Evidence map›Paper›PMID 31127316›Full record

ArticleEuropean radiology2019

CT texture analysis in the differentiation of major renal cell carcinoma subtypes and correlation with Fuhrman grade.

Yu Deng, Erik Soule, Aster Samuel, Sakhi Shah, Enming Cui, Michael Asare-Sawiri, Chandru Sundaram, Chandana Lall, Kumaresan Sandrasegaran

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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 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. State of the art review of AI in renal imaging.Abdominal radiology (New York) · 2025
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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

9 authors.

Yu DengDepartment of Radiology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Erik SouleDepartment of Radiology, University of Florida College of Medicine, Jacksonville, FL, USA.
Aster SamuelDepartment of Radiology, Indiana University School of Medicine, Indianapolis, IN, USA.
Sakhi ShahDepartment of Radiology, Indiana University School of Medicine, Indianapolis, IN, USA.
Enming CuiDepartment of Radiology, Indiana University School of Medicine, Indianapolis, IN, USA.
Michael Asare-SawiriDepartment of Radiology, Indiana University School of Medicine, Indianapolis, IN, USA.
Chandru SundaramDepartment of Urology, Indiana University School of Medicine, Indianapolis, IN, USA.
Chandana LallDepartment of Radiology, University of Florida College of Medicine, Jacksonville, FL, USA.
Kumaresan SandrasegaranDepartment of Radiology, Indiana University School of Medicine, Indianapolis, IN, USA. Sandrasegaran.kumaresan@mayo.edu.ORCID http://orcid.org/0000-0002-0325-2372

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCT texture analysis (CTTA) using filtration-histogram-based parameters has been associated with tumor biologic correlates such as glucose metabolism, hypoxia, and tumor angiogenesis. We investigated the utility of these parameters for differentiation of clear cell from papillary renal cancers and prediction of Fuhrman grade.

methodsA retrospective study was performed by applying CTTA to pretreatment contrast-enhanced CT scans in 290 patients with 298 histopathologically confirmed renal cell cancers of clear cell and papillary types. The largest cross section of the tumor on portal venous phase axial CT was chosen to draw a region of interest. CTTA comprised of an initial filtration step to extract features of different sizes (fine, medium, coarse spatial scales) followed by texture quantification using histogram analysis.

resultsA significant increase in entropy with fine and medium spatial filters was demonstrated in clear cell RCC (p = 0.047 and 0.033, respectively). Area under the ROC curve of entropy at fine and medium spatial filters was 0.804 and 0.841, respectively. An increased entropy value at coarse filter correlated with high Fuhrman grade tumors (p = 0.01). The other texture parameters were not found to be useful.

conclusionEntropy, which is a quantitative measure of heterogeneity, is increased in clear cell renal cancers. High entropy is also associated with high-grade renal cancers. This parameter may be considered as a supplementary marker when determining aggressiveness of therapy. KEY POINTS: • CT texture analysis is easy to perform on contrast-enhanced CT. • CT texture analysis may help to separate different types of renal cancers. • CT texture analysis may enhance individualized treatment of renal cancers.

Indexed as

AdolescentAdultAgedAged, 80 and overCarcinoma, Renal CellCell Transformation, NeoplasticDiagnosis, DifferentialFemaleHumansKidney NeoplasmsMaleMiddle AgedNeoplasm GradingPortal VeinRetrospective StudiesROC CurveClear cell renal cell carcinomaCone-beam computerized tomographyImage interpretation, computer-assistedNeoplasm gradingPapillary renal cell carcinoma

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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.