Evidence map›Paper›PMID 31820065›Full record

ArticleNeuroradiology2020

Diffusion tensor imaging radiomics in lower-grade glioma: improving subtyping of isocitrate dehydrogenase mutation status.

Chae Jung Park, Yoon Seong Choi, Yae Won Park, Sung Soo Ahn, Seok-Gu Kang, Jong-Hee Chang, Se Hoon Kim, Seung-Koo Lee

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In one paragraph

Article in Neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

  1. Pooled it
  2. Noninvasive Determination ofAJNR. American journal of neuroradiology · 2021
    Pooled it
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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

8 authors.

Chae Jung ParkDepartment of Radiology and Research Institute of Radiological Science, College of Medicine, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Korea.ORCID https://orcid.org/0000-0002-5567-8658
Yoon Seong ChoiDepartment of Radiology and Research Institute of Radiological Science, College of Medicine, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Korea. yoonseong.choi07@gmail.com.ORCID https://orcid.org/0000-0002-6034-9912
Yae Won ParkDepartment of Radiology, College of Medicine, Ewha Womans University, Seoul, Korea.ORCID https://orcid.org/0000-0001-8907-5401
Sung Soo AhnDepartment of Radiology and Research Institute of Radiological Science, College of Medicine, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Korea.ORCID https://orcid.org/0000-0002-0503-5558
Seok-Gu KangDepartment of Neurosurgery, College of Medicine, Yonsei University, Seoul, Korea.ORCID https://orcid.org/0000-0001-5676-2037
Jong-Hee ChangDepartment of Neurosurgery, College of Medicine, Yonsei University, Seoul, Korea.ORCID https://orcid.org/0000-0003-1509-9800
Se Hoon KimDepartment of Pathology, College of Medicine, Yonsei University, Seoul, Korea.ORCID https://orcid.org/0000-0001-7516-7372
Seung-Koo LeeDepartment of Radiology and Research Institute of Radiological Science, College of Medicine, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Korea.ORCID https://orcid.org/0000-0001-5646-4072

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate whether diffusion tensor imaging (DTI) radiomics with machine learning improves the prediction of isocitrate dehydrogenase (IDH) mutation status of lower-grade gliomas beyond radiomic features from conventional MRI and DTI histogram parameters.

methodsA total of 168 patients with pathologically confirmed lower-grade gliomas were retrospectively enrolled. A total of 158 and 253 radiomic features were extracted from DTI (DTI radiomics) and conventional MRI (T1-weighted image with contrast enhancement, T2-weighted image, and FLAIR [conventional radiomics]), respectively. The random forest models for predicting IDH status were trained with variable combinations as follows: (1) DTI radiomics, (2) conventional radiomics, (3) conventional radiomics + DTI radiomics, and (4) conventional radiomics + DTI histogram. The models were validated with nested cross-validation. The predictive performances of those models were compared by using area under the curve (AUC) from receiver operating characteristic analysis, and 95% confidence interval (CI) was calculated.

resultsAdding DTI radiomics to conventional radiomics significantly improved the accuracy of IDH status subtyping (AUC, 0.900 [95% CI, 0.855-0.945], p = 0.006), whereas adding DTI histogram parameters yielded nonsignificant trend toward improvement (0.869 [95% CI, 0.816-0.922], p = 0.150) compared with the model with conventional radiomics alone (0.835 [95% CI, 0.773-0.896]). The performance of the model consisting of both DTI and conventional radiomics was significantly superior than that of model consisting of both DTI histogram parameters and conventional radiomics (0.900 vs 0.869, p = 0.040).

conclusionDTI radiomics with machine learning can help improve the subtyping of IDH status beyond conventional radiomics and DTI histogram parameters in patients with lower-grade gliomas.

Indexed as

AdultBrain NeoplasmsContrast MediaDiffusion Tensor ImagingFemaleGliomaHumansImage Interpretation, Computer-AssistedIsocitrate DehydrogenaseMaleMiddle AgedMutationNeoplasm GradingOrganometallic CompoundsRetrospective StudiesContrast MediagadobutrolIsocitrate DehydrogenaseOrganometallic CompoundsDiffusion tensor imagingIsocitrate dehydrogenaseLower-grade gliomaMachine learningRadiomics

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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.