Evidence map›Paper›PMID 28856728›Full record

ArticleMagnetic resonance in medicine2018

Data-driven mapping of hypoxia-related tumor heterogeneity using DCE-MRI and OE-MRI.

Adam K Featherstone, James P B O'Connor, Ross A Little, Yvonne Watson, Sue Cheung, Muhammad Babur, Kaye J Williams, Julian C Matthews, Geoff J M Parker

Abstract read
In one paragraph

Article in Magnetic resonance in medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

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  6. TThe British journal of radiology · 2023
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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

9 authors.

Adam K FeatherstoneDivision of Informatics, Imaging & Data Sciences, The University of Manchester, Manchester, UK.ORCID 0000-0003-4705-1668
James P B O'ConnorCRUK & EPSRC Cancer Imaging Centre in Cambridge and Manchester, Cambridge and Manchester, UK.
Ross A LittleDivision of Informatics, Imaging & Data Sciences, The University of Manchester, Manchester, UK.
Yvonne WatsonDivision of Informatics, Imaging & Data Sciences, The University of Manchester, Manchester, UK.
Sue CheungDivision of Informatics, Imaging & Data Sciences, The University of Manchester, Manchester, UK.
Muhammad BaburDivision of Pharmacy & Optometry, The University of Manchester, Manchester, UK.
Kaye J WilliamsCRUK & EPSRC Cancer Imaging Centre in Cambridge and Manchester, Cambridge and Manchester, UK.
Julian C MatthewsDivision of Informatics, Imaging & Data Sciences, The University of Manchester, Manchester, UK.
Geoff J M ParkerDivision of Informatics, Imaging & Data Sciences, The University of Manchester, Manchester, UK.ORCID 0000-0003-2934-2234

Funding

Biotechnology and Biological Sciences Research Council BB/F011350/1Cancer Research UK 15267Cancer Research UK 16465Cancer Research UK 22746Cancer Research UK C8742/A18097
6 · The paper itself

Abstract

purposePrevious work has shown that combining dynamic contrast-enhanced (DCE)-MRI and oxygen-enhanced (OE)-MRI binary enhancement maps can identify tumor hypoxia. The current work proposes a novel, data-driven method for mapping tissue oxygenation and perfusion heterogeneity, based on clustering DCE/OE-MRI data.

methodsDCE-MRI and OE-MRI were performed on nine U87 (glioblastoma) and seven Calu6 (non-small cell lung cancer) murine xenograft tumors. Area under the curve and principal component analysis features were calculated and clustered separately using Gaussian mixture modelling. Evaluation metrics were calculated to determine the optimum feature set and cluster number. Outputs were quantitatively compared with a previous non data-driven approach.

resultsThe optimum method located six robustly identifiable clusters in the data, yielding tumor region maps with spatially contiguous regions in a rim-core structure, suggesting a biological basis. Mean within-cluster enhancement curves showed physiologically distinct, intuitive kinetics of enhancement. Regions of DCE/OE-MRI enhancement mismatch were located, and voxel categorization agreed well with the previous non data-driven approach (Cohen's kappa = 0.61, proportional agreement = 0.75).

conclusionThe proposed method locates similar regions to the previous published method of binarization of DCE/OE-MRI enhancement, but renders a finer segmentation of intra-tumoral oxygenation and perfusion. This could aid in understanding the tumor microenvironment and its heterogeneity. Magn Reson Med 79:2236-2245, 2018. © 2017 The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Indexed as

Magnetic Resonance ImagingTumor HypoxiaTumor MicroenvironmentAlgorithmsAnimalsArea Under CurveCarcinoma, Non-Small-Cell LungCluster AnalysisGlioblastomaHumansHypoxiaImage Interpretation, Computer-AssistedImage Processing, Computer-AssistedLung NeoplasmsMiceNeoplasmsOxygencancerclusteringDCE-MRIheterogeneityhypoxiaOE-MRI

Identifiers

PMID28856728
PMCPMC5836865

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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.