Evidence map›Paper›PMID 29557486›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2018

Treatment-related features improve machine learning prediction of prognosis in soft tissue sarcoma patients.

Jan C Peeken, Tatyana Goldberg, Christoph Knie, Basil Komboz, Michael Bernhofer, Francesco Pasa, Kerstin A Kessel, Pouya D Tafti, Burkhard Rost, Fridtjof Nüsslin and 2 more

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In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

12 authors.

Jan C PeekenDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich (TUM), Ismaninger Straße 22, 81675, Munich, Germany. jan.peeken@tum.de.
Tatyana GoldbergAllianz SE, Königinstraße 28, 80802, Munich, Germany.
Christoph KnieDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich (TUM), Ismaninger Straße 22, 81675, Munich, Germany.
Basil KombozAllianz SE, Königinstraße 28, 80802, Munich, Germany.
Michael BernhoferDepartment for Bioinformatics and Computational Biology, Informatik 12, Technical University of Munich (TUM), Boltzmannstraße 3, 85748, Garching, Germany.
Francesco PasaDepartment of Computer Science, Informatik 9, Technical University of Munich (TUM), Boltzmannstraße 3, 85748, Garching, Germany.
Kerstin A KesselDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich (TUM), Ismaninger Straße 22, 81675, Munich, Germany.
Pouya D TaftiAllianz SE, Königinstraße 28, 80802, Munich, Germany.
Burkhard RostDepartment for Bioinformatics and Computational Biology, Informatik 12, Technical University of Munich (TUM), Boltzmannstraße 3, 85748, Garching, Germany.
Fridtjof NüsslinDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich (TUM), Ismaninger Straße 22, 81675, Munich, Germany.
Andreas E BraunAllianz SE, Königinstraße 28, 80802, Munich, Germany.
Stephanie E CombsDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich (TUM), Ismaninger Straße 22, 81675, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeCurrent prognostic models for soft tissue sarcoma (STS) patients are solely based on staging information. Treatment-related data have not been included to date. Including such information, however, could help to improve these models. MATERIALS AND

methodsA single-center retrospective cohort of 136 STS patients treated with radiotherapy (RT) was analyzed for patients' characteristics, staging information, and treatment-related data. Therapeutic imaging studies and pathology reports of neoadjuvantly treated patients were analyzed for signs of response. Random forest machine learning-based models were used to predict patients' death and disease progression at 2 years. Pre-treatment and treatment models were compared.

resultsThe prognostic models achieved high performances. Using treatment features improved the overall performance for all three classification types: prediction of death, and of local and systemic progression (area under the receiver operatoring characteristic curve (AUC) of 0.87, 0.88, and 0.84, respectively). Overall, RT-related features, such as the planning target volume and total dose, had preeminent importance for prognostic performance. Therapy response features were selected for prediction of disease progression.

conclusionsA machine learning-based prognostic model combining known prognostic factors with treatment- and response-related information showed high accuracy for individualized risk assessment. This model could be used for adjustments of follow-up procedures.

Indexed as

Machine LearningProportional Hazards ModelsAdultAgedAged, 80 and overCohort StudiesDisease ProgressionFemaleHumansMaleMiddle AgedNeoadjuvant TherapyNeoplasm StagingPrognosisRetrospective StudiesRisk AssessmentBiomarkerDecision support systemsPrecision medicinePrognostic modelRandom forest

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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.