Evidence map›Paper›PMID 32399621›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2020

PET/CT radiomics signature of human papilloma virus association in oropharyngeal squamous cell carcinoma.

Stefan P Haider, Amit Mahajan, Tal Zeevi, Philipp Baumeister, Christoph Reichel, Kariem Sharaf, Reza Forghani, Ahmet S Kucukkaya, Benjamin H Kann, Benjamin L Judson and 3 more

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Article in European journal of nuclear medicine and molecular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  7. Article
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  13. Artificial Intelligence in Head and Neck Surgery.Otolaryngologic clinics of North America · 2024
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  16. Impact ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2024
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  17. Review
  18. Article
  19. Clinical application ofJapanese journal of radiology · 2024
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  20. Yonsei medical journal · 2023
    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

13 authors at 4 institutions in 3 countries.

Stefan P HaiderSection of Neuroradiology, Department of Radiology and Biomedical Imaging, Yale School of Medicine, 789 Howard Ave, PO Box 208042, New Haven, CT, 06519, USA.
Amit MahajanSection of Neuroradiology, Department of Radiology and Biomedical Imaging, Yale School of Medicine, 789 Howard Ave, PO Box 208042, New Haven, CT, 06519, USA.
Tal ZeeviCenter for Translational Imaging Analysis and Machine Learning, Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Philipp BaumeisterDepartment of Otorhinolaryngology, University Hospital of Ludwig Maximilians Universität München, Munich, Germany.
Christoph ReichelDepartment of Otorhinolaryngology, University Hospital of Ludwig Maximilians Universität München, Munich, Germany.
Kariem SharafDepartment of Otorhinolaryngology, University Hospital of Ludwig Maximilians Universität München, Munich, Germany.
Reza ForghaniDepartment of Diagnostic Radiology and Augmented Intelligence & Precision Health Laboratory, McGill University Health Centre & Research Institute, Montreal, Quebec, Canada.
Ahmet S KucukkayaSection of Neuroradiology, Department of Radiology and Biomedical Imaging, Yale School of Medicine, 789 Howard Ave, PO Box 208042, New Haven, CT, 06519, USA.
Benjamin H KannDepartment of Radiation Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Benjamin L JudsonDivision of Otolaryngology, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Manju L PrasadDepartment of Pathology, Yale School of Medicine, New Haven, CT, USA.
Barbara BurtnessSection of Medical Oncology, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Seyedmehdi PayabvashSection of Neuroradiology, Department of Radiology and Biomedical Imaging, Yale School of Medicine, 789 Howard Ave, PO Box 208042, New Haven, CT, 06519, USA. sam.payabvash@yale.edu.
Yale University · USLudwig-Maximilians-Universität München · DEHarvard University · USMcGill University Health Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo devise, validate, and externally test PET/CT radiomics signatures for human papillomavirus (HPV) association in primary tumors and metastatic cervical lymph nodes of oropharyngeal squamous cell carcinoma (OPSCC).

methodsWe analyzed 435 primary tumors (326 for training, 109 for validation) and 741 metastatic cervical lymph nodes (518 for training, 223 for validation) using FDG-PET and non-contrast CT from a multi-institutional and multi-national cohort. Utilizing 1037 radiomics features per imaging modality and per lesion, we trained, optimized, and independently validated machine-learning classifiers for prediction of HPV association in primary tumors, lymph nodes, and combined "virtual" volumes of interest (VOI). PET-based models were additionally validated in an external cohort.

resultsSingle-modality PET and CT final models yielded similar classification performance without significant difference in independent validation; however, models combining PET and CT features outperformed single-modality PET- or CT-based models, with receiver operating characteristic area under the curve (AUC) of 0.78, and 0.77 for prediction of HPV association using primary tumor lesion features, in cross-validation and independent validation, respectively. In the external PET-only validation dataset, final models achieved an AUC of 0.83 for a virtual VOI combining primary tumor and lymph nodes, and an AUC of 0.73 for a virtual VOI combining all lymph nodes.

conclusionWe found that PET-based radiomics signatures yielded similar classification performance to CT-based models, with potential added value from combining PET- and CT-based radiomics for prediction of HPV status. While our results are promising, radiomics signatures may not yet substitute tissue sampling for clinical decision-making.

Indexed as

AlphapapillomavirusHead and Neck NeoplasmsHumansPapillomaviridaePositron Emission Tomography Computed TomographyRetrospective StudiesSquamous Cell Carcinoma of Head and NeckHPVImaging biomarkerOropharyngeal squamous cell carcinomaPET/CTQuantitative imagingRadiomics

Identifiers

PMID32399621
OpenAlexW3024703185

What OpenQuestion holds

Textmetadata
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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.