Evidence map›Paper›PMID 32476800›Full record

Observational studyWorld journal of gastroenterology2020

Multi-modal radiomics model to predict treatment response to neoadjuvant chemotherapy for locally advanced rectal cancer.

Zheng-Yan Li, Xiao-Dong Wang, Mou Li, Xi-Jiao Liu, Zheng Ye, Bin Song, Fang Yuan, Yuan Yuan, Chun-Chao Xia, Xin Zhang and 1 more

Abstract readObservational StudyValidation Study
In one paragraph

Observational study in World journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
–field-weighted citation impact
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

42 citing papers in PubMed.

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  20. The Role of Radiomics in Rectal Cancer.Journal of gastrointestinal cancer · 2023
    Review
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

11 authors.

Zheng-Yan LiDepartment of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Xiao-Dong WangDepartment of Gastrointestinal Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Mou LiDepartment of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Xi-Jiao LiuDepartment of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Zheng YeDepartment of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Bin SongDepartment of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China. songlab_radiology@163.com.
Fang YuanDepartment of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Yuan YuanDepartment of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Chun-Chao XiaDepartment of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
Xin ZhangLife Science, PDx, IPM team, GE Healthcare, Shanghai 210000, China.
Qian LiDepartment of Gastrointestinal Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoadjuvant chemotherapy is currently recommended as preoperative treatment for locally advanced rectal cancer (LARC); however, evaluation of treatment response to neoadjuvant chemotherapy is still challenging.

aimTo create a multi-modal radiomics model to assess therapeutic response after neoadjuvant chemotherapy for LARC.

methodsThis retrospective study consecutively included 118 patients with LARC who underwent both computed tomography (CT) and magnetic resonance imaging (MRI) before neoadjuvant chemotherapy between October 2016 and June 2019. Histopathological findings were used as the reference standard for pathological response. Patients were randomly divided into a training set (

resultsEighty out of 118 patients (68%) achieved a pathological response. For an individual radiomics model, HR-T2WI performed better (AUC = 0.859, ACC = 0.896) than CT (AUC = 0.766, ACC = 0.792), DCE-T1 (AUC = 0.812, ACC = 0.854), and ADC (AUC = 0.828, ACC = 0.833) in the validation set. The imaging performance for extramural venous invasion detection was relatively low in both the training (AUC = 0.73, ACC = 0.714) and validation (AUC = 0.578, ACC = 0.583) sets. The multi-modal radiomics model reached an AUC of 0.925 and ACC of 0.886 in the training set, and an AUC of 0.93 and ACC of 0.875 in the validation set. For the clinical radiomics nomogram, good agreement was found between the nomogram prediction and actual observation.

conclusionA multi-modal nomogram using traditional imaging features and radiomics of preoperative CT and MRI adds accuracy to the prediction of treatment outcome, and thus contributes to the personalized selection of neoadjuvant chemotherapy for LARC.

Indexed as

NomogramsProctectomyAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBiopsyCapecitabineChemotherapy, AdjuvantFemaleHumansIntestinal MucosaMagnetic Resonance ImagingMaleMiddle AgedMultimodal ImagingNeoadjuvant TherapyCapecitabineOxaliplatinComputed tomographyMagnetic resonance imagingNeoadjuvant chemotherapyRadiomicsRectal cancer

Identifiers

PMID32476800
PMCPMC7243642

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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.