Evidence map›Paper›PMID 29294157›Full record

ArticleEuropean radiology2018

Spectral multi-energy CT texture analysis with machine learning for tissue classification: an investigation using classification of benign parotid tumours as a testing paradigm.

Eiman Al Ajmi, Behzad Forghani, Caroline Reinhold, Maryam Bayat, Reza Forghani

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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 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

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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

5 authors at 4 institutions in 1 country.

Eiman Al AjmiDepartment of Radiology, Jewish General Hospital, Room C-212.1, 3755 Cote Ste-Catherine Road, Montreal, Quebec, H3T 1E2, Canada.
Behzad ForghaniDepartment of Diagnostic Radiology, McGill University, Montreal, Quebec, Canada.
Caroline ReinholdDepartment of Diagnostic Radiology, McGill University, Montreal, Quebec, Canada.
Maryam BayatDepartment of Radiology, Jewish General Hospital, Room C-212.1, 3755 Cote Ste-Catherine Road, Montreal, Quebec, H3T 1E2, Canada.
Reza ForghaniDepartment of Radiology, Jewish General Hospital, Room C-212.1, 3755 Cote Ste-Catherine Road, Montreal, Quebec, H3T 1E2, Canada. rforghani@jgh.mcgill.ca.ORCID http://orcid.org/0000-0002-8572-1864
Jewish General Hospital · CAMcGill University · CAMcGill University Health Centre · CARoyal Victoria Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere is a rich amount of quantitative information in spectral datasets generated from dual-energy CT (DECT). In this study, we compare the performance of texture analysis performed on multi-energy datasets to that of virtual monochromatic images (VMIs) at 65 keV only, using classification of the two most common benign parotid neoplasms as a testing paradigm.

methodsForty-two patients with pathologically proven Warthin tumour (n = 25) or pleomorphic adenoma (n = 17) were evaluated. Texture analysis was performed on VMIs ranging from 40 to 140 keV in 5-keV increments (multi-energy analysis) or 65-keV VMIs only, which is typically considered equivalent to single-energy CT. Random forest (RF) models were constructed for outcome prediction using separate randomly selected training and testing sets or the entire patient set.

resultsUsing multi-energy texture analysis, tumour classification in the independent testing set had accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of 92%, 86%, 100%, 100%, and 83%, compared to 75%, 57%, 100%, 100%, and 63%, respectively, for single-energy analysis.

conclusionsMulti-energy texture analysis demonstrates superior performance compared to single-energy texture analysis of VMIs at 65 keV for classification of benign parotid tumours. KEY POINTS: • We present and validate a paradigm for texture analysis of DECT scans. • Multi-energy dataset texture analysis is superior to single-energy dataset texture analysis. • DECT texture analysis has high accura\cy for diagnosis of benign parotid tumours. • DECT texture analysis with machine learning can enhance non-invasive diagnostic tumour evaluation.

Indexed as

AdenolymphomaAdenoma, PleomorphicFemaleHumansMachine LearningMaleMiddle AgedMultidetector Computed TomographyParotid NeoplasmsRadiography, Dual-Energy Scanned ProjectionReproducibility of ResultsSensitivity and SpecificityArtificial intelligencedual-energy scanned projection Computer-assisted diagnosisHead and neck neoplasmsMultidetector computed tomographyRadiography

Identifiers

PMID29294157
OpenAlexW2782425054

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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.