Evidence map›Paper›PMID 30465868›Full record

ArticleMagnetic resonance imaging2019

MRI based texture analysis to classify low grade gliomas into astrocytoma and 1p/19q codeleted oligodendroglioma.

Shun Zhang, Gloria Chia-Yi Chiang, Rajiv S Magge, Howard Alan Fine, Rohan Ramakrishna, Eileen Wang Chang, Tejas Pulisetty, Yi Wang, Wenzhen Zhu, Ilhami Kovanlikaya

Abstract read
In one paragraph

Article in Magnetic resonance imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

10 authors at 3 institutions in 2 countries.

Shun ZhangDepartment of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Department of Radiology, Weill Cornell Medicine, New York, NY, USA.
Gloria Chia-Yi ChiangDepartment of Radiology, Weill Cornell Medicine, New York, NY, USA.
Rajiv S MaggeDepartment of Neurology, Weill Cornell Medicine, New York, NY, USA.
Howard Alan FineDepartment of Neurology, Weill Cornell Medicine, New York, NY, USA.
Rohan RamakrishnaDepartment of Neurological Surgery, Weill Cornell Medicine, New York, NY, USA.
Eileen Wang ChangDepartment of Radiology, Weill Cornell Medicine, New York, NY, USA.
Tejas PulisettyDepartment of Radiology, Saint Louis University, Saint Louis, MO, USA.
Yi WangDepartment of Radiology, Weill Cornell Medicine, New York, NY, USA; Department of Biomedical Engineering, Cornell University, Ithaca, NY, USA.
Wenzhen ZhuDepartment of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: zhuwenzhen8612@163.com.
Ilhami KovanlikayaDepartment of Radiology, Weill Cornell Medicine, New York, NY, USA. Electronic address: ilk2002@med.cornell.edu.
Cornell University · USSaint Louis University · USTongji Hospital · CN

Funding

Quantitative Mapping of Substantia Nigra Iron in Parkinson's DiseaseR01NS095562 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI SHTILBANS, ALEXANDER, WANG, YI · 2016 to 2022
$3.1M
Multiple Sclerosis Lesion Magnetic Susceptibility ActivityR01NS090464 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI WANG, YI · 2015 to 2020
$2.3M
NINDS NIH HHS R01 NS090464NINDS NIH HHS R01 NS095562
6 · The paper itself

Abstract

purposeTexture analysis performed on MR images can detect quantitative features that are imperceptible to human visual assessment. The purpose of this study was to evaluate the feasibility of texture analysis on preoperative conventional MRI to discriminate between histological subtypes in low-grade gliomas (LGGs), and to determine the utility of texture analysis compared to histogram analysis alone.

methodsA total of 41 patients with LGG, 21 astrocytoma and 20 1p/19q codeleted oligodendroglioma were included in this study. Patients were randomly divided into training (60%) and testing (40%) sets. Texture analysis was performed on conventional MRI sequences to obtain the most discriminant factor (MDF) values for both the training and testing data. Receiver operating characteristic (ROC) curve analyses were then performed using the MDF values and 9 histogram parameters in the training data to obtain cut-off values for determining the correct rate of discriminating between astrocytoma and oligodendroglioma in the testing data.

resultsThe ROC analyses using MDF values resulted in an area under the curve (AUC) of 0.91 (sensitivity 86%, specificity 87%) for T2w FLAIR, 0.94 (87%, 89%) for ADC, 0.98 (93%, 95%) for T1w, and 0.88 (78%, 86%) for T1w + Gd sequences. Using the best cut-off values, MDF correctly discriminated between the two groups in 94%, 82%, 100%, and 88% of cases in the testing data, respectively. The MDF outperformed all 9 of the histogram parameters.

conclusionTexture analysis performed on conventional preoperative MRI images can accurately predict histological subtype of LGGs, which would have an impact on clinical management.

Indexed as

AdultArea Under CurveAstrocytomaBrain NeoplasmsDiagnosis, DifferentialFeasibility StudiesFemaleGliomaHumansMagnetic Resonance ImagingMaleMiddle AgedOligodendrogliomaReproducibility of ResultsRetrospective StudiesROC CurveAstrocytomaLow grade gliomaOligodendrogliomaTexture analysis

Identifiers

PMID30465868
PMCPMC6347382
OpenAlexW2901463514

What OpenQuestion holds

Textmetadata
LicenceTDM
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.