Evidence map›Paper›PMID 32487085›Full record

ArticleBMC cancer2020

Machine-learning based MRI radiomics models for early detection of radiation-induced brain injury in nasopharyngeal carcinoma.

Bin Zhang, Zhouyang Lian, Liming Zhong, Xiao Zhang, Yuhao Dong, Qiuying Chen, Lu Zhang, Xiaokai Mo, Wenhui Huang, Wei Yang and 1 more

Open access · goldAbstract readValidation Study
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
4.3field-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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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  17. Artificial Intelligence in Head and Neck Surgery.Otolaryngologic clinics of North America · 2024
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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

11 authors at 4 institutions in 1 country.

Bin ZhangDepartment of Radiology, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Zhouyang LianDepartment of Radiology, Guangdong Provincial People's Hospital/Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China.
Liming ZhongGuangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China.
Xiao ZhangGuangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China.
Yuhao DongDepartment of Catheterization Lab, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Provincial People's Hospital /Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, People's Republic of China.
Qiuying ChenDepartment of Radiology, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Lu ZhangDepartment of Radiology, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Xiaokai MoDepartment of Radiology, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Wenhui HuangDepartment of Radiology, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Wei YangGuangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China. weiyanggm@gmail.com.
Shuixing ZhangDepartment of Radiology, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China. shui7515@126.com.ORCID http://orcid.org/0000-0001-7377-382X
Jinan University · CNFirst Affiliated Hospital of Jinan University · CNGuangdong Academy of Medical Sciences · CNSouthern Medical University · CN

Funding

China Postdoctoral Science Foundation 2016M600145National Natural Science Foundation of China 81571664, 81871323, 81801665National Natural Science Foundation of Guangdong Province 2018B030311024Scientific Research General Project of Guangzhou Science Technology and Innovation Commission 201707010328
6 · The paper itself

Abstract

backgroundEarly radiation-induced temporal lobe injury (RTLI) diagnosis in nasopharyngeal carcinoma (NPC) is clinically challenging, and prediction models of RTLI are lacking. Hence, we aimed to develop radiomic models for early detection of RTLI.

methodsWe retrospectively included a total of 242 NPC patients who underwent regular follow-up magnetic resonance imaging (MRI) examinations, including contrast-enhanced T1-weighted and T2-weighted imaging. For each MRI sequence, four non-texture and 10,320 texture features were extracted from medial temporal lobe, gray matter, and white matter, respectively. The relief and 0.632 + bootstrap algorithms were applied for initial and subsequent feature selection, respectively. Random forest method was used to construct the prediction model. Three models, 1, 2 and 3, were developed for predicting the results of the last three follow-up MRI scans at different times before RTLI onset, respectively. The area under the curve (AUC) was used to evaluate the performance of models.

resultsOf the 242 patients, 171 (70.7%) were men, and the mean age of all the patients was 48.5 ± 10.4 years. The median follow-up and latency from radiotherapy until RTLI were 46 and 41 months, respectively. In the testing cohort, models 1, 2, and 3, with 20 texture features derived from the medial temporal lobe, yielded mean AUCs of 0.830 (95% CI: 0.823-0.837), 0.773 (95% CI: 0.763-0.782), and 0.716 (95% CI: 0.699-0.733), respectively.

conclusionThe three developed radiomic models can dynamically predict RTLI in advance, enabling early detection and allowing clinicians to take preventive measures to stop or slow down the deterioration of RTLI.

Indexed as

Machine LearningAdultAftercareAlgorithmsBrain InjuriesFemaleHumansImage Interpretation, Computer-AssistedLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedModels, BiologicalNasopharyngeal CarcinomaNasopharyngeal NeoplasmsPredictive Value of TestsMachine learningMagnetic resonance imagingNasopharyngeal carcinomaRadiation-induced temporal lobe injuryRadiomics

Identifiers

PMID32487085
PMCPMC7268644
OpenAlexW3028639311

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.