Evidence map›Paper›PMID 31642204›Full record

ArticleCancer medicine2019

Predicting pathological complete response by comparing MRI-based radiomics pre- and postneoadjuvant radiotherapy for locally advanced rectal cancer.

Yuqiang Li, Wenxue Liu, Qian Pei, Lilan Zhao, Cenap Güngör, Hong Zhu, Xiangping Song, Chenglong Li, Zhongyi Zhou, Yang Xu and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  11. The Role of Radiomics in Rectal Cancer.Journal of gastrointestinal cancer · 2023
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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

14 authors at 3 institutions in 2 countries.

Yuqiang LiDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0003-1517-3687
Wenxue LiuDepartment of Rheumatology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.ORCID 0000-0003-0569-3064
Qian PeiDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.
Lilan ZhaoDepartment of Thoracic surgery, Fujian Provincial Hospital, Fuzhou, China.
Cenap GüngörDepartment of General Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Hong ZhuDepartment of Oncology, Xiangya Hospital, Central South University, Changsha, China.
Xiangping SongDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.
Chenglong LiDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0002-9054-2836
Zhongyi ZhouDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.
Yang XuDepartment of General Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Dan WangDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.
Fengbo TanDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.
Pei YangDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.
Haiping PeiDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.
Central South University · CNUniversität Hamburg · DEFujian Provincial Hospital · CN

Funding

The Nature Scientific Foundation of China 81702956The Strategy-Oriented Special Project of Central South University in China ZLXD2017003The XiangYa-Peking University Wei Ming Clinical and Rehabilitation Research Fund xywm2015I21
6 · The paper itself

Abstract

backgroundTotal mesorectal excision following neoadjuvant chemoradiotherapy (nCRT) is recommended in the latest treatment of locally advanced rectal cancer (LARC).

objectiveTo predict whether patients with LARC can achieve pathologic complete response (pCR), comparing MRI-based radiomics between before and after neoadjuvant radiotherapy (nRT) was performed.

methodsOne hundred and sixty-five MRI-based radiomics features in axial T2-weighted images were obtained quantitatively from Imaging Biomarker Explorer Software. The specific features of conventional and developing radiomics were selected with the analysis of least absolute shrinkage and selection operator logistic regression, of which the predictive performance was analyzed with receiver operating curve and calibration curve, and applied to an independent cohort.

resultsOne hundred and thirty-one target patients were enrolled in the present study. A radiomics signature founded on seven radiomics features was generated in the primary cohort. A remarkable difference about Rad-score between pCR and non-pCR group occurred in both of primary (P < .001) or validation cohorts (P < .001). The value of area under the curves was 0.92 (95% CI, 0.86-0.99) and 0.87 (95% CI, 0.74-1.00) in the primary and validation cohorts, respectively. The Rad-score (OR = 23.581; P < .001) from multivariate logistic regression analysis was significant as an independent factor of pCR.

conclusionOur predictive model based on radiomics features was an independent predictor for pCR in LARC and could be a candidate in clinical practice.

Indexed as

Magnetic Resonance ImagingAdultAgedChemoradiotherapyFemaleHumansMaleMiddle AgedNeoadjuvant TherapyPreoperative PeriodProctectomyRectal NeoplasmsRectumRetrospective StudiesROC CurveTreatment Outcomelocally advanced rectal cancerMRI-based radiomicsneoadjuvant chemoradiotherapypathologic complete responsepredictive model

Identifiers

PMID31642204
PMCPMC6885895
OpenAlexW2981662953

What OpenQuestion holds

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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.