Evidence map›Paper›PMID 32889091›Full record

ArticleMagnetic resonance imaging2020

A novel CNN algorithm for pathological complete response prediction using an I-SPY TRIAL breast MRI database.

Michael Z Liu, Simukayi Mutasa, Peter Chang, Maham Siddique, Sachin Jambawalikar, Richard Ha

Abstract read
In one paragraph

Article in Magnetic resonance imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Application of Machine Learning to Breast MR Imaging.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
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  8. AI Applications to Breast MRI: Today and Tomorrow.Journal of magnetic resonance imaging : JMRI · 2024
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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.

Michael Z LiuDepartment of Medical Physics, Columbia University Medical Center, 177 Ft. Washington Ave., Milstein Bldg Room 3-124B, New York, NY, United States of America. Electronic address: mzl2104@cumc.columbia.edu.
Simukayi MutasaDepartment of Radiology, Columbia University Medical Center, 622 West 168th Street, PB-1-301, New York, NY, United States of America. Electronic address: stm9116@nyp.org.
Peter ChangDepartment of Radiological Sciences, Center for Artificial Intelligence in Diagnostic Medicine (CAIDM), University of California, Irvine, Calit2 Building, Suite 4500, 4100 E. Peltason Drive, Irvine, CA, United States of America. Electronic address: changp6@uci.edu.
Maham SiddiqueDepartment of Radiology, Columbia University Medical Center, 622 West 168th Street, PB-1-301, New York, NY, United States of America. Electronic address: ms5270@cumc.columbia.edu.
Sachin JambawalikarDepartment of Medical Physics, Columbia University Medical Center, 177 Ft. Washington Ave., Milstein Bldg Room 3-124B, New York, NY, United States of America. Electronic address: sj2532@cumc.columbia.edu.
Richard HaBreast Imaging Section, New York Presbyterian Hospital, Columbia University Medical Center, 622 West 168th Street, PB-1-301, New York, NY 10032, United States of America. Electronic address: rh2616@columbia.edu.

Funding

CAPRI: Columbia Cancer Training Program for Resident-InvestigatorsR38CA231577 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CREW, KATHERINE D, SCHWARTZ, GARY K · 2018 to 2021
$1.4M
NCI NIH HHS R38 CA231577
6 · The paper itself

Abstract

purposeTo apply our convolutional neural network (CNN) algorithm to predict neoadjuvant chemotherapy (NAC) response using the I-SPY TRIAL breast MRI dataset.

methodsFrom the I-SPY TRIAL breast MRI database, 131 patients from 9 institutions were successfully downloaded for analysis. First post-contrast MRI images were used for 3D segmentation using 3D slicer. Our CNN was implemented entirely of 3 × 3 convolutional kernels and linear layers. The convolutional kernels consisted of 6 residual layers, totaling 12 convolutional layers. Dropout with a 0.5 keep probability and L2 normalization was utilized. Training was implemented by using the Adam optimizer. A 5-fold cross validation was used for performance evaluation. Software code was written in Python using the TensorFlow module on a Linux workstation with one NVidia Titan X GPU.

resultsOf 131 patients, 40 patients achieved pCR following NAC (group 1) and 91 patients did not achieve pCR following NAC (group 2). Diagnostic accuracy of our CNN two classification model distinguishing patients with pCR vs non-pCR was 72.5 (SD ± 8.4), with sensitivity 65.5% (SD ± 28.1) and specificity of 78.9% (SD ± 15.2). The area under a ROC Curve (AUC) was 0.72 (SD ± 0.08).

conclusionIt is feasible to use our CNN algorithm to predict NAC response in patients using a multi-institution dataset.

Indexed as

Clinical Trials as TopicDatabases, FactualMagnetic Resonance ImagingNeoadjuvant TherapyNeural Networks, ComputerArea Under CurveBreast NeoplasmsFemaleHumansImage Processing, Computer-AssistedRetrospective StudiesTreatment Outcome

Identifiers

PMID32889091
PMCPMC8111786

What OpenQuestion holds

Textmetadata
LicenceTDM
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.