Evidence map›Paper›PMID 31552555›Full record

ArticleLa Radiologia medica2020

CT imaging markers to improve radiation toxicity prediction in prostate cancer radiotherapy by stacking regression algorithm.

Shayan Mostafaei, Hamid Abdollahi, Shiva Kazempour Dehkordi, Isaac Shiri, Abolfazl Razzaghdoust, Seyed Hamid Zoljalali Moghaddam, Afshin Saadipoor, Fereshteh Koosha, Susan Cheraghi, Seied Rabi Mahdavi

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Article in La Radiologia medica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

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

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  5. Precision medicine in prostate cancer: individualized treatment through radiomics, genomics, and biomarkers.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
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  6. Biomarkers in Localized Prostate Cancer: From Diagnosis to Treatment.International journal of molecular sciences · 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

10 authors.

Shayan MostafaeiDepartment of Community Medicine, Faculty of Medicine, Kermanshah University of Medical Sciences, Sorkheh-Ligeh Blvd, Kermanshah, 6714415153, Iran. Shayan.mostafaei@kums.ac.ir.ORCID http://orcid.org/0000-0003-2134-792X
Hamid AbdollahiDepartment of Radiologic Sciences and Medical Physics, Faculty of Allied Medicine, Kerman University of Medical Sciences, Medical University Campus, Haft-Bagh Highway, 7616913555, Kerman, Iran. hamid_rbp@yahoo.com.
Shiva Kazempour DehkordiDepartment of Cell Systems and Anatomy, School of Medicine, University of Texas Health Science Center, San Antonio, USA.
Isaac ShiriDivision of Nuclear Medicine and Molecular Imaging, Department of Medical Imaging, Geneva University Hospital, CH-1211, Geneva, Switzerland.
Abolfazl RazzaghdoustUrology and Nephrology Research Center, Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Seyed Hamid Zoljalali MoghaddamDepartment of Medical Physics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Afshin SaadipoorDepartment of Radiation Oncology, Faculty of Medicine, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Fereshteh KooshaRadiology Technology Department, Allied Medical Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Susan CheraghiDepartment of Radiation Sciences, Allied Medicine Faculty, Iran University of Medical Sciences, Tehran, Iran.
Seied Rabi MahdaviDepartment of Medical Physics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadiomic features, clinical and dosimetric factors have the potential to predict radiation-induced toxicity. The aim of this study was to develop prediction models of radiotherapy-induced toxicities in prostate cancer patients based on computed tomography (CT) radiomics, clinical and dosimetric parameters.

methodsIn this prospective study, prostate cancer patients were included, and radiotherapy-induced urinary and gastrointestinal (GI) toxicities were assessed by Common Terminology Criteria for adverse events. For each patient, clinical and dose volume parameters were obtained. Imaging features were extracted from pre-treatment rectal and bladder wall CT scan of patients. Stacking algorithm and elastic net penalized logistic regression were used in order to feature selection and prediction, simultaneously. The models were fitted by imaging (radiomics model) and clinical/dosimetric (clinical model) features alone and in combinations (clinical-radiomics model). Goodness of fit of the models and performance of classifications were assessed using Hosmer and Lemeshow test, - 2log (likelihood) and area under curve (AUC) of the receiver operator characteristic.

resultsSixty-four prostate cancer patients were studied, and 33 and 52 patients developed ≥ grade 1 GI and urinary toxicities, respectively. In GI modeling, the AUC for clinical, radiomics and clinical-radiomics models was 0.66, 0.71 and 0.65, respectively. To predict urinary toxicity, the AUC for radiomics, clinical and clinical-radiomics models was 0.71, 0.67 and 0.77, respectively.

conclusionsWe have shown that CT imaging features could predict radiation toxicities and combination of imaging and clinical/dosimetric features may enhance the predictive performance of radiotoxicity modeling.

Indexed as

AlgorithmsAgedArea Under CurveCystitisHumansLogistic ModelsMaleMiddle AgedProctitisProspective StudiesProstatic NeoplasmsRadiation InjuriesRadiation ToleranceRadiotherapy DosageRectumROC CurveProstate cancerRadiotherapyStacking ensemble algorithmTomographyToxicity

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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.