Evidence map›Paper›PMID 30637502›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2019

Predicting locally advanced rectal cancer response to neoadjuvant therapy with

V Giannini, S Mazzetti, I Bertotto, C Chiarenza, S Cauda, E Delmastro, C Bracco, A Di Dia, F Leone, E Medico and 4 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in European journal of nuclear medicine and molecular imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 2 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

78 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  7. KRASCellular & molecular biology letters · 2026
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18 more citing papers are in PubMed but not listed here.

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

14 authors.

V GianniniImaging Unit, Candiolo Cancer Institute, FPO-IRCCS, Strada Provinciale 142 km 3.95, 10060, Candiolo, TO, Italy. valentina.giannini@ircc.it.ORCID http://orcid.org/0000-0001-5052-8231
S MazzettiImaging Unit, Candiolo Cancer Institute, FPO-IRCCS, Strada Provinciale 142 km 3.95, 10060, Candiolo, TO, Italy.
I BertottoImaging Unit, Candiolo Cancer Institute, FPO-IRCCS, Strada Provinciale 142 km 3.95, 10060, Candiolo, TO, Italy.
C ChiarenzaImaging Unit, Candiolo Cancer Institute, FPO-IRCCS, Strada Provinciale 142 km 3.95, 10060, Candiolo, TO, Italy.
S CaudaNuclear Medicine Unit, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.
E DelmastroRadiation Therapy Unit, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.
C BraccoMedical Physics Unit, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.
A Di DiaMedical Physics Unit, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.
F LeoneMedical Oncology Unit, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.
E MedicoLaboratory of Oncogenomics, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.
A PisacanePathology Unit, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.
D RiberoHepatobilio-Pancreatic and Colorectal Surgery Unit, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.
M StasiMedical Physics Unit, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Italy.
D ReggeImaging Unit, Candiolo Cancer Institute, FPO-IRCCS, Strada Provinciale 142 km 3.95, 10060, Candiolo, TO, Italy.

Funding

Associazione Italiana per la Ricerca sul Cancro Special Program Molecular Clinical Oncology - Ref.9970Fondazione piemontese per la ricerca sul cancro, FPRC 5 per mille 2015 Ministero della Salute.
6 · The paper itself

Abstract

purposePathological complete response (pCR) following neoadjuvant chemoradiotherapy or radiotherapy in locally advanced rectal cancer (LARC) is reached in approximately 15-30% of cases, therefore it would be useful to assess if pretreatment of

methodsFifty-two patients were dichotomized as responder (pR+) or non-responder (pR-) according to their pathological tumor regression grade (TRG) as follows: 22 as pR+ (nine with TRG = 1, 13 with TRG = 2) and 30 as pR- (16 with TRG = 3, 13 with TRG = 4 and 1 with TRG = 5). First-order parameters and 21 second-order texture parameters derived from the Gray-Level Co-Occurrence matrix were extracted from semi-automatically segmented tumors on T2w MRI, ADC maps, and PET/CT acquisitions. The role of each texture feature in predicting pR+ was assessed with monoparametric and multiparametric models.

resultsIn the mono-parametric approach, PET homogeneity reached the maximum AUC (0.77; sensitivity = 72.7% and specificity = 76.7%), while PET glycolytic volume and ADC dissimilarity reached the highest sensitivity (both 90.9%). In the multiparametric analysis, a logistic regression model containing six second-order texture features (five from PET and one from T2w MRI) yields the highest predictivity in distinguish between pR+ and pR- patients (AUC = 0.86; sensitivity = 86%, and specificity = 83% at the Youden index).

conclusionsIf preliminary results of this study are confirmed, pretreatment PET and MRI could be useful to personalize patient treatment, e.g., avoiding toxicity of neoadjuvant therapy in patients predicted pR-.

Indexed as

Fluorodeoxyglucose F18Image Processing, Computer-AssistedMagnetic Resonance ImagingMultimodal ImagingNeoadjuvant TherapyPositron-Emission TomographyAdultFemaleHumansMaleRectal NeoplasmsFluorodeoxyglucose F1818F-FDG PET/CT imagingLocally advanced rectal cancerMagnetic resonance imagingPrediction of treatment responseRadiomicsTexture features

Identifiers

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.