Evidence map›Paper›PMID 32833198›Full record

ArticleLa Radiologia medica2021

A field strength independent MR radiomics model to predict pathological complete response in locally advanced rectal cancer.

Davide Cusumano, Gert Meijer, Jacopo Lenkowicz, Giuditta Chiloiro, Luca Boldrini, Carlotta Masciocchi, Nicola Dinapoli, Roberto Gatta, Calogero Casà, Andrea Damiani and 6 more

Abstract readMulticenter Study
In one paragraph

Article in La Radiologia medica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
–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

70 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Longitudinal CE-MRI-based Siamese network with machine learning to predict tumor response in HCC after DEB-TACE.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Article
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  16. Local Recurrences in Rectal Cancer: MRI vs. CT.Diagnostics (Basel, Switzerland) · 2023
    Review
  17. Article
  18. Review
  19. Article
  20. Gender Medicine in Clinical Radiology Practice.Journal of personalized medicine · 2023
    Review

10 more citing papers are in PubMed but not listed here.

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

16 authors.

Davide CusumanoFondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Gert MeijerDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
Jacopo LenkowiczIstituto di Radiologia, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168, Rome, Italy. Jacopo.lenkowicz@unicatt.it.ORCID http://orcid.org/0000-0002-8366-1474
Giuditta ChiloiroFondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Luca BoldriniFondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Carlotta MasciocchiIstituto di Radiologia, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168, Rome, Italy.
Nicola DinapoliFondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Roberto GattaIstituto di Radiologia, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168, Rome, Italy.
Calogero CasàIstituto di Radiologia, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168, Rome, Italy.
Andrea DamianiIstituto di Radiologia, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168, Rome, Italy.
Brunella BarbaroFondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Maria Antonietta GambacortaFondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Luigi AzarioFondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Marco De SpiritoFondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Martijn IntvenDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
Vincenzo ValentiniFondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAim of this study was to develop a generalised radiomics model for predicting pathological complete response after neoadjuvant chemo-radiotherapy in locally advanced rectal cancer patients using pre-CRT T2-weighted images acquired at a 1.5 T and a 3 T scanner.

methodsIn two institutions, 195 patients were scanned: 136 patients were scanned on a 1.5 T MR scanner, 59 patients on a 3 T MR scanner. Gross tumour volumes were delineated on the MR images and 496 radiomic features were extracted, applying the intensity-based (IB) filter. Features were standardised with Z-score normalisation and an initial feature selection was carried out using Wilcoxon-Mann-Whitney test: The most significant features at 1.5 T and 3 T were selected as main features. Several logistic regression models combining the main features with a third one selected by those resulting significant were elaborated and evaluated in terms of area under curve (AUC). A tenfold cross-validation was repeated 300 times to evaluate the model robustness.

resultsThree features were selected: maximum fractal dimension with IB = 0-50, energy and grey-level non-uniformity calculated on the run-length matrix with IB = 0-50. The AUC of the model applied to the whole dataset after cross-validation was 0.72, while values of 0.70 and 0.83 were obtained when 1.5 T and 3 T patients were considered, respectively.

conclusionsThe model elaborated showed good performance, even when data from patients scanned on 1.5 T and 3 T were merged. This shows that magnetic field intensity variability can be overcome by means of selecting appropriate image features.

Indexed as

Chemoradiotherapy, AdjuvantAdultAgedAged, 80 and overAlgorithmsArea Under CurveFemaleFractalsHumansLogistic ModelsMagnetic Resonance ImagingMaleMiddle AgedModels, TheoreticalRectal NeoplasmsRetrospective StudiesInter-scanner variabilityMagnetic field intensityMagnetic resonance imagingRadiomicsRectal cancer

Identifiers

PMID32833198
PMCPMC7937600

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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.