Evidence map›Paper›PMID 27739434›Full record

ArticleScientific reports2016

Multiparametric MRI-based differentiation of WHO grade II/III glioma and WHO grade IV glioblastoma.

Benedikt Wiestler, Anne Kluge, Mathias Lukas, Jens Gempt, Florian Ringel, Jürgen Schlegel, Bernhard Meyer, Claus Zimmer, Stefan Förster, Thomas Pyka and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
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  7. Validation of a new 3D quantitative BOLD based cerebral oxygen extraction mapping.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
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  14. Fully automated analysis combining [European journal of nuclear medicine and molecular imaging · 2021
    Article
  15. Hemodynamic impairments within individual watershed areas in asymptomatic carotid artery stenosis by multimodal MRI.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
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  16. Article
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  19. Characterizing white matter fiber orientation effects on multi-parametric quantitative BOLD assessment of oxygen extraction fraction.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020
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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

11 authors at 1 institution in 1 country.

Benedikt WiestlerDepartment of Neuroradiology, Klinikum rechts der Isar, TU München, Germany.
Anne KlugeDepartment of Neuroradiology, Klinikum rechts der Isar, TU München, Germany.
Mathias LukasDepartment of Nuclear Medicine, Klinikum rechts der Isar, TU München, Germany.
Jens GemptDepartment of Neurosurgery, Klinikum rechts der Isar, TU München, Germany.
Florian RingelDepartment of Neurosurgery, Klinikum rechts der Isar, TU München, Germany.
Jürgen SchlegelDepartment of Neuropathology, Klinikum rechts der Isar, TU München, Germany.
Bernhard MeyerDepartment of Neurosurgery, Klinikum rechts der Isar, TU München, Germany.
Claus ZimmerDepartment of Neuroradiology, Klinikum rechts der Isar, TU München, Germany.
Stefan FörsterDepartment of Nuclear Medicine, Klinikum rechts der Isar, TU München, Germany.
Thomas PykaDepartment of Nuclear Medicine, Klinikum rechts der Isar, TU München, Germany.
Christine PreibischDepartment of Neuroradiology, Klinikum rechts der Isar, TU München, Germany.
Klinikum rechts der Isar · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-invasive, imaging-based examination of glioma biology has received increasing attention in the past couple of years. To this end, the development and refinement of novel MRI techniques, reflecting underlying oncogenic processes such as hypoxia or angiogenesis, has greatly benefitted this research area. We have recently established a novel BOLD (blood oxygenation level dependent) based MRI method for the measurement of relative oxygen extraction fraction (rOEF) in glioma patients. In a set of 37 patients with newly diagnosed glioma, we assessed the performance of a machine learning model based on multiple MRI modalities including rOEF and perfusion imaging to predict WHO grade. An oblique random forest machine learning classifier using the entire feature vector as input yielded a five-fold cross-validated area under the curve of 0.944, with 34/37 patients correctly classified (accuracy 91.8%). The most important features in this classifier as per bootstrapped feature importance scores consisted of standard deviation of T1-weighted contrast enhanced signal, maximum rOEF value and cerebral blood volume (CBV) standard deviation. This study suggests that multimodal MRI information reflects underlying tumor biology, which is non-invasively detectable through integrative data analysis, and thus highlights the potential of such integrative approaches in the field of radiogenomics.

Indexed as

FemaleGliomaHumansMachine LearningMagnetic Resonance ImagingMaleMiddle AgedNeoplasm Staging

Identifiers

PMID27739434
PMCPMC5064384
OpenAlexW2531103005

What OpenQuestion holds

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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.