Evidence map›Paper›PMID 32198487›Full record

ArticleScientific reports2020

Improved Prediction of Surgical Resectability in Patients with Glioblastoma using an Artificial Neural Network.

Adam P Marcus, Hani J Marcus, Sophie J Camp, Dipankar Nandi, Neil Kitchen, Lewis Thorne

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.0field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
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

6 authors at 4 institutions in 1 country.

Adam P Marcus *Queen Elizabeth Hospital, Lewisham and Greenwich NHS Trust, London, UK.
Hani J Marcus *Wellcome EPSRC centre for Interventional and Surgical Sciences, University College London, London, UK. h.marcus@ucl.ac.uk.ORCID http://orcid.org/0000-0001-8000-392X
Sophie J CampDepartment of Neurosurgery, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK.
Dipankar NandiDepartment of Neurosurgery, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK.
Neil KitchenDepartment of Neurosurgery, National Hospital for Neurology and Neurosurgery, UCLH Foundation Trust, London, UK.
Lewis ThorneDepartment of Neurosurgery, National Hospital for Neurology and Neurosurgery, UCLH Foundation Trust, London, UK.
Imperial College Healthcare NHS Trust · GBNational Hospital for Neurology and Neurosurgery · GBQueen Elizabeth Hospital · GBWellcome / EPSRC Centre for Interventional and Surgical Sciences · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In managing a patient with glioblastoma (GBM), a surgeon must carefully consider whether sufficient tumour can be removed so that the patient can enjoy the benefits of decompression and cytoreduction, without impacting on the patient's neurological status. In a previous study we identified the five most important anatomical features on a pre-operative MRI that are predictive of surgical resectability and used them to develop a simple, objective, and reproducible grading system. The objective of this study was to apply an artificial neural network (ANN) to improve the prediction of surgical resectability in patients with GBM. Prospectively maintained databases were searched to identify adult patients with supratentorial GBM that underwent craniotomy and resection. Performance of the ANN was evaluated against logistic regression and the standard grading system by analysing their Receiver Operator Characteristic (ROC) curves; Area Under Curve (AUC) and accuracy were calculated and compared using Wilcoxon signed rank test with a value of p < 0.05 considered statistically significant. In all, 135 patients were included, of which 33 (24.4%) were found to have complete excision of all contrast-enhancing tumour. The AUC and accuracy were significantly greater using the ANN compared to the standard grading system (0.87 vs. 0.79 and 83% vs. 80% respectively; p < 0.01 in both cases). In conclusion, an ANN allows for the improved prediction of surgical resectability in patients with GBM.

Indexed as

Neural Networks, ComputerAgedBrain NeoplasmsClinical Decision-MakingGlioblastomaHumansMachine LearningMagnetic Resonance ImagingMiddle AgedPredictive Value of TestsPrognosis

Identifiers

PMID32198487
PMCPMC7083861
OpenAlexW3010776100

What OpenQuestion holds

Textmetadata
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.