Evidence map›Paper›PMID 32873238›Full record

ArticleBMC medical imaging2020

Cervical spine osteoradionecrosis or bone metastasis after radiotherapy for nasopharyngeal carcinoma? The MRI-based radiomics for characterization.

Xi Zhong, Li Li, Huali Jiang, Jinxue Yin, Bingui Lu, Wen Han, Jiansheng Li, Jian Zhang

Open access · goldAbstract read
In one paragraph

Article in BMC medical imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.1field-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

19 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Review
  3. Use of Radiomics in Characterizing Tumor Hypoxia.International journal of molecular sciences · 2025
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  7. Radiomics‑Clinical model based onJournal of cancer research and clinical oncology · 2023
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Artificial Intelligence in Bone Metastases: An MRI and CT Imaging Review.International journal of environmental research and public health · 2022
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
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

8 authors at 2 institutions in 1 country.

Xi ZhongDepartment of Medical Imaging, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, 510095, China.
Li LiDepartment of Otolaryngology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510150, China.
Huali JiangDepartment of Cardiovascularology, Tungwah Hospital of Sun Yat-Sen University, Dong cheng East Road, Dong guan, 523110, Guangdong, China.
Jinxue YinDepartment of Medical Imaging, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, 510095, China.
Bingui LuDepartment of Medical Imaging, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, 510095, China.
Wen HanDepartment of Medical Imaging, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, 510095, China.
Jiansheng LiDepartment of Medical Imaging, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, 510095, China.
Jian ZhangDepartment of Radiation Oncology, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, 510095, China. zhangjian@gzhmu.edu.cn.
Guangzhou Medical University · CNTung Wah Hospital · CN

Funding

Guangdong Medical Research Foundation A2020263Social Science and Technology Development Key Project of Dongguan 201750715046462
6 · The paper itself

Abstract

backgroundTo develop and validate an MRI-based radiomics nomogram for differentiation of cervical spine ORN from metastasis after radiotherapy (RT) in nasopharyngeal carcinoma (NPC).

methodsA radiomics nomogram was developed in a training set that comprised 46 NPC patients after RT with 95 cervical spine lesions (ORN, n = 51; metastasis, n = 44), and data were gathered from January 2008 to December 2012. 279 radiomics features were extracted from the axial contrast-enhanced T1-weighted image (CE-T1WI). A radiomics signature was created by using the least absolute shrinkage and selection operator (LASSO) algorithm. A nomogram model was developed based on the radiomics scores. The performance of the nomogram was determined in terms of its discrimination, calibration, and clinical utility. An independent validation set contained 25 consecutive patients with 47 lesions (ORN, n = 25; metastasis, n = 22) from January 2013 to December 2015.

resultsThe radiomics signature that comprised eight selected features was significantly associated with the differentiation of cervical spine ORN and metastasis. The nomogram model demonstrated good calibration and discrimination in the training set [AUC, 0.725; 95% confidence interval (CI), 0.622-0.828] and the validation set (AUC, 0.720; 95% CI, 0.573-0.867). The decision curve analysis indicated that the radiomics nomogram was clinically useful.

conclusionsMRI-based radiomics nomogram shows potential value to differentiate cervical spine ORN from metastasis after RT in NPC.

Indexed as

AdultBone NeoplasmsCervical VertebraeDiagnosis, DifferentialFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNasopharyngeal CarcinomaNasopharyngeal NeoplasmsNomogramsObserver VariationOsteoradionecrosisRetrospective StudiesMagnetic resonance imagingNasopharyngeal carcinomaOsteoradionecrosisRadiomicsRadiotherapy

Identifiers

PMID32873238
PMCPMC7466527
OpenAlexW3081853522

What OpenQuestion holds

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LicenceCC BY
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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.