Evidence map›Paper›PMID 31172448›Full record

ArticleLa Radiologia medica2019

Texture features of colorectal liver metastases on pretreatment contrast-enhanced CT may predict response and prognosis in patients treated with bevacizumab-containing chemotherapy: a pilot study including comparison with standard chemotherapy.

Marco Ravanelli, Giorgio Maria Agazzi, Elena Tononcelli, Elisa Roca, Paolo Cabassa, Gianluca Baiocchi, Alfredo Berruti, Roberto Maroldi, Davide Farina

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing 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

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

  1. Delta radiomics: a systematic review.La Radiologia medica · 2021
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  11. Focal Lesions of the Liver and Radiomics: What Do We Know?Diagnostics (Basel, Switzerland) · 2023
    Review
  12. Radiomics in colorectal cancer patients.World journal of gastroenterology · 2023
    Review
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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.

Marco RavanelliDepartment of Radiology, University of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy. marcoravanelli@hotmail.it.ORCID http://orcid.org/0000-0002-4841-2771
Giorgio Maria AgazziDepartment of Radiology, University of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.
Elena TononcelliDepartment of Radiology, University of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.
Elisa RocaDepartment of Oncology, University of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.
Paolo CabassaDepartment of Radiology, Mellino Mellini Hospital, Viale Mazzini 4, 25032, Chiari, Italy.
Gianluca BaiocchiDepartment of Surgery, University of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.
Alfredo BerrutiDepartment of Oncology, University of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.
Roberto MaroldiDepartment of Radiology, University of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.
Davide FarinaDepartment of Radiology, University of Brescia, P.le Spedali Civili 1, 25123, Brescia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBevacizumab added to chemotherapy can improve survival in patients with metastatic colorectal cancer, but no predictive factors of efficacy are available in clinical practice. The aim of this study is to assess the predictive and prognostic value of texture analysis on pretreatment contrast-enhanced CT in patients affected by colorectal liver metastases. MATERIALS AND

methodsForty-three patients with colorectal liver metastases were retrospectively included in the study: 23 treated with bevacizumab-containing chemotherapy (group A), and 20 with standard chemotherapy (group B). Target liver lesions were analyzed by texture analysis of pretreatment contrast-enhanced CT. Texture analysis produced the parameter uniformity, describing lesion heterogeneity. Radiological response was classified after 3 months according to RECIST-1.1. Overall survival (OS) and progression-free survival (PFS) were considered to be outcome indicators. Multivariable logistic regression and survival analysis were performed.

resultsUniformity was lower in responders than in nonresponders (p < 0.001) in group A but not in group B. Lesion CT density was lower in nonresponders in both groups (p = 0.03 and 0.02, respectively). In group A, uniformity was independently correlated with radiological response (odds ratio = 20, p = 0.01), OS and PFS (relative risks 6.94 and 5.05, respectively; p = 0.005 and p = 0.004, respectively). In group B, no variables were correlated with radiological response, OS or PFS.

conclusionTexture analysis on contrast-enhanced CT stratified response probability and prognosis in patients with colorectal liver metastases treated with bevacizumab-containing therapy. This result was specific for the bevacizumab group.

Indexed as

Tomography, X-Ray ComputedAgedAntineoplastic Agents, ImmunologicalBevacizumabColorectal NeoplasmsContrast MediaFemaleHumansLiver NeoplasmsMaleMiddle AgedPilot ProjectsPredictive Value of TestsPrognosisRetrospective StudiesAntineoplastic Agents, ImmunologicalBevacizumabContrast MediaBevacizumabColorectal cancerContrast-enhanced computed tomographyLiver metastasesTexture analysis

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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.