Evidence map›Paper›PMID 29143940›Full record

ArticleEuropean radiology2018

Histogram analysis of diffusion kurtosis imaging derived maps may distinguish between low and high grade gliomas before surgery.

Xi-Xun Qi, Da-Fa Shi, Si-Xie Ren, Su-Ya Zhang, Long Li, Qing-Chang Li, Li-Ming Guan

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Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
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30citing 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

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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

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

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  5. Machine learning of whole-brain resting-state fMRI signatures for individualized grading of frontal gliomas.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
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  20. Based on Histogram Analysis: ADCScientific reports · 2020
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4 · The record

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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

7 authors.

Xi-Xun QiDepartment of Radiology, First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Da-Fa ShiDepartment of Radiology, First Affiliated Hospital of Yangtze University, Jingzhou, 434000, China.
Si-Xie RenDepartment of Radiology, Chengdu Second People's Hospital, Chengdu, 610000, China.
Su-Ya ZhangDepartment of Radiology, First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Long LiDepartment of Neurosurgery, First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Qing-Chang LiDepartment of Pathology, First Affiliated Hospital of China Medical University, Shenyang, 110001, China.
Li-Ming GuanDepartment of Radiology, First Affiliated Hospital of China Medical University, Shenyang, 110001, China. guanlm66@126.com.ORCID http://orcid.org/0000-0003-1828-1296

Funding

National Natural Science Foundation of China No.81101035
6 · The paper itself

Abstract

objectiveTo investigate the value of histogram analysis of diffusion kurtosis imaging (DKI) maps in the evaluation of glioma grading.

methodsA total of 39 glioma patients who underwent preoperative magnetic resonance imaging (MRI) were classified into low-grade (13 cases) and high-grade (26 cases) glioma groups. Parametric DKI maps were derived, and histogram metrics between low- and high-grade gliomas were analysed. The optimum diagnostic thresholds of the parameters, area under the receiver operating characteristic curve (AUC), sensitivity, and specificity were achieved using a receiver operating characteristic (ROC).

resultSignificant differences were observed not only in 12 metrics of histogram DKI parameters (P<0.05), but also in mean diffusivity (MD) and mean kurtosis (MK) values, including age as a covariate (F=19.127, P<0.001 and F=20.894, P<0.001, respectively), between low- and high-grade gliomas. Mean MK was the best independent predictor of differentiating glioma grades (B=18.934, 22.237 adjusted for age, P<0.05). The partial correlation coefficient between fractional anisotropy (FA) and kurtosis fractional anisotropy (KFA) was 0.675 (P<0.001). The AUC of the mean MK, sensitivity, and specificity were 0.925, 88.5% and 84.6%, respectively.

conclusionsDKI parameters can effectively distinguish between low- and high-grade gliomas. Mean MK is the best independent predictor of differentiating glioma grades. KEY POINTS: • DKI is a new and important method. • DKI can provide additional information on microstructural architecture. • Histogram analysis of DKI may be more effective in glioma grading.

Indexed as

Histological TechniquesAdultAnisotropyBrain NeoplasmsDiffusion Magnetic Resonance ImagingDiffusion Tensor ImagingFemaleGliomaHumansMaleMiddle AgedNeoplasm GradingPreoperative PeriodROC CurveSensitivity and SpecificityDiffusion kurtosis imagingGliomaHistogram analysisMagnetic resonance imagingPathological grade

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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.