Evidence map›Paper›PMID 31256359›Full record

ReviewInternational journal of computer assisted radiology and surgery2020

Leveraging RSF and PET images for prognosis of multiple myeloma at diagnosis.

Ludivine Morvan, Thomas Carlier, Bastien Jamet, Clément Bailly, Caroline Bodet-Milin, Philippe Moreau, Françoise Kraeber-Bodéré, Diana Mateus

Abstract readReview
PubMed Publisher
In one paragraph

Review in International journal of computer assisted radiology and surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. EANM guidelines on the use of [European journal of nuclear medicine and molecular imaging · 2024
    Guideline
  2. Trial
  3. Relationship Between [European journal of breast health · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. New Developments in Myeloma Treatment and Response Assessment.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Article
  10. BMC medical imaging · 2023
    Article
  11. Article
  12. Radiomics analysis of bone marrow biopsy locations in [Physical and engineering sciences in medicine · 2023
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Radiomic Analysis of Positron-Emission Tomography and Computed Tomography Images to Differentiate between Multiple Myeloma and Skeletal Metastases.Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India
    Article
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.

Ludivine MorvanEcole Centrale de Nantes, Laboratoire des Sciences Numériques de Nantes (LS2N), CNRS UMR 6004, Nantes, France. ludivine.morvan@ls2n.fr.ORCID http://orcid.org/0000-0003-1915-6374
Thomas CarlierCRCINA, INSERM, CNRS, University of Angers, University of Nantes, Nantes, France.
Bastien JametNuclear Medicine Department, University Hospital of Nantes, Nantes, France.
Clément BaillyCRCINA, INSERM, CNRS, University of Angers, University of Nantes, Nantes, France.
Caroline Bodet-MilinCRCINA, INSERM, CNRS, University of Angers, University of Nantes, Nantes, France.
Philippe MoreauNuclear Medicine Department, University Hospital of Nantes, Nantes, France.
Françoise Kraeber-BodéréCRCINA, INSERM, CNRS, University of Angers, University of Nantes, Nantes, France.
Diana MateusEcole Centrale de Nantes, Laboratoire des Sciences Numériques de Nantes (LS2N), CNRS UMR 6004, Nantes, France.

Funding

MILCOM (Multi-modal Imaging and Learning for Computational-based Medicine) Connect Talent Region Pays de la Loire + Nantes Metropole Convention 2017-10470SIRIC ILIAD inca_dgos_inserm_12558
6 · The paper itself

Abstract

purposeMultiple myeloma (MM) is a bone marrow cancer that accounts for 10% of all hematological malignancies. It has been reported that FDG PET imaging provides prognostic information for both baseline and therapeutic follow-up of MM patients using visual analysis. In this study, we aim to develop a computer-assisted method based on PET quantitative image features to assist diagnoses and treatment decisions for MM patients.

methodsOur proposed model relies on a two-stage method with Random Survival Forest (RFS) and variable importance (VIMP) for both feature selection and prediction. The targeted variable for prediction is the progression-free survival (PFS). We consider texture-based (radiomics), conventional (e.g., SUVmax) and clinical biomarkers. We evaluate PFS predictions in terms of C-index and final prognosis separation in two risk groups, from a database of 66 patients who were part of the prospective multi-centric french IMAJEM study.

resultsOur method (VIMP + RSF) provides better results (1-C-index of 0.36) than conventional methods such as Lasso-Cox and gradient-boosting Cox (0.48 and 0.56, respectively). We experimentally proved the interest of using selection (0.61 for RSF without selection) and showed that VIMP selection is more stable and gives better results than minimal depth and variable hunting (0.47 and 0.43). The approach gives better prognosis group separation (a p value of 0.05 against 0.11 to 0.4 for others).

conclusionOur results confirm the predictive value of radiomics for MM patients, in particular, they demonstrate that quantitative/heterogeneity image-based features reduce the error of the predicted progression. To our knowledge, this is the first work using RFS on PET images for the progression prediction of MM patients. Moreover, we provide an analysis of the feature selection process, which points toward the identification of clinically relevant biomarkers.

Indexed as

Fluorodeoxyglucose F18HumansMachine LearningMultiple MyelomaPositron-Emission TomographyPrognosisProspective StudiesRadiopharmaceuticalsFluorodeoxyglucose F18RadiopharmaceuticalsMultiple myelomaPET imagingRadiomicsRandom survival forestVariable selection

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.