Evidence map›Paper›PMID 32774469›Full record

ArticleLung cancer management2020

Computed tomography texture analysis of response to second-line nivolumab in metastatic non-small cell lung cancer.

Rahul Ladwa, Kate E Roberts, Connor O'Leary, Nicole Maggacis, Kenneth J O'Byrne, Kenneth Miles

Open access · diamondAbstract read
In one paragraph

Article in Lung cancer management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
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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

6 authors at 3 institutions in 1 country.

Rahul LadwaDepartment of Medical Oncology, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Kate E RobertsDepartment of Medical Oncology, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Connor O'LearyDepartment of Medical Oncology, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Nicole MaggacisDepartment of Medical Oncology, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Kenneth J O'ByrneDepartment of Medical Oncology, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Kenneth MilesDepartment of Medical Oncology, Princess Alexandra Hospital, Brisbane, QLD, Australia.
The University of Queensland · AUQueensland University of Technology · AUPrincess Alexandra Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAssess computed tomography texture analysis of patients likely to benefit from nivolumab. MATERIALS &

methodsTexture analysis was used to quantify heterogeneity within the largest tumor before immunotherapy. Histogram analysis was classified as hyperdense (positive skewness) or hypodense (negative skewness) and subclassified on median standard deviation value or entropy measurement.

results47 patients were included. At a median follow-up of 18 months, statistical significant differences in progression-free survival were observed when stratified by positive skewness with low entropy, hazard ratio: 0.43 (0.19-0.95); p = 0.036, and positive skewness with low standard deviation, hazard ratio: 0.42 (0.18-0.96); p = 0.04.

conclusionPatients who derive a clinical benefit to Nivolumab show a computed tomography texture of a hyperdense yet homogenous tumor.

Indexed as

biomarkerimagingimmunotherapylow entropylung cancernivolumabpositive skewnessradiomicstexture analysis

Identifiers

PMID32774469
PMCPMC7399606
OpenAlexW3045278482

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.