Evidence map›Paper›PMID 31227882›Full record

ArticleEuropean radiology2019

CT radiomics may predict the grade of pancreatic neuroendocrine tumors: a multicenter study.

Dongsheng Gu, Yabin Hu, Hui Ding, Jingwei Wei, Ke Chen, Hao Liu, Mengsu Zeng, Jie Tian

Abstract readMulticenter Study
PubMed Publisher
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 91 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 5 pooled it
9.9field-weighted citation impact, top 1% 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

91 citing papers in PubMed, 5 syntheses or guidelines pooled it, 173 citations in OpenAlex.

  1. Pooled it
  2. Artificial Intelligence in Pancreatic Imaging: A Systematic Review.United European gastroenterology journal · 2025
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  11. Prediction of Histopathological Grade of Hepatocellular Carcinoma by Gadoxetic Acid-Enhanced Magnetic Resonance Imaging Radiomics Features.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
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31 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

8 authors at 6 institutions in 1 country.

Dongsheng GuKey Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, No. 95 East Zhongguancun Road, Beijing, 100190, China.
Yabin HuDepartment of Radiology, Zhongshan Hospital, Fudan University and Shanghai Institute of Medical Imaging, 180 Fenglin Rd., Shanghai, 200032, China.
Hui DingDepartment of Radiology, Affiliated Hospital (Laoshan hospital) of Qingdao University, Qingdao, 266061, Shandong, China.
Jingwei WeiKey Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, No. 95 East Zhongguancun Road, Beijing, 100190, China.
Ke ChenDepartment of Pathology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Hao LiuDepartment of Radiology, Central Hospital of ZiBo, Shandong, 255036, China.
Mengsu ZengDepartment of Radiology, Zhongshan Hospital, Fudan University and Shanghai Institute of Medical Imaging, 180 Fenglin Rd., Shanghai, 200032, China. zengmengsu@outlook.com.
Jie TianKey Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, No. 95 East Zhongguancun Road, Beijing, 100190, China. tian@ieee.org.ORCID http://orcid.org/0000-0003-0498-0432
Chinese Academy of Sciences · CNQingdao University · CNCentral Hospital of Zibo · CNShanghai Medical College of Fudan University · CNSun Yat-sen University · CNXidian University · CN

Funding

National Key Research and Development Program of China 2017YFA0205200National Key Research and Development Program of China 2017YFC1308700National Natural Science Foundation of China 61231004National Natural Science Foundation of China 81227901National Natural Science Foundation of China 81501616National Natural Science Foundation of China 81527805National Natural Science Foundation of China 81771924Science and Technology Service Network Initiative of the Chinese Academy of Sciences KFJ-SW-STS-160
6 · The paper itself

Abstract

objectiveTo develop and validate a radiomics-based nomogram for preoperatively predicting grade 1 and grade 2/3 tumors in patients with pancreatic neuroendocrine tumors (PNETs).

methodsOne hundred thirty-eight patients derived from two institutions with pathologically confirmed PNETs (104 in the training cohort and 34 in the validation cohort) were included in this retrospective study. A total of 853 radiomic features were extracted from arterial and portal venous phase CT images respectively. Minimum redundancy maximum relevance and random forest methods were adopted for the significant radiomic feature selection and radiomic signature construction. A fusion radiomic signature was generated by combining both the single-phase signatures. The nomogram based on a comprehensive model incorporating the clinical risk factors and the fusion radiomic signature was established, and decision curve analysis was applied for clinical use.

resultsThe fusion radiomic signature has significant association with histologic grade (p < 0.001). The nomogram integrating independent clinical risk factor tumor margin and fusion radiomic signature showed strong discrimination with an area under the curve (AUC) of 0.974 (95% CI 0.950-0.998) in the training cohort and 0.902 (95% CI 0.798-1.000) in the validation cohort with good calibration. Decision curve analysis verified the clinical usefulness of the predictive nomogram.

conclusionWe proposed a comprehensive nomogram consisting of tumor margin and fusion radiomic signature as a powerful tool to predict grade 1 and grade 2/3 PNET preoperatively and assist the clinical decision-making for PNET patients. KEY POINTS: • Radiomic signature has strong discriminatory ability for the histologic grade of PNETs. • Arterial and portal venous phase CT imaging are complementary for the prediction of PNET grading. • The comprehensive nomogram outperformed clinical factors in assisting therapy strategy in PNET patients.

Indexed as

AdolescentAdultAgedFemaleHumansMaleMiddle AgedNeoplasm GradingNeuroendocrine TumorsNomogramsPancreatic NeoplasmsPortal VeinRetrospective StudiesRisk FactorsTomography, X-Ray ComputedYoung AdultCTNeoplasm gradingNeuroendocrine tumorPancreasRadiomics

Identifiers

PMID31227882
OpenAlexW2953274213

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.