Evidence map›Paper›PMID 31942672›Full record

ArticleEuropean radiology2020

Development and validation of a MRI-based radiomics signature for prediction of KRAS mutation in rectal cancer.

Yanfen Cui, Huanhuan Liu, Jialiang Ren, Xiaosong Du, Lei Xin, Dandan Li, Xiaotang Yang, Dengbin Wang

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 9 pooled it
9.5field-weighted citation impact, top 1% 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

73 citing papers in PubMed, 9 syntheses or guidelines pooled it, 133 citations in OpenAlex.

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  9. Delta radiomics: a systematic review.La Radiologia medica · 2021
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  12. Multi-parametric MRI radiomics to predict sensitivity to neoadjuvant chemoradiotherapy based on multi-regions of interest in locally advanced rectal cancer: a multicenter study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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13 more citing papers are in PubMed but not listed here.

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 at 2 institutions in 1 country.

Yanfen Cui *Department of Radiology, Shanxi Province Cancer Hospital, Shanxi Medical University, Taiyuan, 030013, China.
Huanhuan Liu *Department of Radiology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China.
Jialiang RenGE Healthcare China, Beijing, China.
Xiaosong DuDepartment of Radiology, Shanxi Province Cancer Hospital, Shanxi Medical University, Taiyuan, 030013, China.
Lei XinDepartment of Radiology, Shanxi Province Cancer Hospital, Shanxi Medical University, Taiyuan, 030013, China.
Dandan LiDepartment of Radiology, Shanxi Province Cancer Hospital, Shanxi Medical University, Taiyuan, 030013, China.
Xiaotang YangDepartment of Radiology, Shanxi Province Cancer Hospital, Shanxi Medical University, Taiyuan, 030013, China. yangxt210@126.com.
Dengbin WangDepartment of Radiology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. wangdengbin@xinhuamed.com.cn.ORCID http://orcid.org/0000-0002-0790-9554
Shanxi Medical University · CNShanghai Jiao Tong University · CN

Funding

Applied Basic Research Programs of Shanxi Province 201801D221390Applied Basic Research Programs of Shanxi Province No. 201801D121307Shanghai Sailing Program 19YF1433100the National Key Research and Development Program of China No. 2017YFC0109003the Science and Technology Project of Shanxi Province No. 20150313007-5the Special Research Program of Shanghai Municipal Commission of Heath and Family Planning on medical intelligence No. 2018ZHYL0108
6 · The paper itself

Abstract

objectiveTo develop a T2-weighted (T2W) image-based radiomics signature for the individual prediction of KRAS mutation status in patients with rectal cancer.

methodsThree hundred four consecutive patients from center I with pathologically diagnosed rectal adenocarcinoma (training dataset, n = 213; internal validation dataset, n = 91) were enrolled in our retrospective study. The patients from center II (n = 86) were selected as an external validation dataset. A total of 960 imaging features were extracted from high-resolution T2W images for each patient. Five steps, mainly univariate statistical tests, were applied for feature selection. Subsequently, three classification methods, i.e., logistic regression (LR), decision tree (DT), and support vector machine (SVM) algorithm, were applied to develop the radiomics signature for KRAS prediction in the training dataset. The predictive performance was evaluated by receiver operating characteristics curve (ROC) analysis, calibration curve, and decision curve analysis (DCA).

resultsSeven radiomics features were screened as a KRAS-associated radiomics signature of rectal cancer. Our best prediction model was obtained with SVM classifiers with AUC of 0.722 (95%CI, 0.654-0.790) in the training dataset. This was validated in the internal and external validation datasets with good calibration, and the corresponding AUCs were 0.682 (95% CI, 0.569-0.794) and 0.714 (95% CI, 0.602-0.827), respectively. DCA confirmed its clinical usefulness.

conclusionsThe proposed T2WI-based radiomics signature has a moderate performance to predict KRAS status, and may be useful for supplementing genomic analysis to determine KRAS expression in rectal cancer patients. KEY POINTS: • T2WI-based radiomics showed a moderate diagnostic significance for KRAS status. • The best prediction model was obtained with SVM classifier. • The baseline clinical and histopathological characteristics were not associated with KRAS mutation.

Indexed as

AlgorithmsMutationAgedDNA Mutational AnalysisDNA, NeoplasmFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedProto-Oncogene Proteins p21(ras)Rectal NeoplasmsRetrospective StudiesROC CurveSupport Vector MachineDNA, NeoplasmKRAS protein, humanProto-Oncogene Proteins p21(ras)Magnetic resonance imagingMutationRadiomicsRectal neoplasms

Identifiers

PMID31942672
OpenAlexW3000149607

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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.