Evidence map›Paper›PMID 30457885›Full record

ArticleThe British journal of radiology2019

The use of texture-based radiomics CT analysis to predict outcomes in early-stage non-small cell lung cancer treated with stereotactic ablative radiotherapy.

Pierre Starkov, Todd A Aguilera, Daniel I Golden, David B Shultz, Nicholas Trakul, Peter G Maxim, Quynh-Thu Le, Billy W Loo, Maximillan Diehn, Adrien Depeursinge and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
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  3. Radiomics-based decision support tool with ground-glass opacity status of 5-year survival prediction for early-stage non-small cell lung cancer.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
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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

11 authors at 5 institutions in 3 countries.

Pierre Starkov1 Deparment of Signal Processing & Control, Systems, Centre Suisse d'Electronique et de Microtechnique , Neuchâtel , Switzerland.ORCID http://orcid.org/0000-0002-4590-2783
Todd A Aguilera2 Department of Radiation Oncology, UT Southwestern Medical Center , Dallas, TX , USA.
Daniel I Golden3 Department of Biomedical Data Science, Radiology, and Medicine (Biomedical Informatics Research), Stanford University School of Medicine , Stanford, CA , USA.
David B Shultz4 Department of Radiation Oncology, Princess Margaret Cancer Centre , Toronto, ON , Canada.
Nicholas Trakul5 Department of Radiation Oncology, Stanford Cancer Institute and Stanford University School of Medicine , Stanford, CA , USA.
Peter G Maxim5 Department of Radiation Oncology, Stanford Cancer Institute and Stanford University School of Medicine , Stanford, CA , USA.
Quynh-Thu Le5 Department of Radiation Oncology, Stanford Cancer Institute and Stanford University School of Medicine , Stanford, CA , USA.
Billy W Loo5 Department of Radiation Oncology, Stanford Cancer Institute and Stanford University School of Medicine , Stanford, CA , USA.
Maximillan Diehn5 Department of Radiation Oncology, Stanford Cancer Institute and Stanford University School of Medicine , Stanford, CA , USA.
Adrien Depeursinge6 Department of Signal Processing & Control, Systems, Biomedical Imaging Group, École Polytechnique Fédérale de Lausanne , Lausanne , Switzerland.
Daniel L Rubin3 Department of Biomedical Data Science, Radiology, and Medicine (Biomedical Informatics Research), Stanford University School of Medicine , Stanford, CA , USA.
Stanford University · USHES-SO University of Applied Sciences and Arts Western Switzerland · CHPrincess Margaret Cancer Centre · CASouthwestern Medical Center · USSwiss Center for Electronics and Microtechnology (Switzerland) · CH

Funding

STANFORD CANCER IMAGING TRAINING (SCIT) PROGRAMT32CA009695 · NCI · STANFORD UNIVERSITY · PI BRUCE L DANIEL, Jeremy Dahl · 1993 to 2026
$7.7M
Qualification and Deployment of Imaging Biomarkers of Cancer Treatment ResponseU01CA190214 · NCI · STANFORD UNIVERSITY · PI RUBIN, DANIEL L · 2015 to 2020
$3.1M
Computing, Optimizing, and Evaluating Quantitative Cancer Imaging BiomarkersU01CA187947 · NCI · STANFORD UNIVERSITY · PI NAPEL, SANDY A., RUBIN, DANIEL L · 2015 to 2019
$2.9M
Computerized Quantitative Imaging Assessment of Tumor BurdenU01CA142555 · NCI · STANFORD UNIVERSITY · PI RUBIN, DANIEL L · 2010 to 2014
$2.9M
NCI NIH HHS T32 CA009695NCI NIH HHS U01 CA142555NCI NIH HHS U01 CA187947NCI NIH HHS U01 CA190214
6 · The paper itself

Abstract

objective: Stereotactic ablative radiotherapy (SABR) is being increasingly used as a non-invasive treatment for early-stage non-small cell lung cancer (NSCLC). A non-invasive method to estimate treatment outcomes in these patients would be valuable, especially since access to tissue specimens is often difficult in these cases.

methods: We developed a method to predict survival following SABR in NSCLC patients using analysis of quantitative image features on pre-treatment CT images. We developed a Cox Lasso model based on two-dimensional Riesz wavelet quantitative texture features on CT scans with the goal of separating patients based on survival.

results: The median log-rank p-value for 1000 cross-validations was 0.030. Our model was able to separate patients based upon predicted survival. When we added tumor size into the model, the p-value lost its significance, demonstrating that tumor size is not a key feature in the model but rather decreases significance likely due to the relatively small number of events in the dataset. Furthermore, running the model using Riesz features extracted either from the solid component of the tumor or from the ground glass opacity (GGO) component of the tumor maintained statistical significance. However, the p-value improved when combining features from the solid and the GGO components, demonstrating that there are important data that can be extracted from the entire tumor.

conclusions: The model predicting patient survival following SABR in NSCLC may be useful in future studies by enabling prediction of survival-based outcomes using radiomics features in CT images. ADVANCES IN KNOWLEDGE:: Quantitative image features from NSCLC nodules on CT images have been found to significantly separate patient populations based on overall survival (p = 0.04). In the long term, a non-invasive method to estimate treatment outcomes in patients undergoing SABR would be valuable, especially since access to tissue specimens is often difficult in these cases.

Indexed as

RadiosurgeryAgedAged, 80 and overCarcinoma, Non-Small-Cell LungFemaleHumansLung NeoplasmsMaleMiddle AgedPrognosisProportional Hazards ModelsSurvival AnalysisTomography, X-Ray Computed

Identifiers

PMID30457885
PMCPMC6404825
OpenAlexW2900949351

What OpenQuestion holds

Textmetadata
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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.