Evidence map›Paper›PMID 30097414›Full record

ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2019

Preoperative risk prediction for intraductal papillary mucinous neoplasms by quantitative CT image analysis.

Marc A Attiyeh, Jayasree Chakraborty, Lior Gazit, Liana Langdon-Embry, Mithat Gonen, Vinod P Balachandran, Michael I D'Angelica, Ronald P DeMatteo, William R Jarnagin, T Peter Kingham and 3 more

Abstract read
In one paragraph

Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Assessing Follow-Up Duration in Intraductal Papillary Mucinous Neoplasm Patients.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Machine learning radiomics can predict early liver recurrence after resection of intrahepatic cholangiocarcinoma.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2022
    Article
  14. Article
  15. Review
  16. Article
  17. Radiomics in surgical oncology: applications and challenges.Computer assisted surgery (Abingdon, England) · 2021
    Review
  18. Review
  19. Article
  20. Article
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.

Marc A AttiyehDepartment of Surgery, USA.
Jayasree ChakrabortyDepartment of Surgery, USA.
Lior GazitDepartment of Strategy & Innovation, USA.
Liana Langdon-EmbryDepartment of Surgery, USA.
Mithat GonenDepartment of Epidemiology and Biostatistics, USA.
Vinod P BalachandranDepartment of Surgery, USA.
Michael I D'AngelicaDepartment of Surgery, USA.
Ronald P DeMatteoDepartment of Surgery, USA.
William R JarnaginDepartment of Surgery, USA.
T Peter KinghamDepartment of Surgery, USA.
Peter J AllenDepartment of Surgery, USA.
Richard K DoDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Amber L SimpsonDepartment of Surgery, USA. Electronic address: simpsonl@mskcc.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundIntraductal papillary mucinous neoplasms (IPMNs) are radiographically identifiable potential precursor lesions of pancreatic adenocarcinoma. While resection is recommended when main duct dilation is present, management of branch duct IPMN (BD-IPMN) remains controversial. This study sought to evaluate whether preoperative quantitative imaging features of BD-IPMNs could distinguish low-risk disease (low- and intermediate-grade dysplasia) from high-risk disease (high-grade dysplasia and invasive carcinoma).

methodsPatients who underwent resection between 2005 and 2015 with pathologically proven BD-IPMN and a preoperative CT scan were included in the study. Quantitative image features were extracted using texture analysis and a novel quantitative mural nodularity feature developed for the study. Significant features on univariate analysis were combined with clinical variables to build a multivariate prediction model.

resultsWithin the study group of 103 patients, 76 (74%) had low-risk disease and 27 (26%) had high-risk disease. Quantitative imaging features were prognostic of low-vs. high-risk disease. The model based only on clinical variables achieved an AUC of 0.67 and 0.79 with the addition of quantitative imaging features.

conclusionQuantitative image analysis of BD-IPMNs is a novel method that may enable risk stratification. External validation may provide a reliable non-invasive prognostic tool for clinicians.

Indexed as

Multidetector Computed TomographyPancreatectomyAgedDatabases, FactualFemaleHumansMaleMiddle AgedNeoplasm GradingPancreatic Intraductal NeoplasmsPancreatic NeoplasmsPredictive Value of TestsRetrospective StudiesRisk AssessmentRisk FactorsTreatment Outcome

Identifiers

PMID30097414
PMCPMC6367060

What OpenQuestion holds

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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.