Evidence map›Paper›PMID 27589689›Full record

ArticleOncotarget2016

Combining radiomic features with a miRNA classifier may improve prediction of malignant pathology for pancreatic intraductal papillary mucinous neoplasms.

Jennifer B Permuth, Jung Choi, Yoganand Balarunathan, Jongphil Kim, Dung-Tsa Chen, Lu Chen, Sonia Orcutt, Matthew P Doepker, Kenneth Gage, Geoffrey Zhang and 12 more

Abstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 1 pooled it
–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

79 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  20. Update on quantitative radiomics of pancreatic tumors.Abdominal radiology (New York) · 2022
    Review

19 more citing papers are in PubMed but not listed here.

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

22 authors.

Jennifer B PermuthCancer Epidemiology, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Jung ChoiDiagnostic Imaging and Interventional Radiology, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Yoganand BalarunathanCancer Imaging and Metabolism, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Jongphil KimBiostatistics and Bioinformatics, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Dung-Tsa ChenBiostatistics and Bioinformatics, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Lu ChenBiostatistics and Bioinformatics, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Sonia OrcuttGastrointestinal Oncology, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Matthew P DoepkerDepartment of Clinical Surgery/Surgical Oncology, Palmetto Health/USC School of Medicine, Columbia, South Carolina, USA.
Kenneth GageDiagnostic Imaging and Interventional Radiology, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Geoffrey ZhangCancer Imaging and Metabolism, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Kujtim LatifiCancer Imaging and Metabolism, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Sarah HoffeGastrointestinal Oncology, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Kun JiangAnatomic Pathology, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Domenico CoppolaAnatomic Pathology, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Barbara A CentenoAnatomic Pathology, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Anthony MaglioccoAnatomic Pathology, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Qian LiCancer Imaging and Metabolism, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Jose TrevinoDepartment of Surgery, Division of General Surgery, University of Florida Health Sciences Center, Gainesville, Florida, USA.
Nipun MerchantDepartment of Surgery, Sylvester Comprehensive Cancer Center at the University of Miami Miller School of Medicine, Miami, Florida, USA.
Robert GilliesCancer Imaging and Metabolism, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Mokenge MalafaGastrointestinal Oncology, Moffitt Cancer Center and Research Institute, Tampa, Florida, USA.
Florida Pancreas Collaborative

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
NCI NIH HHS P30 CA076292
6 · The paper itself

Abstract

Intraductal papillary mucinous neoplasms (IPMNs) are pancreatic cancer precursors incidentally discovered by cross-sectional imaging. Consensus guidelines for IPMN management rely on standard radiologic features to predict pathology, but they lack accuracy. Using a retrospective cohort of 38 surgically-resected, pathologically-confirmed IPMNs (20 benign; 18 malignant) with preoperative computed tomography (CT) images and matched plasma-based 'miRNA genomic classifier (MGC)' data, we determined whether quantitative 'radiomic' CT features (+/- the MGC) can more accurately predict IPMN pathology than standard radiologic features 'high-risk' or 'worrisome' for malignancy. Logistic regression, principal component analyses, and cross-validation were used to examine associations. Sensitivity, specificity, positive and negative predictive value (PPV, NPV) were estimated. The MGC, 'high-risk,' and 'worrisome' radiologic features had area under the receiver operating characteristic curve (AUC) values of 0.83, 0.84, and 0.54, respectively. Fourteen radiomic features differentiated malignant from benign IPMNs (p<0.05) and collectively had an AUC=0.77. Combining radiomic features with the MGC revealed an AUC=0.92 and superior sensitivity (83%), specificity (89%), PPV (88%), and NPV (85%) than other models. Evaluation of uncertainty by 10-fold cross-validation retained an AUC>0.80 (0.87 (95% CI:0.84-0.89)). This proof-of-concept study suggests a noninvasive radiogenomic approach may more accurately predict IPMN pathology than 'worrisome' radiologic features considered in consensus guidelines.

Indexed as

Adenocarcinoma, MucinousAgedAged, 80 and overCarcinoma, Pancreatic DuctalCarcinoma, PapillaryFemaleHumansMaleMicroRNAsMiddle AgedPancreatic NeoplasmsTomography, X-Ray ComputedMicroRNAsmiRNApancreaspre-malignant lesionsradiomicsrisk stratification

Identifiers

PMID27589689
PMCPMC5349874

What OpenQuestion holds

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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.