Evidence map›Paper›PMID 32020474›Full record

ArticleJournal of neuro-oncology2020

Radiomics as prognostic factor in brain metastases treated with Gamma Knife radiosurgery.

Chih-Ying Huang, Cheng-Chia Lee, Huai-Che Yang, Chung-Jung Lin, Hsiu-Mei Wu, Wen-Yuh Chung, Cheng-Ying Shiau, Wan-Yuo Guo, David Hung-Chi Pan, Syu-Jyun Peng

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Article in Journal of neuro-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 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 3 institutions in 1 country.

Chih-Ying HuangDepartment of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan.
Cheng-Chia LeeSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Huai-Che YangSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Chung-Jung LinSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Hsiu-Mei WuSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Wen-Yuh ChungSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Cheng-Ying ShiauSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Wan-Yuo GuoSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
David Hung-Chi PanDepartment of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
Syu-Jyun PengProfessional Master Program in Artificial Intelligence in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. sjpeng2019@tmu.edu.tw.ORCID http://orcid.org/0000-0001-5002-6581
National Yang Ming Chiao Tung University · TWTaipei Medical University · TWTaipei Veterans General Hospital · TW

Funding

Ministry of Science and Technology, Taiwan MOST 108-2221-E-038-019Ministry of Science and Technology, Taiwan MOST 108-2634-F-010-002Research Grants for Newly Hired Faculty, Taipei Medical University, Taiwan TMU 108-AE1-B04
6 · The paper itself

Abstract

purposeGamma Knife radiosurgery (GKRS) is a non-invasive procedure for the treatment of brain metastases. This study sought to determine whether radiomic features of brain metastases derived from pre-GKRS magnetic resonance imaging (MRI) could be used in conjunction with clinical variables to predict the effectiveness of GKRS in achieving local tumor control.

methodsWe retrospectively analyzed 161 patients with non-small cell lung cancer (576 brain metastases) who underwent GKRS for brain metastases. The database included clinical data and pre-GKRS MRI. Brain metastases were demarcated by experienced neurosurgeons, and radiomic features of each brain metastasis were extracted. Consensus clustering was used for feature selection. Cox proportional hazards models and cause-specific proportional hazards models were used to correlate clinical variables and radiomic features with local control of brain metastases after GKRS.

resultsMultivariate Cox proportional hazards model revealed that higher zone percentage (hazard ratio, HR 0.712; P = .022) was independently associated with superior local tumor control. Similarly, multivariate cause-specific proportional hazards model revealed that higher zone percentage (HR 0.699; P = .014) was independently associated with superior local tumor control.

conclusionsThe zone percentage of brain metastases, a radiomic feature derived from pre-GKRS contrast-enhanced T1-weighted MRIs, was found to be an independent prognostic factor of local tumor control following GKRS in patients with non-small cell lung cancer and brain metastases. Radiomic features indicate the biological basis and characteristics of tumors and could potentially be used as surrogate biomarkers for predicting tumor prognosis following GKRS.

Indexed as

RadiosurgeryAdultAgedAged, 80 and overBrainBrain NeoplasmsCarcinoma, Non-Small-Cell LungDisease ProgressionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPrognosisRetrospective StudiesTreatment OutcomeBrain metastasisGamma knife radiosurgeryMagnetic resonance imagingPrognosisRadiomics

Identifiers

PMID32020474
OpenAlexW3005068136

What OpenQuestion holds

Textmetadata
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.