Evidence map›Paper›PMID 32794105›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2021

The deep learning model combining CT image and clinicopathological information for predicting ALK fusion status and response to ALK-TKI therapy in non-small cell lung cancer patients.

Zhengbo Song, Tianchi Liu, Lei Shi, Zongyang Yu, Qing Shen, Mengdi Xu, Zhangzhou Huang, Zhijian Cai, Wenxian Wang, Chunwei Xu and 2 more

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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

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

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  13. An interpretableFrontiers in oncology · 2025
    Article
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  15. [Advancements in Radiomics for Immunotherapy of Non-small Cell Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024
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  20. Novel tools for early diagnosis and precision treatment based on artificial intelligence.Chinese medical journal pulmonary and critical care medicine · 2023
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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

12 authors at 6 institutions in 1 country.

Zhengbo Song *Department of Clinical Trial, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, 310022, Zhejiang, China.
Tianchi Liu *Shanghai Key Laboratory of Artificial Intelligence for Medical Image and Knowledge Graph, Shanghai, 200336, China.
Lei Shi *Shanghai Key Laboratory of Artificial Intelligence for Medical Image and Knowledge Graph, Shanghai, 200336, China.
Zongyang YuDepartment of Medical Oncology, 900th Hospital, Fuzhou, 350000, Fujian, China.
Qing ShenShanghai Key Laboratory of Artificial Intelligence for Medical Image and Knowledge Graph, Shanghai, 200336, China.
Mengdi XuShanghai Key Laboratory of Artificial Intelligence for Medical Image and Knowledge Graph, Shanghai, 200336, China.
Zhangzhou HuangDepartment of Medical Oncology, Fujian Cancer Hospital, Fuzhou, 350001, China.
Zhijian CaiInstitute of Immunology, Zhejiang University School of Medicine, Hangzhou, 310009, Zhejiang, China.
Wenxian WangDepartment of Clinical Trial, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, 310022, Zhejiang, China.
Chunwei XuDepartment of Pathology, Fujian Cancer Hospital, Fuzhou, 350001, China.
Jingjing SunDepartment of Radiology, Cancer Hospital of the University of Chinese Academy of Sciences(Zhejiang Cancer Hospital), Hangzhou, 310022, Zhejiang, China.
Ming ChenDepartment of Radiotherapy, Cancer Hospital of the University of Chinese Academy of Sciences(Zhejiang Cancer Hospital), Hangzhou, 310022, Zhejiang, China. chenming@zjcc.org.cn.
Beijing Academy of Artificial Intelligence · CNFujian Provincial Cancer Hospital · CNUniversity of Chinese Academy of Sciences · CNZhejiang Cancer Hospital · CNZhejiang Lab · CNZhejiang University · CN

Funding

National Natural Science Foundation of China 81802276
6 · The paper itself

Abstract

purposeThis study aimed to investigate the deep learning model (DLM) combining computed tomography (CT) images and clinicopathological information for predicting anaplastic lymphoma kinase (ALK) fusion status in non-small cell lung cancer (NSCLC) patients. MATERIALS AND

methodsPreoperative CT images, clinicopathological information as well as the ALK fusion status from 937 patients in three hospitals were retrospectively collected to train and validate the DLM for the prediction of ALK fusion status in tumors. Another cohort of patients (n = 91) received ALK tyrosine kinase inhibitor (TKI) treatment was also included to evaluate the value of the DLM in predicting the clinical outcomes of the patients.

resultsThe performances of the DLM trained only by CT images in the primary and validation cohorts were AUC = 0.8046 (95% CI 0.7715-0.8378) and AUC = 0.7754 (95% CI 0.7199-0.8310), respectively, while the DLM trained by both CT images and clinicopathological information exhibited better performance for the prediction of ALK fusion status (AUC = 0.8540, 95% CI 0.8257-0.8823 in the primary cohort, p < 0.001; AUC = 0.8481, 95% CI 0.8036-0.8926 in the validation cohort, p < 0.001). In addition, the deep learning scores of the DLMs showed significant differences between the wild-type and ALK infusion tumors. In the ALK-target therapy cohort (n = 91), the patients predicted as ALK-positive by the DLM showed better performance of progression-free survival than the patients predicted as ALK-negative (16.8 vs. 7.5 months, p = 0.010).

conclusionOur findings showed that the DLM trained by both CT images and clinicopathological information could effectively predict the ALK fusion status and treatment responses of patients. For the small size of the ALK-target therapy cohort, larger data sets would be collected to further validate the performance of the model for predicting the response to ALK-TKI treatment.

Indexed as

Carcinoma, Non-Small-Cell LungDeep LearningLung NeoplasmsAnaplastic Lymphoma KinaseHumansProtein Kinase InhibitorsRetrospective StudiesTomography, X-Ray ComputedAnaplastic Lymphoma KinaseProtein Kinase InhibitorsAnaplastic lymphoma kinaseComputed tomographyDeep learning modelNon-small cell lung cancer

Identifiers

PMID32794105
OpenAlexW3049038887

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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.