Evidence map›Paper›PMID 27803067›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2016

Large-scale Radiomic Profiling of Recurrent Glioblastoma Identifies an Imaging Predictor for Stratifying Anti-Angiogenic Treatment Response.

Philipp Kickingereder, Michael Götz, John Muschelli, Antje Wick, Ulf Neuberger, Russell T Shinohara, Martin Sill, Martha Nowosielski, Heinz-Peter Schlemmer, Alexander Radbruch and 4 more

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 159 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed, 2 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

159 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  10. Imaging the hallmarks of cancer.Nature reviews. Cancer · 2026
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  17. Radiomics in glioma: emerging trends and challenges.Annals of clinical and translational neurology · 2025
    Review
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99 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

14 authors.

Philipp KickingerederDepartment of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany philipp.kickingereder@med.uni-heidelberg.de.
Michael GötzMedical Image Computing, Division Medical and Biological Informatics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
John MuschelliDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Antje WickNeurology Clinic, University of Heidelberg Medical Center, Heidelberg, Germany.
Ulf NeubergerDepartment of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany.
Russell T ShinoharaDepartment of Biostatistics and Epidemiology, Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Martin SillDivision of Biostatistics, DKFZ, Heidelberg, Germany.
Martha NowosielskiDepartment of Neurology, The Medical University of Innsbruck, Innsbruck, Austria.
Heinz-Peter SchlemmerDepartment of Radiology, DKFZ, Heidelberg, Germany.
Alexander RadbruchDepartment of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany.
Wolfgang WickNeurology Clinic, University of Heidelberg Medical Center, Heidelberg, Germany.
Martin BendszusDepartment of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany.
Klaus H Maier-HeinMedical Image Computing, Division Medical and Biological Informatics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
David BonekampDepartment of Neuroradiology, University of Heidelberg Medical Center, Heidelberg, Germany.

Funding

Inter-modal Coupling Image AnalyticsR01MH112847 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Theodore Satterthwaite, Russell Takeshi Shinohara · 2017 to 2026
$5.9M
Cancer imaging phenomics software suite: application to brain and breast cancerU24CA189523 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DAVATZIKOS, CHRISTOS, KONTOS, DESPINA · 2015 to 2019
$3.2M
Statistical methods for large and complex databases of ultra-high-dimensionalR01NS085211 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI SHINOHARA, RUSSELL TAKESHI · 2013 to 2017
$1.8M
Spatiotemporal Modeling of MRI Brain Lesion Trajectories of Biomarker DiscoveryR21NS093349 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI ELOYAN, ANI, SHINOHARA, RUSSELL TAKESHI · 2016 to 2017
$454k
NCI NIH HHS U24 CA189523NIMH NIH HHS R01 MH112847NINDS NIH HHS R01 NS085211NINDS NIH HHS R21 NS093349
6 · The paper itself

Abstract

purposeAntiangiogenic treatment with bevacizumab, a mAb to the VEGF, is the single most widely used therapeutic agent for patients with recurrent glioblastoma. A major challenge is that there are currently no validated biomarkers that can predict treatment outcome. Here we analyze the potential of radiomics, an emerging field of research that aims to utilize the full potential of medical imaging. EXPERIMENTAL

designA total of 4,842 quantitative MRI features were automatically extracted and analyzed from the multiparametric tumor of 172 patients (allocated to a discovery and validation set with a 2:1 ratio) with recurrent glioblastoma prior to bevacizumab treatment. Leveraging a high-throughput approach, radiomic features of patients in the discovery set were subjected to a supervised principal component (superpc) analysis to generate a prediction model for stratifying treatment outcome to antiangiogenic therapy by means of both progression-free and overall survival (PFS and OS).

resultsThe superpc predictor stratified patients in the discovery set into a low or high risk group for PFS (HR = 1.60; P = 0.017) and OS (HR = 2.14; P < 0.001) and was successfully validated for patients in the validation set (HR = 1.85, P = 0.030 for PFS; HR = 2.60, P = 0.001 for OS).

conclusionsOur radiomic-based superpc signature emerges as a putative imaging biomarker for the identification of patients who may derive the most benefit from antiangiogenic therapy, advances the knowledge in the noninvasive characterization of brain tumors, and stresses the role of radiomics as a novel tool for improving decision support in cancer treatment at low cost. Clin Cancer Res; 22(23); 5765-71. ©2016 AACR.

Indexed as

AdultAgedAged, 80 and overAngiogenesis InhibitorsBevacizumabBrain NeoplasmsDisease-Free SurvivalFemaleGlioblastomaHumansMagnetic Resonance ImagingMaleMiddle AgedNeoplasm Recurrence, LocalRetrospective StudiesTreatment OutcomeAngiogenesis InhibitorsBevacizumab

Identifiers

PMID27803067
PMCPMC5503450

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.