Evidence map›Paper›PMID 30672045›Full record

ArticleJournal of magnetic resonance imaging : JMRI2019

Association of distant recurrence-free survival with algorithmically extracted MRI characteristics in breast cancer.

Maciej A Mazurowski, Ashirbani Saha, Michael R Harowicz, Elizabeth Hope Cain, Jeffrey R Marks, P Kelly Marcom

Abstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Article
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  5. Review
  6. Article
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  9. Article
  10. Review
  11. Article
  12. Article
  13. Imaging in Locoregional Management of Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Review
  14. Article
  15. 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

6 authors.

Maciej A MazurowskiDepartment of Radiology, Duke University School of Medicine, Durham, North Carolina, USA.
Ashirbani SahaDepartment of Radiology, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0002-7650-1720
Michael R HarowiczDepartment of Radiology, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0002-8002-5210
Elizabeth Hope CainDepartment of Radiology, Duke University School of Medicine, Durham, North Carolina, USA.
Jeffrey R MarksDepartment of Radiology, Duke University School of Medicine, Durham, North Carolina, USA.
P Kelly MarcomDepartment of Radiology, Duke University School of Medicine, Durham, North Carolina, USA.

Funding

Breast Cancer Detection ConsortiumU01CA214183 · NCI · DUKE UNIVERSITY · PI MARKS, JEFFREY R., TANG, CHA-MEI · 2016 to 2021
$2.4M
Machine learning and collaborative filtering tools for personalized education in digital breast tomosynthesisR01EB021360 · NIBIB · DUKE UNIVERSITY · PI MAZUROWSKI, MACIEJ A. · 2016 to 2019
$1.6M
Combining data types in meta analysisR44AG021360 · NIA · BIOSTATISTICAL PROGRAMMING ASSOC, INC. · PI BORENSTEIN, MICHAEL · 2002 to 2004
$1.2M
NCI NIH HHS U01 CA214183NIBIB NIH HHS R01 EB021360
6 · The paper itself

Abstract

backgroundWhile important in diagnosis of breast cancer, the scientific assessment of the role of imaging in prognosis of outcomes and treatment planning is limited. PURPOSE: To evaluate the potential of using quantitative imaging variables for stratifying risk of distant recurrence in breast cancer patients. STUDY TYPE: Retrospective. POPULATION: In all, 892 female invasive breast cancer patients. SEQUENCE: Dynamic contrast-enhanced MRI with field strength 1.5 T and 3 T. ASSESSMENT: Computer vision algorithms were applied to extract a comprehensive set of 529 imaging features quantifying size, shape, enhancement patterns, and heterogeneity of the tumors and the surrounding tissue. Using a development set with 446 cases, we selected 20 imaging features with high prognostic value. STATISTICAL TESTS: We evaluated the imaging features using an independent test set with 446 cases. The principal statistical measure was a concordance index between individual imaging features and patient distant recurrence-free survival (DRFS).

resultsThe strongest association with DRFS that persisted after controlling for known prognostic clinical and pathology variables was found for signal enhancement ratio (SER) partial tumor volume (concordance index [C] = 0.768, 95% confidence interval [CI]: 0.679-0.856), tumor major axis length (C = 0.742, 95% CI: 0.650-0.834), kurtosis of the SER map within tumor (C = 0.640, 95% CI: 0.521-0.760), tumor cluster shade (C = 0.313, 95% CI: 0.216-0.410), and washin rate information measure of correlation (C = 0.702, 95% CI: 0.601-0.803). DATA

conclusionQuantitative assessment of breast cancer features seen in a routine breast MRI might be able to be used for assessment of risk of distant recurrence. LEVEL OF EVIDENCE: 4 Technical Efficacy: Stage 6 J. Magn. Reson. Imaging 2019.

Indexed as

Magnetic Resonance ImagingNeoplasm Recurrence, LocalAdultAgedAged, 80 and overAlgorithmsBreast NeoplasmsContrast MediaDisease-Free SurvivalFemaleHumansImage Processing, Computer-AssistedLymphatic MetastasisMiddle AgedNeoplasm InvasivenessPredictive Value of TestsContrast Mediabreast cancermetastasis distant recurrence free survivalMRIradiomic features

Identifiers

PMID30672045
PMCPMC6551277

What OpenQuestion holds

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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.