Evidence map›Paper›PMID 27226944›Full record

ArticleCureus2016

Prognostic Value of MR Imaging Texture Analysis in Brain Non-Small Cell Lung Cancer Oligo-Metastases Undergoing Stereotactic Irradiation.

Valerio Nardone, Paolo Tini, Michelangelo Biondi, Lucio Sebaste, Eleonora Vanzi, Gianmarco De Otto, Giovanni Rubino, Tommaso Carfagno, Giuseppe Battaglia, Pierpaolo Pastina and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  3. MR-based radiomics predictive modelling of EGFR mutation and HER2 overexpression in metastatic brain adenocarcinoma: a two-centre study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
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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

14 authors at 1 institution in 1 country.

Valerio NardoneUnit of Radiation Oncology, University Hospital of Siena, Siena, Italy.
Paolo TiniUnit of Radiation Oncology, University Hospital of Siena, Siena, Italy.
Michelangelo BiondiDepartment of Medical Physics, University Hospital of Siena, Siena, Italy.
Lucio SebasteUnit of Radiation Oncology, University Hospital of Siena, Siena, Italy.
Eleonora VanziDepartment of Medical Physics, University Hospital of Siena, Siena, Italy.
Gianmarco De OttoDepartment of Medical Physics, University Hospital of Siena, Siena, Italy.
Giovanni RubinoUnit of Radiation Oncology, University Hospital of Siena, Siena, Italy.
Tommaso CarfagnoUnit of Radiation Oncology, University Hospital of Siena, Siena, Italy.
Giuseppe BattagliaUnit of Radiation Oncology, University Hospital of Siena, Siena, Italy.
Pierpaolo PastinaUnit of Radiation Oncology, University Hospital of Siena, Siena, Italy.
Alfonso CeraseUnit of Neuro Radiology, University Hospital of Siena, Siena, Italy.
Lorenzo Nicola MazzoniDepartment of Medical Physics, University Hospital of Siena, Siena, Italy.
Fabrizio Banci BuonamiciDepartment of Medical Physics, University Hospital of Siena, Siena, Italy.
Luigi PirtoliUnit of Radiation Oncology, University Hospital of Siena, Siena, Italy.
University of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelled

backgroundStereotactic irradiation is widely used in brain oligo-metastases treatment. The aim of this study is to evaluate the prognostic value of magnetic resonance imaging (MRI) texture analysis (TA) of brain metastases (BM) of non-small cell lung cancer (NSCLC). MATERIALS AND

methodsThis study included thirty-eight consecutive patients undergoing stereotactic irradiation, that is, stereotactic fractionated radiotherapy (SRT) or radiosurgery (SRS), from January 2011 to December 2014 for 1-2 brain BM from NSCLC. Whole-brain radiotherapy (WBRT) was not delivered. The diagnostic MRI DICOM (Digital Imaging and Communications in Medicine) images were collected and analyzed with a homemade ImageJ macro, and typical TA parameters (mean, standard deviation, skewness, kurtosis, entropy, and uniformity) were evaluated for: brain progression-free survival; modality of brain metastatic progression (local progression or/and new metastases); and overall survival, after SRT/SRS.

resultsAfter SRT/SRS 14 patients (36.8%) experienced recurrence in the brain, with a recurrence in the irradiated site (five patients, 13.2%), new metastases (11 patients, 28.9%), local recurrence and new metastases (two patients, 5.25%). Nineteen patients (50%) died of tumor progression or other causes. Entropy and uniformity were significantly associated with local progression, whereas kurtosis was significantly associated with both local progression and new brain metastases.

conclusionsThese results appear promising, since the knowledge of factors correlated with the modality of brain progression after stereotactic irradiation of brain oligo-metastatic foci of NSCLC might help in driving the best treatment in these patients (association of SRT/SRS with WBRT? Increase of SRT/SRS dose?). Our preliminary data needs confirmation in large patient series.

Indexed as

brain metastasesnon single cells lung cancersrsstereotactic irradiationtexture analysis

Identifiers

PMID27226944
PMCPMC4876005
OpenAlexW2343997490

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.