Evidence map›Paper›PMID 31358787›Full record

ArticleScientific reports2019

Prognostic Performance of Kidney Volume Measurement for Polycystic Kidney Disease: A Comparative Study of Ellipsoid vs. Manual Segmentation.

Beili Shi, Pedram Akbari, Marina Pourafkari, Ioan-Andrei Iliuta, Elsa Guiard, Crystal F Quist, Xuewen Song, David Hillier, Korosh Khalili, York Pei

Open access · goldAbstract readComparative Study
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 20 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

10 authors at 1 institution in 1 country.

Beili ShiDivision of Nephrology and University Health Network and University of Toronto, Toronto, Ontario, Canada.
Pedram AkbariDivision of Nephrology and University Health Network and University of Toronto, Toronto, Ontario, Canada.
Marina PourafkariDepartment of Medical Imaging, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Ioan-Andrei IliutaDivision of Nephrology and University Health Network and University of Toronto, Toronto, Ontario, Canada.
Elsa GuiardDivision of Nephrology and University Health Network and University of Toronto, Toronto, Ontario, Canada.
Crystal F QuistDivision of Nephrology and University Health Network and University of Toronto, Toronto, Ontario, Canada.
Xuewen SongDivision of Nephrology and University Health Network and University of Toronto, Toronto, Ontario, Canada.
David HillierCanadian Institutes of Health Research (CIHR) Strategy for Patient Oriented Research Program (SPOR) affiliated with the Division of Nephrology, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Korosh KhaliliDepartment of Medical Imaging, University Health Network and University of Toronto, Toronto, Ontario, Canada. Korosh.Khalili@uhn.ca.ORCID http://orcid.org/0000-0002-3496-8744
York PeiDivision of Nephrology and University Health Network and University of Toronto, Toronto, Ontario, Canada. york.pei@uhn.ca.
University Health Network · CA

Funding

CIHR
6 · The paper itself

Abstract

Total kidney volume (TKV) is a validated prognostic biomarker for risk assessment in autosomal dominant polycystic kidney disease (ADPKD). TKV by manual segmentation (MS) is the "gold standard" but is time-consuming and requires expertise. The purpose of this study was to compare TKV-based prognostic performance by ellipsoid (EL) vs. MS in a large cohort of patients. Cross-sectional study of 308 patients seen at a tertiary referral center; all had a standardized MRI with typical imaging of ADPKD. An experienced radiologist blinded to patient clinical results performed all TKV measurements by EL and MS. We assessed the agreement of TKV measurements by intraclass correlation(ICC) and Bland-Altman plot and also how the disagreement of the two methods impact the prognostic performance of the Mayo Clinic Imaging Classification (MCIC). We found a high ICC of TKV measurements (0.991, p < 0.001) between EL vs. MS; however, 5.5% of the cases displayed disagreement of TKV measurements >20%. We also found a high degree of agreement of the individual MCIC risk classes (i.e. 1A to 1E) with a Cohen's weighted-kappa of 0.89; but 42 cases (13.6%) were misclassified by EL with no misclassification spanning more than one risk class. The sensitivity and specificity of EL in distinguishing low-risk (1A-B) from high-risk (1C-E) MCIC prognostic grouping were 96.6% and 96.1%, respectively. Overall, we found an excellent agreement of TKV-based risk assessment between EL and MS. However, caution is warranted for patients with MCIC 1B and 1C, as misclassification can have therapeutic consequence.

Indexed as

AdultCohort StudiesCross-Sectional StudiesDisease ProgressionFemaleHumansImage Processing, Computer-AssistedKidneyMagnetic Resonance ImagingMaleMiddle AgedOrgan SizePolycystic Kidney, Autosomal DominantPrognosis

Identifiers

PMID31358787
PMCPMC6662759
OpenAlexW2965872651

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.