Evidence map›Paper›PMID 30003092›Full record

ArticleBioMed research international2018

Use of Quantitative Morphological and Functional Features for Assessment of Axillary Lymph Node in Breast Dynamic Contrast-Enhanced Magnetic Resonance Imaging.

Roberta Fusco, Mario Sansone, Vincenza Granata, Maurizio Di Bonito, Franca Avino, Orlando Catalano, Gerardo Botti, Antonella Petrillo

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  14. Machine learning in breast MRI.Journal of magnetic resonance imaging : JMRI · 2020
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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

8 authors at 1 institution in 1 country.

Roberta FuscoRadiology Unit, "Dipartimento di Supporto ai Percorsi Oncologici Area Diagnostica, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale", Via Mariano Semmola, Naples, Italy.ORCID 0000-0002-0469-9969
Mario SansoneDepartment of Electrical Engineering and Information Technologies, University "Federico II" of Naples, Via Claudio, Naples, Italy.ORCID 0000-0003-3556-7771
Vincenza GranataRadiology Unit, "Dipartimento di Supporto ai Percorsi Oncologici Area Diagnostica, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale", Via Mariano Semmola, Naples, Italy.ORCID 0000-0002-6601-3221
Maurizio Di BonitoPathology Unit, "Dipartimento di Supporto ai Percorsi Oncologici Area Diagnostica, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale", Via Mariano Semmola, Naples, Italy.
Franca AvinoSenology Surgery Unit, "Dipartimento Corp-S Assistenziale e di Ricerca dei Percorsi Oncologici del Distretto Toracico, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale", Via Mariano Semmola, Naples, Italy.
Orlando CatalanoRadiology Unit, "Dipartimento di Supporto ai Percorsi Oncologici Area Diagnostica, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale", Via Mariano Semmola, Naples, Italy.
Gerardo BottiPathology Unit, "Dipartimento di Supporto ai Percorsi Oncologici Area Diagnostica, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale", Via Mariano Semmola, Naples, Italy.
Antonella PetrilloRadiology Unit, "Dipartimento di Supporto ai Percorsi Oncologici Area Diagnostica, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale", Via Mariano Semmola, Naples, Italy.ORCID 0000-0002-6074-7670
Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAxillary lymph-node assessment is considered one of the most important prognostic factors concerning breast cancer survival.

objectiveWe investigated the discriminative power of morphological and functional features in assessing the axillary lymph node.

methodsWe retrospectively analysed data from 52 consecutive patients who undergone DCE-MRI and were diagnosed with primary breast carcinoma: 94 lymph nodes were identified. Per each lymph node, we extracted morphological features: circularity, compactness, convexity, curvature, elongation, diameter, eccentricity, irregularity, radial length, entropy, rectangularity, roughness, smoothness, sphericity, spiculation, surface, and volume. Moreover, we extracted functional features: time to peak (TTP), maximum signal difference (MSD), wash-in intercept (WII), wash-out intercept (WOI), wash-in slope (WIS), wash-out slope (WOS), area under gadolinium curve (AUGC), area under wash-in (AUWI), and area under wash-out (AUWO). Selection of important features in predicting metastasis has been done by means of receiver operating characteristic (ROC) analysis. Performance of linear discriminant analysis was analysed.

resultsAll morphological features but circularity showed a significant difference between median values of metastatic lymph nodes group and nonmetastatic lymph nodes group. All dynamic parameters except for MSD and WOS showed a statistically significant difference between median values of metastatic lymph nodes group and nonmetastatic lymph nodes group. Best results for discrimination of metastatic and nonmetastatic lymph nodes were obtained by AUGC (accuracy 75.8%), WIS (accuracy 71.0%), WOS (accuracy 71.0%), and AUCWO (accuracy 72.6%) for dynamic features and by compactness (accuracy 82.3%), curvature (accuracy 71.0%), radial length (accuracy 71.0%), roughness (accuracy 74.2%), smoothness (accuracy 77.2%), and speculation (accuracy 72.6%) for morphological features. Linear combination of all morphological and/or of all dynamic features did not increase accuracy in metastatic lymph nodes discrimination.

conclusionsCompactness as morphological feature and area under time-intensity curve as dynamic feature were the best parameters in identifying metastatic lymph nodes on breast MRI.

Indexed as

Magnetic Resonance ImagingAdultAxillaBreast NeoplasmsFemaleHumansLymphatic MetastasisLymph NodesMiddle AgedRetrospective StudiesSensitivity and Specificity

Identifiers

PMID30003092
PMCPMC5998166
OpenAlexW2805616357

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.