Evidence map›Paper›PMID 27837437›Full record

ArticleJournal of neuro-oncology2017

Intra-rater variability in low-grade glioma segmentation.

Hans Kristian Bø, Ole Solheim, Asgeir Store Jakola, Kjell-Arne Kvistad, Ingerid Reinertsen, Erik Magnus Berntsen

Abstract read
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In one paragraph

Article in Journal of neuro-oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

35 citing papers in PubMed, 63 citations in OpenAlex.

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  10. Applications of machine learning to MR imaging of pediatric low-grade gliomas.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 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

6 authors at 3 institutions in 2 countries.

Hans Kristian BøDepartment of Radiology and Nuclear Medicine, St. Olavs University Hospital, P.O. Box 3250, Sluppen, 7006, Trondheim, Norway. hans.kr.b@gmail.com.
Ole SolheimDepartment of Neurosurgery, St. Olavs University Hospital, Trondheim, Norway.
Asgeir Store JakolaDepartment of Neurosurgery, St. Olavs University Hospital, Trondheim, Norway.
Kjell-Arne KvistadDepartment of Radiology and Nuclear Medicine, St. Olavs University Hospital, P.O. Box 3250, Sluppen, 7006, Trondheim, Norway.
Ingerid ReinertsenNational Competence Centre for Ultrasound and Image Guided Therapy, St. Olavs University Hospital, Trondheim, Norway.
Erik Magnus BerntsenDepartment of Radiology and Nuclear Medicine, St. Olavs University Hospital, P.O. Box 3250, Sluppen, 7006, Trondheim, Norway.
St Olav's University Hospital · NONorwegian University of Science and Technology · NOSahlgrenska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Assessment of size and growth are key radiological factors in low-grade gliomas (LGGs), both for prognostication and treatment evaluation, but the reliability of LGG-segmentation is scarcely studied. With a diffuse and invasive growth pattern, usually without contrast enhancement, these tumors can be difficult to delineate. The aim of this study was to investigate the intra-observer variability in LGG-segmentation for a radiologist without prior segmentation experience. Pre-operative 3D FLAIR images of 23 LGGs were segmented three times in the software 3D Slicer. Tumor volumes were calculated, together with the absolute and relative difference between the segmentations. To quantify the intra-rater variability, we used the Jaccard coefficient comparing both two (J2) and three (J3) segmentations as well as the Hausdorff Distance (HD). The variability measured with J2 improved significantly between the two last segmentations compared to the two first, going from 0.87 to 0.90 (p = 0.04). Between the last two segmentations, larger tumors showed a tendency towards smaller relative volume difference (p = 0.07), while tumors with well-defined borders had significantly less variability measured with both J2 (p = 0.04) and HD (p < 0.01). We found no significant relationship between variability and histological sub-types or Apparent Diffusion Coefficients (ADC). We found that the intra-rater variability can be considerable in serial LGG-segmentation, but the variability seems to decrease with experience and higher grade of border conspicuity. Our findings highlight that some criteria defining tumor borders and progression in 3D volumetric segmentation is needed, if moving from 2D to 3D assessment of size and growth of LGGs.

Indexed as

Magnetic Resonance ImagingAdolescentAdultBrain NeoplasmsFemaleGliomaHumansMaleMiddle AgedNeoplasm GradingObserver VariationReproducibility of ResultsYoung AdultGliomaIntra-rater variabilityMagnetic resonance imagingSegmentation

Identifiers

PMID27837437
OpenAlexW2549977851

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.