Evidence map›Paper›PMID 32952531›Full record

ArticleThe journal of venomous animals and toxins including tropical diseases2020

Inflammatory lesions and brain tumors: is it possible to differentiate them based on texture features in magnetic resonance imaging?

Allan Felipe Fattori Alves, José Ricardo de Arruda Miranda, Fabiano Reis, Sergio Augusto Santana de Souza, Luciana Luchesi Rodrigues Alves, Laisson de Moura Feitoza, José Thiago de Souza de Castro, Diana Rodrigues de Pina

Open access · goldAbstract read
In one paragraph

Article in The journal of venomous animals and toxins including tropical diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.3field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 30 citations in OpenAlex.

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  9. Clinical Characteristics and Treatment ofInfection and drug resistance · 2023
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  13. Review
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  15. Educational case: Brain abscess.Academic pathology · 2022
    Article
  16. Article
  17. Recognition of brain tumors in MRI images using texture analysis.Saudi journal of biological sciences · 2021
    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.

Allan Felipe Fattori AlvesDepartment of Physics and Biophysics, Botucatu Biosciences Institute, São Paulo State University (UNESP), Botucatu, SP, Brazil.ORCID 0000-0002-0954-9919
José Ricardo de Arruda MirandaDepartment of Physics and Biophysics, Botucatu Biosciences Institute, São Paulo State University (UNESP), Botucatu, SP, Brazil.ORCID 0000-0002-8306-8056
Fabiano ReisDepartment of Radiology, School of Medical Sciences, University of Campinas (Unicamp), Campinas, SP, Brazil.ORCID 0000-0003-2256-4379
Sergio Augusto Santana de SouzaDepartment of Physics and Biophysics, Botucatu Biosciences Institute, São Paulo State University (UNESP), Botucatu, SP, Brazil.
Luciana Luchesi Rodrigues AlvesDepartment of Physics and Biophysics, Botucatu Biosciences Institute, São Paulo State University (UNESP), Botucatu, SP, Brazil.
Laisson de Moura FeitozaDepartment of Radiology, School of Medical Sciences, University of Campinas (Unicamp), Campinas, SP, Brazil.
José Thiago de Souza de CastroDepartment of Radiology, School of Medical Sciences, University of Campinas (Unicamp), Campinas, SP, Brazil.
Diana Rodrigues de PinaDepartment of Tropical Disease and Imaging Diagnosis, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, SP, Brazil.ORCID 0000-0003-1967-1990
Universidade Estadual Paulista (Unesp) · BRUniversidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuroimaging strategies are essential to locate, to elucidate the etiology, and to the follow up of brain disease patients. Magnetic resonance imaging (MRI) provides good cerebral soft-tissue contrast detection and diagnostic sensitivity. Inflammatory lesions and tumors are common brain diseases that may present a similar pattern of a cerebral ring enhancing lesion on MRI, and non-enhancing core (which may reflect cystic components or necrosis) leading to misdiagnosis. Texture analysis (TA) and machine learning approaches are computer-aided diagnostic tools that can be used to assist radiologists in such decisions.

methodsIn this study, we combined texture features with machine learning (ML) methods aiming to differentiate brain tumors from inflammatory lesions in magnetic resonance imaging. Retrospective examination of 67 patients, with a pattern of a cerebral ring enhancing lesion, 30 with inflammatory, and 37 with tumoral lesions were selected. Three different MRI sequences and textural features were extracted using gray level co-occurrence matrix and gray level run length. All diagnoses were confirmed by histopathology, laboratorial analysis or MRI.

resultsThe features extracted were processed for the application of ML methods that performed the classification. T1-weighted images proved to be the best sequence for classification, in which the differentiation between inflammatory and tumoral lesions presented high accuracy (0.827), area under ROC curve (0.906), precision (0.837), and recall (0.912).

conclusionThe algorithm obtained textures capable of differentiating brain tumors from inflammatory lesions, on T1-weghted images without contrast medium using the Random Forest machine learning classifier.

Indexed as

Image processingInflammationMagnetic resonance imagingMedical imagingTumor

Identifiers

PMID32952531
PMCPMC7473508
OpenAlexW3083692688

What OpenQuestion holds

Textmetadata
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.