Evidence map›Paper›PMID 32306201›Full record

Observational studyLa Radiologia medica2020

Computed tomography (CT)-derived radiomic features differentiate prevascular mediastinum masses as thymic neoplasms versus lymphomas.

Margarita Kirienko, Gaia Ninatti, Luca Cozzi, Emanuele Voulaz, Nicolò Gennaro, Isabella Barajon, Francesca Ricci, Carmelo Carlo-Stella, Paolo Zucali, Martina Sollini and 2 more

Abstract readObservational StudyValidation Study
PubMed Publisher
In one paragraph

Observational study in La Radiologia medica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Delta radiomics: a systematic review.La Radiologia medica · 2021
    Pooled it
  2. Article
  3. Review
  4. CT radiomics and human-machine hybrid system for differentiating mediastinal lymphomas from thymic epithelial tumors.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Radiomics in colorectal cancer patients.World journal of gastroenterology · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. 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

12 authors at 1 institution in 1 country.

Margarita KirienkoDepartment of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, Milano, Italy.ORCID http://orcid.org/0000-0002-3923-1151
Gaia NinattiDepartment of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, Milano, Italy.ORCID http://orcid.org/0000-0001-8207-1256
Luca CozziDepartment of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, Milano, Italy.ORCID http://orcid.org/0000-0001-7862-898X
Emanuele VoulazDepartment of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, Milano, Italy.
Nicolò GennaroTraining Program in Radiology, Humanitas University, via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, Milano, Italy.ORCID http://orcid.org/0000-0001-7259-6980
Isabella BarajonDepartment of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, Milano, Italy.
Francesca RicciDepartment of Oncology and Hematology, Humanitas Clinical and Research Center - IRCCS, via Manzoni, 56, 20089, Rozzano, Milano, Italy.
Carmelo Carlo-StellaDepartment of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, Milano, Italy.ORCID http://orcid.org/0000-0003-3144-0124
Paolo ZucaliDepartment of Oncology and Hematology, Humanitas Clinical and Research Center - IRCCS, via Manzoni, 56, 20089, Rozzano, Milano, Italy.
Martina SolliniDepartment of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, Milano, Italy. martina.sollini@cancercenter.humanitas.it.ORCID http://orcid.org/0000-0003-2214-6492
Luca BalzariniRadiology, Diagnostic Imaging Department, Humanitas Clinical and Research Center - IRCCS, via Manzoni, 56, 20089, Rozzano, Milano, Italy.
Arturo ChitiDepartment of Biomedical Sciences, Humanitas University, via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, Milano, Italy.ORCID http://orcid.org/0000-0002-5806-1856
Humanitas University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to assess the ability of radiomics, applied to not-enhanced computed tomography (CT), to differentiate mediastinal masses as thymic neoplasms vs lymphomas.

methodsThe present study was an observational retrospective trial. Inclusion criteria were pathology-proven thymic neoplasia or lymphoma with mediastinal localization, availability of CT. Exclusion criteria were age < 16 years and mediastinal lymphoma lesion < 4 cm. We selected 108 patients (M:F = 47:61, median age 48 years, range 17-79) and divided them into a training and a validation group. Radiomic features were used as predictors in linear discriminant analysis. We built different radiomic models considering segmentation software and resampling setting. Clinical variables were used as predictors to build a clinical model. Scoring metrics included sensitivity, specificity, accuracy and area under the curve (AUC). Wilcoxon paired test was used to compare the AUCs.

resultsFifty-five patients were affected by thymic neoplasia and 53 by lymphoma. In the validation analysis, the best radiomics model sensitivity, specificity, accuracy and AUC resulted 76.2 ± 7.0, 77.8 ± 5.5, 76.9 ± 6.0 and 0.84 ± 0.06, respectively. In the validation analysis of the clinical model, the same metrics resulted 95.2 ± 7.0, 88.9 ± 8.9, 92.3 ± 8.5 and 0.98 ± 0.07, respectively. The AUCs of the best radiomic and the clinical model not differed.

conclusionsWe developed and validated a CT-based radiomic model able to differentiate mediastinal masses on non-contrast-enhanced images, as thymic neoplasms or lymphoma. The proposed method was not affected by image postprocessing. Therefore, the present image-derived method has the potential to noninvasively support diagnosis in patients with prevascular mediastinal masses with major impact on management of asymptomatic cases.

Indexed as

AdolescentAdultAgedArea Under CurveData AccuracyDiagnosis, DifferentialDiscriminant AnalysisFemaleHumansLymphomaMaleMediastinal NeoplasmsMediastinumMiddle AgedReproducibility of ResultsRetrospective StudiesComputer-assistedDiagnostic imagingImage processingLymphomaMediastinal neoplasmsThymus neoplasms

Identifiers

PMID32306201
OpenAlexW3016376918

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.