Evidence map›Paper›PMID 30365545›Full record

ArticlePloS one2018

Application of machine learning algorithms for multiparametric MRI-based evaluation of murine colitis.

Stephan Ellmann, Victoria Langer, Nathalie Britzen-Laurent, Kai Hildner, Carina Huber, Philipp Tripal, Lisa Seyler, Maximilian Waldner, Michael Uder, Michael Stürzl and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 26% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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

11 authors at 2 institutions in 1 country.

Stephan EllmannInstitute of Radiology, University Hospital Erlangen, Maximiliansplatz 1, Erlangen, Germany.ORCID 0000-0003-2737-5526
Victoria LangerDivision of Molecular and Experimental Surgery, Translational Research Center Erlangen, Department of Surgery, Erlangen, Germany.
Nathalie Britzen-LaurentDivision of Molecular and Experimental Surgery, Translational Research Center Erlangen, Department of Surgery, Erlangen, Germany.
Kai HildnerDepartment of Medicine 1, University Hospital Erlangen, Kussmaul Campus for Medical Research, Erlangen, Germany.
Carina HuberDepartment of Medicine 1, University Hospital Erlangen, Kussmaul Campus for Medical Research, Erlangen, Germany.
Philipp TripalOptical Imaging Center Erlangen (OICE), Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen, Germany.
Lisa SeylerInstitute of Radiology, University Hospital Erlangen, Maximiliansplatz 1, Erlangen, Germany.
Maximilian WaldnerDepartment of Medicine 1, University Hospital Erlangen, Kussmaul Campus for Medical Research, Erlangen, Germany.
Michael UderInstitute of Radiology, University Hospital Erlangen, Maximiliansplatz 1, Erlangen, Germany.
Michael StürzlDivision of Molecular and Experimental Surgery, Translational Research Center Erlangen, Department of Surgery, Erlangen, Germany.
Tobias BäuerleInstitute of Radiology, University Hospital Erlangen, Maximiliansplatz 1, Erlangen, Germany.
Universitätsklinikum Erlangen · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Magnetic resonance imaging (MRI) allows non-invasive evaluation of inflammatory bowel disease (IBD) by assessing pathologically altered gut. Besides morphological changes, relaxation times and diffusion capacity of involved bowel segments can be obtained by MRI. The aim of this study was to assess the use of multiparametric MRI in the diagnosis of experimentally induced colitis in mice, and evaluate the diagnostic benefit of parameter combinations using machine learning. This study relied on colitis induction by Dextran Sodium Sulfate (DSS) and investigated the colon of mice in vivo as well as ex vivo. Receiver Operating Characteristics were used to calculate sensitivity, specificity, positive- and negative-predictive values (PPV and NPV) of these single values in detecting DSS-treatment as a reference condition. A Model Averaged Neural Network (avNNet) was trained on the multiparametric combination of the measured values, and its predictive capacity was compared to those of the single parameters using exact binomial tests. Within the in vivo subgroup (n = 19), the avNNet featured a sensitivity of 91.3% (95% CI: 86.6-96.0%), specificity of 92.3% (95% CI: 85.1-99.6%), PPV of 96.9% (94.0-99.9%) and NPV of 80.0% (95% CI: 69.9-90.1%), significantly outperforming all single parameters in at least 2 accuracy measures (p < 0.003) and performing significantly worse compared to none of the single values. Within the ex vivo subgroup (n = 30), the avNNet featured a sensitivity of 87.4% (95% CI: 82.6-92.2%), specificity of 82.9% (95% CI: 76.1-89.7%), PPV of 88.9% (84.3-93.5%) and NPV of 80.8% (95% CI: 73.8-87.9%), significantly outperforming all single parameters in at least 2 accuracy measures (p < 0.015), exceeded by none of the single parameters. In experimental mouse colitis, multiparametric MRI and the combination of several single measured values to an avNNet can significantly increase diagnostic accuracy compared to the single parameters alone. This pilot study will provide new avenues for the development of an MR-derived colitis score for optimized diagnosis and surveillance of inflammatory bowel disease.

Indexed as

AlgorithmsAnimalsColitisColonDextran SulfateFemaleInflammatory Bowel DiseasesMachine LearningMagnetic Resonance ImagingMaleMicePilot ProjectsROC CurveSensitivity and SpecificityDextran Sulfate

Identifiers

PMID30365545
PMCPMC6203400
OpenAlexW2898218316

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.