Evidence map›Paper›PMID 29770897›Full record

ArticleJournal of neuro-oncology2018

Machine learning: a useful radiological adjunct in determination of a newly diagnosed glioma's grade and IDH status.

Céline De Looze, Alan Beausang, Jane Cryan, Teresa Loftus, Patrick G Buckley, Michael Farrell, Seamus Looby, Richard Reilly, Francesca Brett, Hugh Kearney

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Article in Journal of neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 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

10 authors at 2 institutions in 1 country.

Céline De LoozeTrinity Centre for Bioengineering, Trinity College Dublin, Dublin, Ireland.
Alan BeausangDepartment of Neuropathology, Beaumont Hospital, Dublin, Ireland.
Jane CryanDepartment of Neuropathology, Beaumont Hospital, Dublin, Ireland.
Teresa LoftusDepartment of Molecular Pathology, Beaumont Hospital, Dublin, Ireland.
Patrick G BuckleyDepartment of Molecular Pathology, Beaumont Hospital, Dublin, Ireland.
Michael FarrellDepartment of Neuropathology, Beaumont Hospital, Dublin, Ireland.
Seamus LoobyDepartment of Neuroradiology, Beaumont Hospital, Dublin, Ireland.
Richard ReillyTrinity Centre for Bioengineering, Trinity College Dublin, Dublin, Ireland.
Francesca BrettDepartment of Neuropathology, Beaumont Hospital, Dublin, Ireland.
Hugh KearneyDepartment of Neuropathology, Beaumont Hospital, Dublin, Ireland. hugh.kearney.10@ucl.ac.uk.ORCID http://orcid.org/0000-0003-2320-3487
Beaumont Hospital · IETrinity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMachine learning methods have been introduced as a computer aided diagnostic tool, with applications to glioma characterisation on MRI. Such an algorithmic approach may provide a useful adjunct for a rapid and accurate diagnosis of a glioma. The aim of this study is to devise a machine learning algorithm that may be used by radiologists in routine practice to aid diagnosis of both: WHO grade and IDH mutation status in de novo gliomas.

methodsTo evaluate the status quo, we interrogated the accuracy of neuroradiology reports in relation to WHO grade: grade II 96.49% (95% confidence intervals [CI] 0.88, 0.99); III 36.51% (95% CI 0.24, 0.50); IV 72.9% (95% CI 0.67, 0.78). We derived five MRI parameters from the same diagnostic brain scans, in under two minutes per case, and then supplied these data to a random forest algorithm.

resultsMachine learning resulted in a high level of accuracy in prediction of tumour grade: grade II/III; area under the receiver operating characteristic curve (AUC) = 98%, sensitivity = 0.82, specificity = 0.94; grade II/IV; AUC = 100%, sensitivity = 1.0, specificity = 1.0; grade III/IV; AUC = 97%, sensitivity = 0.83, specificity = 0.97. Furthermore, machine learning also facilitated the discrimination of IDH status: AUC of 88%, sensitivity = 0.81, specificity = 0.77.

conclusionsThese data demonstrate the ability of machine learning to accurately classify diffuse gliomas by both WHO grade and IDH status from routine MRI alone-without significant image processing, which may facilitate usage as a diagnostic adjunct in clinical practice.

Indexed as

Machine LearningMutationAdultAgedAlgorithmsBrain NeoplasmsFemaleFollow-Up StudiesGliomaHumansImage Processing, Computer-AssistedIsocitrate DehydrogenaseMagnetic Resonance ImagingMaleMiddle AgedNeoplasm GradingIDH1 protein, humanIsocitrate DehydrogenaseDiagnostic accuracyGliomaMachine learningMRIRandom forest

Identifiers

PMID29770897
OpenAlexW2803497028

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.