Evidence map›Paper›PMID 32858990›Full record

ArticleCancers2020

Diffusion-Weighted MRI and Diffusion Kurtosis Imaging to Detect RAS Mutation in Colorectal Liver Metastasis.

Vincenza Granata, Roberta Fusco, Chiara Risi, Alessandro Ottaiano, Antonio Avallone, Alfonso De Stefano, Robert Grimm, Roberta Grassi, Luca Brunese, Francesco Izzo and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
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

44 citing papers in PubMed, 49 citations in OpenAlex.

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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 5 institutions in 2 countries.

Vincenza GranataRadiology Division, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia, Via Mariano Semmola, 80131 Naples, Italy.
Roberta FuscoRadiology Division, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia, Via Mariano Semmola, 80131 Naples, Italy.
Chiara RisiRadiology Division, Universita' Degli Studi Di Napoli Federico II, 80131 Naples, Italy.
Alessandro OttaianoAbdominal Oncology Division, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia, Via Mariano Semmola, 80131 Naples, Italy.ORCID 0000-0002-2901-3855
Antonio AvalloneAbdominal Oncology Division, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia, Via Mariano Semmola, 80131 Naples, Italy.
Alfonso De StefanoAbdominal Oncology Division, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia, Via Mariano Semmola, 80131 Naples, Italy.ORCID 0000-0003-2107-1177
Robert GrimmSiemens Healthcare GmbH, 91052 Erlangen, Germany.
Roberta GrassiRadiology Division, Universita' Degli Studi Della Campania Luigi Vanvitelli, Piazza Miraglia, 80138 Naples, Italy.
Luca BruneseRector of the Universita' Degli Studi Del Molise, 86100 Molise, Italy.
Francesco IzzoHepatobiliary Surgical Oncology Division, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia, Via Mariano Semmola, 80131 Naples, Italy.ORCID 0000-0003-3093-5408
Antonella PetrilloRadiology Division, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia, Via Mariano Semmola, 80131 Naples, Italy.
Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITSiemens Healthineers (Germany) · DEUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Molise · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo detect RAS mutation in colorectal liver metastasis by Diffusion-Weighted Magnetic Resonance Imaging (DWI-MRI) - and Diffusion Kurtosis imaging (DKI)-derived parameters.

methodsIn total, 106 liver metastasis (60 metastases with RAS mutation) in 52 patients were included in this retrospective study. Diffusion and perfusion parameters were derived by DWI (apparent diffusion coefficient (ADC), basal signal (S0), pseudo-diffusion coefficient (DP), perfusion fraction (FP) and tissue diffusivity (DT)) and DKI data (mean of diffusion coefficient (MD) and mean of diffusional Kurtosis (MK)). Wilcoxon-Mann-Whitney U tests for non-parametric variables and receiver operating characteristic (ROC) analyses were calculated with area under ROC curve (AUC). Moreover, pattern recognition approaches (linear classifier, support vector machine, k-nearest neighbours, decision tree), with features selection methods and a leave-one-out cross validation approach, were considered.

resultsA significant discrimination between the group with RAS mutation and the group without RAS mutation was obtained by the standard deviation value of MK (MK STD), by the mean value of MD, and by that of FP. The best results were reached by MK STD with an AUC of 0.80 (sensitivity of 72%, specificity of 85%, accuracy of 79%) using a cut-off of 203.90 × 10

conclusionsDiffusion-Weighted imaging and Diffusion Kurtosis imaging could be used to detect the RAS mutation in liver metastasis. The standard deviation value of MK and the mean value of MD were the more accurate parameters in the RAS mutation detection, with an AUC of 0.80.

Indexed as

DKIDWIliver metastasismagnetic resonance imaging

Identifiers

PMID32858990
PMCPMC7565693
OpenAlexW3080496347

What OpenQuestion holds

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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.