Evidence map›Paper›PMID 30661193›Full record

ArticleJournal of neuro-oncology2019

Machine learning reveals multimodal MRI patterns predictive of isocitrate dehydrogenase and 1p/19q status in diffuse low- and high-grade gliomas.

Hao Zhou, Ken Chang, Harrison X Bai, Bo Xiao, Chang Su, Wenya Linda Bi, Paul J Zhang, Joeky T Senders, Martin Vallières, Vasileios K Kavouridis and 4 more

Abstract readMulticenter Study
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 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
12.1field-weighted citation impact, top 1% 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

71 citing papers in PubMed, 1 synthesis or guideline pooled it, 130 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Imaging in Neuro-oncology.Seminars in neurology · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Advancements in Skull Base Surgery: Navigating Complex Challenges with Artificial Intelligence.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  15. Artificial intelligence-based MRI radiomics and radiogenomics in glioma.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. [Prediction of 1p/19q codeletion status in diffuse lower-grade glioma using multimodal MRI radiomics].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023
    Article

11 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 at 6 institutions in 3 countries.

Hao ZhouDepartment of Neurology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Ken ChangDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Harrison X BaiDepartment of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, USA. Harrison.Bai@uphs.upenn.edu.
Bo XiaoDepartment of Neurology, Xiangya Hospital of Central South University, Changsha, Hunan, China.
Chang SuYale School of Medicine, New Haven, CT, 06510, USA.
Wenya Linda BiCenter for Skull Base and Pituitary Surgery, Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02215, USA.
Paul J ZhangDepartment of Pathology, Hospital of the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Joeky T SendersComputational Neuroscience Outcomes Center, Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02215, USA.
Martin VallièresMedical Physics Unit, McGill University, Montréal, Québec, Canada.
Vasileios K KavouridisComputational Neuroscience Outcomes Center, Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02215, USA.
Alessandro BoaroComputational Neuroscience Outcomes Center, Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02215, USA.
Omar ArnaoutComputational Neuroscience Outcomes Center, Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02215, USA.
Li YangDepartment of Neurology, The Second Xiangya Hospital of Central South University, No.139 Middle Renmin Road, Changsha, 410011, Hunan, China. yangli762@csu.edu.cn.
Raymond Y HuangDepartment of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02215, USA. ryhuang@bwh.harvard.edu.ORCID http://orcid.org/0000-0002-0861-8716
Brigham and Women's Hospital · USCentral South University · CNHospital of the University of Pennsylvania · USHarvard University · USMcGill University · CAYale University · US

Funding

Project 4P41EB015896 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI ROSEN, BRUCE R · 2012 to 2018
$9.8M
Neuroimaging Training ProgramT32EB001680 · NIBIB · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI BRUCE R ROSEN · 2003 to 2026
$3.8M
Automatic Volumetric Treatment Response Assessment and Determination of Regional Genetic Characteristics in GlioblastomaF30CA239407 · NCI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI CHANG, KEN · 2019 to 2020
$101k
Natural Science Foundation of China 81301988Natural Science Foundation of Hunan Province for Young Scientists, China No: 2018JJ3709NCI NIH HHS F30 CA239407NIBIB NIH HHS 5T32EB1680NIBIB NIH HHS P41 EB015896NIBIB NIH HHS T32 EB001680Research Fund for International Young Scientist by the National Natural Science Foundation of China 818580410556RSNA research fellow grant RF1802
6 · The paper itself

Abstract

purposeIsocitrate dehydrogenase (IDH) and 1p19q codeletion status are importantin providing prognostic information as well as prediction of treatment response in gliomas. Accurate determination of the IDH mutation status and 1p19q co-deletion prior to surgery may complement invasive tissue sampling and guide treatment decisions.

methodsPreoperative MRIs of 538 glioma patients from three institutions were used as a training cohort. Histogram, shape, and texture features were extracted from preoperative MRIs of T1 contrast enhanced and T2-FLAIR sequences. The extracted features were then integrated with age using a random forest algorithm to generate a model predictive of IDH mutation status and 1p19q codeletion. The model was then validated using MRIs from glioma patients in the Cancer Imaging Archive.

resultsOur model predictive of IDH achieved an area under the receiver operating characteristic curve (AUC) of 0.921 in the training cohort and 0.919 in the validation cohort. Age offered the highest predictive value, followed by shape features. Based on the top 15 features, the AUC was 0.917 and 0.916 for the training and validation cohort, respectively. The overall accuracy for 3 group prediction (IDH-wild type, IDH-mutant and 1p19q co-deletion, IDH-mutant and 1p19q non-codeletion) was 78.2% (155 correctly predicted out of 198).

conclusionUsing machine-learning algorithms, high accuracy was achieved in the prediction of IDH genotype in gliomas and moderate accuracy in a three-group prediction including IDH genotype and 1p19q codeletion.

Indexed as

Magnetic Resonance ImagingAdolescentAdultAgedAged, 80 and overBiomarkers, TumorBrain NeoplasmsChromosomes, Human, Pair 1Chromosomes, Human, Pair 19Cohort StudiesFemaleGliomaHumansImage Interpretation, Computer-AssistedIsocitrate DehydrogenaseMachine LearningBiomarkers, TumorIDH1 protein, humanIDH2 protein, humanIsocitrate Dehydrogenase1p19q codeletionGliomaIsocitrate dehydrogenase (IDH)Machine learningMRIRandom forest

Identifiers

PMID30661193
PMCPMC6510979
OpenAlexW2909807434

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.