., H.J.H.); Departments of Pathology (R.E.) and Biomedical Engineering (A.M.), Case Western University Hospitals, Cleveland, Ohio; and Department of Pathology, University of Pennsylvania, Philadelphia, Pa (N.N.C.S., M.D.F.).
Thiele KobusFrom the Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands (G.J.S.L., T.K., C.H.v.d.K., J.O.B., H.J.H.); Departments of Pathology (R.E.) and Biomedical Engineering (A.M.), Case Western University Hospitals, Cleveland, Ohio; and Department of Pathology, University of Pennsylvania, Philadelphia, Pa (N.N.C.S., M.D.F.).
Christina Hulsbergen-van de KaaFrom the Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands (G.J.S.L., T.K., C.H.v.d.K., J.O.B., H.J.H.); Departments of Pathology (R.E.) and Biomedical Engineering (A.M.), Case Western University Hospitals, Cleveland, Ohio; and Department of Pathology, University of Pennsylvania, Philadelphia, Pa (N.N.C.S., M.D.F.).
Jelle O BarentszFrom the Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands (G.J.S.L., T.K., C.H.v.d.K., J.O.B., H.J.H.); Departments of Pathology (R.E.) and Biomedical Engineering (A.M.), Case Western University Hospitals, Cleveland, Ohio; and Department of Pathology, University of Pennsylvania, Philadelphia, Pa (N.N.C.S., M.D.F.).
Henkjan J HuismanFrom the Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands (G.J.S.L., T.K., C.H.v.d.K., J.O.B., H.J.H.); Departments of Pathology (R.E.) and Biomedical Engineering (A.M.), Case Western University Hospitals, Cleveland, Ohio; and Department of Pathology, University of Pennsylvania, Philadelphia, Pa (N.N.C.S., M.D.F.).
Anant MadabhushiFrom the Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands (G.J.S.L., T.K., C.H.v.d.K., J.O.B., H.J.H.); Departments of Pathology (R.E.) and Biomedical Engineering (A.M.), Case Western University Hospitals, Cleveland, Ohio; and Department of Pathology, University of Pennsylvania, Philadelphia, Pa (N.N.C.S., M.D.F.).

Funding

Software to facilitate multimode, multiscale fused data for Pathology and RadioloR01CA136535 · NCI · UNIVERSITY OF PENNSYLVANIA · PI FELDMAN, MICHAEL D, MADABHUSHI, ANANT · 2009 to 2013
$3.2M
Computerized histologic image predictor of cancer outcomeR01CA202752 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI FELDMAN, MICHAEL D, GANESAN, SHRIDAR · 2016 to 2020
$3.1M
Prostate-cancer Imaging by Combined Ultrasound and Magnetic-resonance ParametersR01CA140772 · NCI · RIVERSIDE RESEARCH INSTITUTE · PI FELEPPA, ERNEST JOSEPH · 2010 to 2014
$3.0M
Comprehensive quantitative ultrafast 3D liver MRIR01DK098503 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI GULANI, VIKAS, SEIBERLICH, NICOLE · 2013 to 2017
$2.6M
Decision support with MRI for targeting, evaluating laser ablation for prostate cR21CA167811 · NCI · RUTGERS, THE STATE UNIV OF N.J. · PI MADABHUSHI, ANANT · 2012 to 2013
$516k
Histologic image-based aggressiveness prediction in p16+ oropharyngeal carcinomaR21CA179327 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MADABHUSHI, ANANT · 2014 to 2015
$389k
Computerized morphologic-molecular predictor of progression in DCISR21CA195152 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI BADVE, SUNIL S., MADABHUSHI, ANANT · 2015 to 2016
$388k
NCI NIH HHS R01 CA136535NCI NIH HHS R01 CA140772NCI NIH HHS R01 CA202752NCI NIH HHS R21 CA167811NCI NIH HHS R21 CA179327NCI NIH HHS R21 CA195152NIDDK NIH HHS R01 DK098503NIDDK NIH HHS R01DK098503-02
6 · The paper itself

Abstract

purposeTo determine the best features to discriminate prostate cancer from benign disease and its relationship to benign disease class and cancer grade. MATERIALS AND

methodsThe institutional review board approved this study and waived the need for informed consent. A retrospective cohort of 70 patients (age range, 48-70 years; median, 62 years), all of whom were scheduled to undergo radical prostatectomy and underwent preoperative 3-T multiparametric magnetic resonance (MR) imaging, including T2-weighted, diffusion-weighted, and dynamic contrast material-enhanced imaging, were included. The digitized prostatectomy slides were annotated for cancer and noncancerous disease and coregistered to MR imaging with an interactive deformable coregistration scheme. Computer-identified features for each of the noncancerous disease categories (eg, benign prostatic hyperplasia [BPH], prostatic intraepithelial neoplasia [PIN], inflammation, and atrophy) and prostate cancer were extracted. Feature selection was performed to identify the features with the highest discriminatory power. The performance of these five features was evaluated by using the area under the receiver operating characteristic curve (AUC).

resultsHigh-b-value diffusion-weighted images were more discriminative in distinguishing BPH from prostate cancer than apparent diffusion coefficient, which was most suitable for distinguishing PIN from prostate cancer. The focal appearance of lesions on dynamic contrast-enhanced images may help discriminate atrophy and inflammation from cancer. Which imaging features are discriminative for different benign lesions is influenced by cancer grade. The apparent diffusion coefficient appeared to be the most discriminative feature in identifying high-grade cancer. Classification results showed increased performance by taking into account specific benign types (AUC = 0.70) compared with grouping all noncancerous findings together (AUC = 0.62).

conclusionThe best features with which to discriminate prostate cancer from noncancerous benign disease depend on the type of benign disease and cancer grade. Use of the best features may result in better diagnostic performance.

Indexed as

AdenocarcinomaAgedDiagnosis, DifferentialHumansMagnetic Resonance ImagingMaleMiddle AgedProstatectomyProstatic NeoplasmsRetrospective Studies

Identifiers

PMID26192734
PMCPMC4699495

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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.