Evidence map›Paper›PMID 30972543›Full record

ArticleEuropean radiology2019

A radiomics nomogram may improve the prediction of IDH genotype for astrocytoma before surgery.

Yan Tan, Shuai-Tong Zhang, Jing-Wei Wei, Di Dong, Xiao-Chun Wang, Guo-Qiang Yang, Jie Tian, Hui Zhang

Abstract readValidation Study
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In one paragraph

Article in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

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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

8 authors at 5 institutions in 1 country.

Yan TanDepartment of Radiology, The first hospital of Shanxi Medical University, Taiyuan, 030001, Shanxi Province, China.
Shuai-Tong ZhangKey Laboratory of Molecular Imaging, Chinese Academy of Sciences, Institute of Automation, Beijing, 100190, China.
Jing-Wei WeiKey Laboratory of Molecular Imaging, Chinese Academy of Sciences, Institute of Automation, Beijing, 100190, China.
Di DongKey Laboratory of Molecular Imaging, Chinese Academy of Sciences, Institute of Automation, Beijing, 100190, China.
Xiao-Chun WangDepartment of Radiology, The first hospital of Shanxi Medical University, Taiyuan, 030001, Shanxi Province, China.
Guo-Qiang YangDepartment of Radiology, The first hospital of Shanxi Medical University, Taiyuan, 030001, Shanxi Province, China.
Jie TianKey Laboratory of Molecular Imaging, Chinese Academy of Sciences, Institute of Automation, Beijing, 100190, China. tian@ieee.org.
Hui ZhangDepartment of Radiology, The first hospital of Shanxi Medical University, Taiyuan, 030001, Shanxi Province, China. zhanghui_mr@163.com.
Shanxi Medical University · CNChinese Academy of Sciences · CNFirst Hospital of Shanxi Medical University · CNShandong Institute of Automation · CNUniversity of Chinese Academy of Sciences · CN

Funding

National Key R&D Program of China 2017YFA0205200, 2017YFC1309100National Key R&D Program of China 2017YFC1308700National Natural Science Foundation of China 11705112National Natural Science Foundation of China 81227901, 81527805, 61231004 and 81671851National Natural Science Foundation of China 81471652; 81771824National Natural Science Foundation of China 81701681National Natural Science Foundation of China 81771924, 81501616Natural Science Foundation of Shanxi Province 201601D021162PrecisionMedicine Key Innovation Team Project YT1601Social Development Projects of Key R&D Program in Shanxi Province 201703D321016
6 · The paper itself

Abstract

objectivesTo develop and validate a radiomics nomogram to preoperative prediction of isocitrate dehydrogenase (IDH) genotype for astrocytomas, which might contribute to the pretreatment decision-making and prognosis evaluating.

methodsOne hundred five astrocytomas (Grades II-IV) with contrast-enhanced T1-weighted imaging (CE-T1WI), T2 fluid-attenuated inversion recovery (T2FLAIR), and apparent diffusion coefficient (ADC) map were enrolled in this study (training cohort: n = 74; validation cohort: n = 31). IDH1/2 genotypes were determined using Sanger sequencing. A total of 3882 radiomics features were extracted. Support vector machine algorithm was used to build the radiomics signature on the training cohort. Incorporating radiomics signature and clinico-radiological risk factors, the radiomics nomogram was developed. Receiver operating characteristic (ROC) curve and area under the curve (AUC) were used to assess these models. Kaplan-Meier survival analysis and log rank test were performed to assess the prognostic value of the radiomics nomogram.

resultsThe radiomics signature was built by six selected radiomics features and yielded AUC values of 0.901 and 0.888 in the training and validation cohorts. The radiomics nomogram based on the radiomics signature and age performed better than the clinico-radiological model (training cohort, AUC = 0.913 and 0.817; validation cohort, AUC = 0.900 and 0.804). Additionally, the survival analysis showed that prognostic values of the radiomics nomogram and IDH genotype were similar (log rank test, p < 0.001; C-index = 0.762 and 0.687; z-score test, p = 0.062).

conclusionsThe radiomics nomogram might be a useful supporting tool for the preoperative prediction of IDH genotype for astrocytoma, which could aid pretreatment decision-making. KEY POINTS: • The radiomics signature based on multiparametric and multiregional MRI images could predict IDH genotype of Grades II-IV astrocytomas. • The radiomics nomogram performed better than the clinico-radiological model, and it might be an easy-to-use supporting tool for IDH genotype prediction. • The prognostic value of the radiomics nomogram was similar with that of the IDH genotype, which might contribute to prognosis evaluating.

Indexed as

NomogramsAdultAlgorithmsArea Under CurveAstrocytomaDecision Support Systems, ClinicalDiffusion Magnetic Resonance ImagingFemaleGenotypeHumansImage Interpretation, Computer-AssistedIsocitrate DehydrogenaseKaplan-Meier EstimateMagnetic Resonance ImagingMaleMiddle AgedIsocitrate DehydrogenaseAstrocytomaIsocitrate dehydrogenaseNomogramRadiomicsSurvival

Identifiers

PMID30972543
OpenAlexW2935714260

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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.