Evidence map›Paper›PMID 30847005›Full record

ArticleGastroenterology research and practice2019

Magnetic-Resonance-Imaging Texture Analysis Predicts Early Progression in Rectal Cancer Patients Undergoing Neoadjuvant Chemoradiation.

Valerio Nardone, Alfonso Reginelli, Fernando Scala, Salvatore Francesco Carbone, Maria Antonietta Mazzei, Lucio Sebaste, Tommaso Carfagno, Giuseppe Battaglia, Pierpaolo Pastina, Pierpaolo Correale and 4 more

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Article in Gastroenterology research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  6. Gender Medicine in Clinical Radiology Practice.Journal of personalized medicine · 2023
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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

14 authors.

Valerio NardoneIstituto Toscano Tumori, Florence, Italy.ORCID 0000-0002-7347-0965
Alfonso ReginelliDepartment of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Fernando ScalaDepartment of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0002-1358-8232
Salvatore Francesco CarboneUnit of Medical Imaging, University Hospital of Siena, Siena, Italy.ORCID 0000-0003-2179-5503
Maria Antonietta MazzeiUnit of Medical Imaging, University Hospital of Siena, Siena, Italy.ORCID 0000-0001-6778-6894
Lucio SebasteIstituto Toscano Tumori, Florence, Italy.
Tommaso CarfagnoIstituto Toscano Tumori, Florence, Italy.
Giuseppe BattagliaIstituto Toscano Tumori, Florence, Italy.ORCID 0000-0003-3941-5302
Pierpaolo PastinaIstituto Toscano Tumori, Florence, Italy.ORCID 0000-0002-6428-7560
Pierpaolo CorrealeUnit of Medical Oncology, Grand Metropolitan Hospital "Bianchi Melacrino Morelli", Reggio Calabria, Italy.
Paolo TiniIstituto Toscano Tumori, Florence, Italy.ORCID 0000-0003-4826-4809
Gianluca PellinoUnit of Colon-Rectal Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0002-8322-6421
Salvatore CappabiancaDepartment of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
Luigi PirtoliIstituto Toscano Tumori, Florence, Italy.ORCID 0000-0003-3037-4209

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe hypothesized that texture analysis (TA) from the preoperative MRI can predict early disease progression (ePD), defined as the percentage of patients who relapsed or showed distant metastasis within three months from the radical surgery, in patients with locally advanced rectal cancer (LARC, stage II and III, AJCC) undergoing neoadjuvant chemoradiotherapy (C-RT).

methodsThis retrospective monoinstitutional cohort study included 49 consecutive patients in total with a newly diagnosed rectal cancer. All the patients underwent baseline abdominal MRI and CT scan of the chest and abdomen to exclude distant metastasis before C-RT. Texture parameters were extracted from MRI performed before C-RT (T1, DWI, and ADC sequences) using LifeX Software, a dedicated software for extracting texture parameters from radiological imaging. We divided the cohort in a training set of 34 patients and a validation set of 15 patients, and we tested the data sets for homogeneity, considering the clinical variables. Then we performed univariate and multivariate analysis, and a ROC curve was also generated.

resultsThirteen patients (26.5%) showed an ePD, three of whom with lung metastases and ten with liver relapse. The model was validated based on the prediction accuracy calculated in a previously unseen set of 15 patients. The prediction accuracy of the generated model was 82% (AUC = 0.853) in the training and 80% (AUC = 0.833) in the validation cohort. The only significant features at multivariate analysis was DWI GLCM Correlation (OR: 0.239,

conclusionOur results suggest that TA could be useful to identify patients that may develop early progression.

Identifiers

PMID30847005
PMCPMC6360039

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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.