Evidence map›Paper›PMID 29908785›Full record

ArticleInternational journal of radiation oncology, biology, physics2018

Radio-pathomic Maps of Epithelium and Lumen Density Predict the Location of High-Grade Prostate Cancer.

Sean D McGarry, Sarah L Hurrell, Kenneth A Iczkowski, William Hall, Amy L Kaczmarowski, Anjishnu Banerjee, Tucker Keuter, Kenneth Jacobsohn, John D Bukowy, Marja T Nevalainen and 3 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of radiation oncology, biology, physics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 3% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  7. MRI-based virtual pathology of the prostate.Magma (New York, N.Y.) · 2024
    Review
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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

13 authors at 2 institutions in 1 country.

Sean D McGarryDepartment of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Sarah L HurrellDepartment of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Kenneth A IczkowskiDepartment of Pathology, Medical College of Wisconsin, Milwaukee, Wisconsin.
William HallDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Amy L KaczmarowskiDepartment of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Anjishnu BanerjeeDepartment of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Tucker KeuterDepartment of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Kenneth JacobsohnDepartment of Urological Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
John D BukowyDepartment of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Marja T NevalainenDepartment of Pathology, Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Pharmacology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Mark D HohenwalterDepartment of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
William A SeeDepartment of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Urological Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
Peter S LaVioletteDepartment of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin; Biomedical Engineering, Medical College of Wisconsin and Marquette University, Milwaukee, Wisconsin. Electronic address: plaviole@mcw.edu.
Medical College of Wisconsin · USMarquette University · US

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
J. NRSA Training CoreTL1TR001437 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI THOMAS, DANNY GEORGE · 2015 to 2024
$3.7M
Stat5 in Progression of Prostate CancerR01CA113580 · NCI · THOMAS JEFFERSON UNIVERSITY · PI NEVALAINEN, MARJA T · 2006 to 2015
$2.7M
Brain Cancer Radio-Pathomics for Predicting Heterogeneous CytologyR01CA218144 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI LAVIOLETTE, PETER S · 2017 to 2021
$1.9M
NCATS NIH HHS TL1 TR001437NCATS NIH HHS UL1 TR001436NCI NIH HHS R01 CA113580NCI NIH HHS R01 CA218144
6 · The paper itself

Abstract

purposeThis study aims to combine multiparametric magnetic resonance imaging (MRI) and digitized pathology with machine learning to generate predictive maps of histologic features for prostate cancer localization. METHODS AND MATERIALS: Thirty-nine patients underwent MRI prior to prostatectomy. After surgery, tissue was sliced according to MRI orientation using patient-specific 3-dimensionally printed slicing jigs. Whole-mount sections were annotated by our pathologist and digitally contoured to differentiate the lumen and epithelium. Slides were co-registered to the T2-weighted MRI scan. A learning curve was generated to determine the number of patients required for a stable machine-learning model. Patients were randomly stratified into 2 training sets and 1 test set. Two partial least-squares regression models were trained, each capable of predicting lumen and epithelium density. Predicted density values were calculated for each patient in the test dataset, mapped into the MRI space, and compared between regions confirmed as high-grade prostate cancer.

resultsThe learning-curve analysis showed that a stable fit was achieved with data from 10 patients. Maps indicated that regions of increased epithelium and decreased lumen density, generated from each independent model, corresponded with pathologist-annotated regions of high-grade cancer.

conclusionsWe present a radio-pathomic approach to mapping prostate cancer. We find that the maps are useful for highlighting high-grade tumors. This technique may be relevant for dose-painting strategies in prostate radiation therapy.

Indexed as

Magnetic Resonance ImagingAgedContrast MediaEpitheliumFalse Positive ReactionsHumansImage Interpretation, Computer-AssistedLearning CurveLeast-Squares AnalysisMachine LearningMaleMiddle AgedNeoplasm StagingPrinting, Three-DimensionalProspective StudiesProstateContrast MediaProstate-Specific Antigen

Identifiers

PMID29908785
PMCPMC6190585
OpenAlexW2800781799

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.