Evidence map›Paper›PMID 32179095›Full record

ArticleMagnetic resonance imaging2020

Radiomic prediction of mutation status based on MR imaging of lung cancer brain metastases.

Bihong T Chen, Taihao Jin, Ningrong Ye, Isa Mambetsariev, Ebenezer Daniel, Tao Wang, Chi Wah Wong, Russell C Rockne, Rivka Colen, Andrei I Holodny and 2 more

Open access · greenAbstract read
In one paragraph

Article in Magnetic resonance imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 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

12 authors at 5 institutions in 2 countries.

Bihong T ChenDepartment of Diagnostic Radiology, City of Hope National Medical Center, Duarte, CA, United States. Electronic address: Bechen@coh.org.
Taihao JinDepartment of Diagnostic Radiology, City of Hope National Medical Center, Duarte, CA, United States.
Ningrong YeDepartment of Diagnostic Radiology, City of Hope National Medical Center, Duarte, CA, United States.
Isa MambetsarievDepartment of Medical Oncology and Therapeutics Research, City of Hope Comprehensive Cancer Center and Beckman Research Institute, Duarte 91010, CA, United States.
Ebenezer DanielDepartment of Diagnostic Radiology, City of Hope National Medical Center, Duarte, CA, United States.
Tao WangDepartments of Interventional Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, PR China.
Chi Wah WongApplied Al and Data Science, City of Hope National Medical Center, Duarte 91010, CA, United States.
Russell C RockneDivision of Mathematical Oncology, City of Hope National Medical Center, Duarte, CA, United States.
Rivka ColenHillman Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, PA, United States; Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, United States.
Andrei I HolodnyDepartment of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY, United States.
Sagus SampathDepartment of Radiation Oncology, City of Hope National Medical Center, Duarte, CA, United States.
Ravi SalgiaDepartment of Medical Oncology and Therapeutics Research, City of Hope Comprehensive Cancer Center and Beckman Research Institute, Duarte 91010, CA, United States.
City Of Hope National Medical Center · USCity of Hope · USMemorial Sloan Kettering Cancer Center · USNanjing Medical University · CNUniversity of Pittsburgh Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
WORD PROCESSORP30CA013330 · NCI · YESHIVA UNIVERSITY · PI THOMAS E ROHAN · 1985 to 2026
$111.2M
Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI STANLEY R. HAMILTON · 1985 to 2026
$86.3M
Project 2: Targeting Cooperative Phenotypes Common in Spatial HeterogeneityU54CA209978 · NCI · UNIVERSITY OF UTAH · PI BILD, ANDREA HOPE · 2017 to 2021
$10.5M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA013330NCI NIH HHS P30 CA033572NCI NIH HHS U54 CA209978
6 · The paper itself

Abstract

Lung cancer metastases comprise most of all brain metastases in adults and most brain metastases are diagnosed by magnetic resonance (MR) scans. The purpose of this study was to conduct an MR imaging-based radiomic analysis of brain metastatic lesions from patients with primary lung cancer to classify mutational status of the metastatic disease. We retrospectively identified lung cancer patients with brain metastases treated at our institution between 2009 and 2017 who underwent genotype testing of their primary lung cancer. Brain MR Images were used for segmentation of enhancing tumors and peritumoral edema, and for radiomic feature extraction. The most relevant radiomic features were identified and used with clinical data to train random forest classifiers to classify the mutation status. Of 110 patients in the study cohort (mean age 57.51 ± 12.32 years; M: F = 37:73), 75 had an EGFR mutation, 21 had an ALK translocation, and 15 had a KRAS mutation. One patient had both ALK translocation and EGFR mutation. Majority of radiomic features most relevant for mutation classification were textural. Model building using both radiomic features and clinical data yielded more accurate classifications than using either alone. For classification of EGFR, ALK, and KRAS mutation status, the model built with both radiomic features and clinical data resulted in area-under-the-curve (AUC) values based on cross-validation of 0.912, 0.915, and 0.985, respectively. Our study demonstrated that MR imaging-based radiomic analysis of brain metastases in patients with primary lung cancer may be used to classify mutation status. This approach may be useful for devising treatment strategies and informing prognosis.

Indexed as

DNA Mutational AnalysisMagnetic Resonance ImagingAdultAgedAlgorithmsAnaplastic Lymphoma KinaseArea Under CurveBrain NeoplasmsErbB ReceptorsFemaleHumansLung NeoplasmsMaleMiddle AgedMutationNeoplasm MetastasisALK protein, humanAnaplastic Lymphoma KinaseEGFR protein, humanErbB ReceptorsKRAS protein, humanProto-Oncogene Proteins p21(ras)Brain metastasesLung cancerMutationPredictive modelingRadiomics

Identifiers

PMID32179095
PMCPMC7237274
OpenAlexW3011203047

What OpenQuestion holds

Textmetadata
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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.