Evidence map›Paper›PMID 32970812›Full record

ArticleJournal of the National Cancer Institute2021

A Prognostic Predictive System Based on Deep Learning for Locoregionally Advanced Nasopharyngeal Carcinoma.

Mengyun Qiang, Chaofeng Li, Yuyao Sun, Ying Sun, Liangru Ke, Chuanmiao Xie, Tao Zhang, Yujian Zou, Wenze Qiu, Mingyong Gao and 11 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of the National Cancer Institute, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06831357 (Development and Multicenter Validation of a Deep Learning Model Based on Whole Slide Imaging and Magnetic Resonance Imaging of the Nasopharynx and Lymph Nodes to Predict Distant Metastases at Diagnosis in Nasopharyngeal Carcinoma), which is not on this map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
9.0field-weighted citation impact, top 1% 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.

NCT06831357 recruitingnot on this mapstarted 2025, after this paper: background citation

Development and Multicenter Validation of a Deep Learning Model Based on Whole Slide Imaging and Magnetic Resonance Imaging of the Nasopharynx and Lymph Nodes to Predict Distant Metastases at Diagnosis in Nasopharyngeal Carcinoma

TypeobservationalSponsorSun Yat-sen UniversityRan2025 to 2026Enrolled500ConditionsNasopharyngeal Cancinoma (NPC), Distant Metastasis
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 89 citations in OpenAlex.

  1. Article
  2. Artificial intelligence in otolaryngology: current applications, limitations, and future perspectives.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Review
  3. Clinical Applications of Multimodal Artificial Intelligence in Otolaryngology: A State-of-the-Art Review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Development and validation of a nomogram to predicting the efficacy of PD-1/PD-L1 inhibitors in patients with nasopharyngeal carcinoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  15. Article
  16. Article
  17. Impact of magnetic resonance imaging-derived skeletal muscle index in locoregionally advanced nasopharyngeal carcinoma.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 7 institutions in 1 country.

Mengyun QiangDepartment of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
Chaofeng LiDepartment of Artificial Intelligence Laboratory, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
Yuyao SunPing An Healthcare Technology, Beijing, China.ORCID 0000-0002-5888-2929
Ying SunDepartment of Radiotherapy, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.ORCID 0000-0002-2162-6091
Liangru KeDepartment of Radiology, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
Chuanmiao XieDepartment of Radiology, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
Tao ZhangDepartment of Information, The Affiliated Nanfang Hospital of Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0002-9870-9178
Yujian ZouDepartment of Radiology, The People's Hospital of Dongguan, Dongguan, Guangdong, China.
Wenze QiuDepartment of Radiotherapy, The Affiliated Cancer Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
Mingyong GaoDepartment of Radiology, The First People's Hospital of Foshan, Foshan, Guangdong, China.
Yingxue LiPing An Healthcare Technology, Beijing, China.
Xiang LiPing An Healthcare Technology, Beijing, China.
Zejiang ZhanDepartment of Radiotherapy, The Affiliated Cancer Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.ORCID 0000-0003-1609-6919
Kuiyuan LiuDepartment of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
Xi ChenDepartment of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.ORCID 0000-0002-8259-9509
Chixiong LiangDepartment of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
Qiuyan ChenDepartment of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
Haiqiang MaiDepartment of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
Guotong XiePing An Healthcare Technology, Beijing, China.
Xiang GuoDepartment of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
Xing LvDepartment of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.ORCID 0000-0003-3125-6853
Sun Yat-sen University · CNGuangzhou Medical University · CNPing An (China)Cloud Computing Center · CNDongguan People’s Hospital · CNFirst People's Hospital of Foshan · CNNanfang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImages from magnetic resonance imaging (MRI) are crucial unstructured data for prognostic evaluation in nasopharyngeal carcinoma (NPC). We developed and validated a prognostic system based on the MRI features and clinical data of locoregionally advanced NPC (LA-NPC) patients to distinguish low-risk patients with LA-NPC for whom concurrent chemoradiotherapy (CCRT) is sufficient.

methodsThis multicenter, retrospective study included 3444 patients with LA-NPC from January 1, 2010, to January 31, 2017. A 3-dimensional convolutional neural network was used to learn the image features from pretreatment MRI images. An eXtreme Gradient Boosting model was trained with the MRI features and clinical data to assign an overall score to each patient. Comprehensive evaluations were implemented to assess the performance of the predictive system. We applied the overall score to distinguish high-risk patients from low-risk patients. The clinical benefit of induction chemotherapy (IC) was analyzed in each risk group by survival curves.

resultsWe constructed a prognostic system displaying a concordance index of 0.776 (95% confidence interval [CI] = 0.746 to 0.806) for the internal validation cohort and 0.757 (95% CI = 0.695 to 0.819), 0.719 (95% CI = 0.650 to 0.789), and 0.746 (95% CI = 0.699 to 0.793) for the 3 external validation cohorts, which presented a statistically significant improvement compared with the conventional TNM staging system. In the high-risk group, patients who received induction chemotherapy plus CCRT had better outcomes than patients who received CCRT alone, whereas there was no statistically significant difference in the low-risk group.

conclusionsThe proposed framework can capture more complex and heterogeneous information to predict the prognosis of patients with LA-NPC and potentially contribute to clinical decision making.

Indexed as

Deep LearningNasopharyngeal NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsChemoradiotherapyHumansInduction ChemotherapyNasopharyngeal CarcinomaPrognosisRetrospective Studies

Identifiers

PMID32970812
PMCPMC8096375
OpenAlexW3088679185

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.