Evidence map›Paper›PMID 30604396›Full record

ArticleJournal of neuro-oncology2019

The added prognostic value of radiological phenotype combined with clinical features and molecular subtype in anaplastic gliomas.

Minsu Lee, Kyunghwa Han, Sung Soo Ahn, Sohi Bae, Yoon Seong Choi, Je Beom Hong, Jong Hee Chang, Se Hoon Kim, Seung-Koo Lee

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In one paragraph

Article in Journal of neuro-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 3 institutions in 1 country.

Minsu LeeDepartment of Radiology, Aerospace Medical Center, Republic of Korea Air Force, Chungcheongbuk-do, Cheongju-si, Republic of Korea.ORCID http://orcid.org/0000-0003-1943-3677
Kyunghwa HanDepartments of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-5687-7237
Sung Soo AhnDepartments of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea. sungsoo@yuhs.ac.ORCID http://orcid.org/0000-0002-0503-5558
Sohi BaeDepartments of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-5048-4627
Yoon Seong ChoiDepartments of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-6034-9912
Je Beom HongDepartment of Neurosurgery, CHA Bundang Medical Center, School of Medicine, CHA University, Seongnam, Republic of Korea.ORCID http://orcid.org/0000-0002-4812-565X
Jong Hee ChangNeurosurgery, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0003-1509-9800
Se Hoon KimPathology, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0001-7516-7372
Seung-Koo LeeDepartments of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0001-5646-4072
Yonsei University · KRCHA University Bundang Medical Center · KRKorea Air Force Academy · KR

Funding

Ministry of Science, ICT and Future Planning 2017R1D1A1B03030440Yonsei University College of Medicine 6-2015-0079
6 · The paper itself

Abstract

purposeTo determine whether radiological phenotype can improve the predictive performance of the risk model based on molecular subtype and clinical risk factors in anaplastic glioma patients.

methodsThis retrospective study was approved by our institutional review board with waiver of informed consent. MR images of 86 patients with pathologically diagnosed anaplastic glioma (WHO grade III) between January 2007 and February 2016 were analyzed according to the Visually Accessible Rembrandt Images (VASARI) features set. Significant imaging findings were selected to generate a radiological risk score (RRS) for overall survival (OS) and progression-free survival (PFS) using the least absolute shrinkage and selection operator (LASSO) Cox regression model. The prognostic value of RRS was evaluated with multivariate Cox regression including molecular subtype and clinical risk factors. The C-indices of multivariate models with and without RRS were compared by bootstrapping.

resultsEight VASARI features contributed to RRS for OS and six contributed to PFS. Multifocality or multicentricity was the most influential feature, followed by restricted diffusion. RRS was significantly associated with OS and PFS (P < .001), as well as age and molecular subtype. The multivariate model with RRS demonstrated a significantly higher predictive performance than the model without (C-index difference: 0.074, 95% confidence interval [CI]: 0.031, 0.148 for OS; C-index difference: 0.054, 95% CI: 0.014, 0.123 for PFS).

conclusionRRS derived from VASARI features was an independent predictor of survival in patients with anaplastic gliomas. The addition of RRS significantly improved the predictive performance of the molecular feature based model.

Indexed as

AdultAgedBrain NeoplasmsFemaleGliomaHumansIsocitrate DehydrogenaseMaleMiddle AgedMutationPhenotypePrognosisRetrospective StudiesRisk AssessmentSurvival RateYoung AdultIsocitrate DehydrogenaseAnaplastic gliomaIDH mutationImaging biomarkerLASSOMolecular subtypeVASARI

Identifiers

PMID30604396
OpenAlexW2907079260

What OpenQuestion holds

Textmetadata
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.