Evidence map›Paper›PMID 30887373›Full record

ArticleAnnals of surgical oncology2019

Radiomics-Based Pretherapeutic Prediction of Non-response to Neoadjuvant Therapy in Locally Advanced Rectal Cancer.

Xuezhi Zhou, Yongju Yi, Zhenyu Liu, Wuteng Cao, Bingjia Lai, Kai Sun, Longfei Li, Zhiyang Zhou, Yanqiu Feng, Jie Tian

Abstract read
In one paragraph

Article in Annals of surgical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Multi-parametric MRI radiomics to predict sensitivity to neoadjuvant chemoradiotherapy based on multi-regions of interest in locally advanced rectal cancer: a multicenter study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  12. Multi-parametric MRI radiomics predicts different HER2 expression in breast cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
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10 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

10 authors.

Xuezhi ZhouEngineering Research Center of Molecular and Neuro Imaging of Ministry of Education, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi, China.
Yongju YiGuangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China.
Zhenyu LiuCAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Science, Beijing, China.
Wuteng CaoDepartment of Radiology, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Bingjia LaiDepartment of Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
Kai SunEngineering Research Center of Molecular and Neuro Imaging of Ministry of Education, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi, China.
Longfei LiCollaborative Innovation Center for Internet Healthcare, Zhengzhou University, Zhengzhou, Henan, China.
Zhiyang ZhouDepartment of Radiology, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Yanqiu FengGuangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China. foree@163.com.
Jie TianEngineering Research Center of Molecular and Neuro Imaging of Ministry of Education, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi, China. jie.tian@ia.ac.cn.

Funding

Beijing Natural Science Foundation 7182109Chinese Academy of Sciences GJJSTD20170004Chinese Academy of Sciences QYZDJ-SSW-JSC005National Key Research and Development Plan of China 2017YFA0205200National Natural Science Foundation of China 81227901National Natural Science Foundation of China 81527805National Natural Science Foundation of China 81772012
6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate whether pretherapeutic, multiparametric magnetic resonance imaging (MRI) radiomic features can be used for predicting non-response to neoadjuvant therapy in patients with locally advanced rectal cancer (LARC).

methodsWe retrospectively enrolled 425 patients with LARC [allocated in a 3:1 ratio to a primary (n = 318) or validation (n = 107) cohort] who received neoadjuvant therapy before surgery. All patients underwent T1-weighted, T2-weighted, diffusion-weighted, and contrast-enhanced T1-weighted MRI scans before receiving neoadjuvant therapy. We extracted 2424 radiomic features from the pretherapeutic, multiparametric MR images of each patient. The Wilcoxon rank-sum test, Spearman correlation analysis, and least absolute shrinkage and selection operator regression were successively performed for feature selection, whereupon a multiparametric MRI-based radiomic model was established by means of multivariate logistic regression analysis. This feature selection and multivariate logistic regression analysis was also performed on all single-modality MRI data to establish four single-modality radiomic models. The performance of the five radiomic models was evaluated by receiver operating characteristic (ROC) curve analysis in both cohorts.

resultsThe multiparametric, MRI-based radiomic model based on 16 features showed good predictive performance in both the primary (p < 0.01) and validation (p < 0.05) cohorts, and performed better than all single-modality models. The area under the ROC curve of this multiparametric MRI-based radiomic model achieved a score of 0.822 (95% CI 0.752-0.891).

conclusionsWe demonstrated that pretherapeutic, multiparametric MRI radiomic features have potential in predicting non-response to neoadjuvant therapy in patients with LARC.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsFemaleFollow-Up StudiesHumansImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedNeoadjuvant TherapyPrognosisRectal NeoplasmsRetrospective StudiesROC Curve

Identifiers

PMID30887373
PMCPMC6510882

What OpenQuestion holds

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Registered trials

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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.