Evidence map›Paper›PMID 32990246›Full record

ArticleDiagnostic and interventional radiology (Ankara, Turkey)2020

Tubular gastric adenocarcinoma: machine learning-based CT texture analysis for predicting lymphovascular and perineural invasion.

Aytül Hande Yardımcı, Burak Koçak, Ceyda Turan Bektaş, İpek Sel, Enver Yarıkkaya, Nevra Dursun, Hasan Bektaş, Çiğdem Usul Afşar, Rıza Umar Gürsu, Özgür Kılıçkesmez

Open access · greenAbstract read
In one paragraph

Article in Diagnostic and interventional radiology (Ankara, Turkey), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Prediction of lymphovascular invasion in esophageal squamous cell carcinoma by computed tomography-based radiomics analysis: 2D or 3D ?Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. 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

10 authors at 1 institution in 1 country.

Aytül Hande YardımcıDepartment of Radiology, İstanbul Training and Research Hospital, İstanbul, Turkey.
Burak KoçakDepartment of Radiology, İstanbul Training and Research Hospital, İstanbul, Turkey.
Ceyda Turan BektaşDepartment of Radiology, İstanbul Training and Research Hospital, İstanbul, Turkey.
İpek SelDepartment of Radiology, İstanbul Training and Research Hospital, İstanbul, Turkey.
Enver YarıkkayaDepartment of Pathology, İstanbul Training and Research Hospital, İstanbul, Turkey.
Nevra DursunDepartment of Pathology, İstanbul Training and Research Hospital, İstanbul, Turkey.
Hasan BektaşDepartment of General Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey.
Çiğdem Usul AfşarDepartment of Medical Oncology, Acıbadem Mehmet Ali Aydınlar University, Medical Faculty, Acıbadem Bakırköy Hospital, İstanbul, Turkey.
Rıza Umar GürsuDepartment of Medical Oncology, İstanbul Training and Research Hospital, İstanbul, Turkey.
Özgür KılıçkesmezDepartment of Radiology, İstanbul Training and Research Hospital, İstanbul, Turkey.
Fatih University Medical Faculty Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLymphovascular invasion (LVI) and perineural invasion (PNI) are associated with poor prognosis in gastric cancers. In this work, we aimed to investigate the potential role of computed tomography (CT) texture analysis in predicting LVI and PNI in patients with tubular gastric adenocarcinoma (GAC) using a machine learning (ML) approach.

methodsSixty-eight patients who underwent total gastrectomy with curative (R0) resection and D2-lymphadenectomy were included in this retrospective study. Texture features were extracted from the portal venous phase CT images. Dimension reduction was first done with a reproducibility analysis by two radiologists. Then, a feature selection algorithm was used to further reduce the high-dimensionality of the radiomic data. Training and test splits were created with 100 random samplings. ML-based classifications were done using adaptive boosting, k-nearest neighbors, Naive Bayes, neural network, random forest, stochastic gradient descent, support vector machine, and decision tree. Predictive performance of the ML algorithms was mainly evaluated using the mean area under the curve (AUC) metric.

resultsAmong 271 texture features, 150 features had excellent reproducibility, which were included in the further feature selection process. Dimension reduction steps yielded five texture features for LVI and five for PNI. Considering all eight ML algorithms, mean AUC and accuracy ranges for predicting LVI were 0.777-0.894 and 76%-81.5%, respectively. For predicting PNI, mean AUC and accuracy ranges were 0.482-0.754 and 54%-68.2%, respectively. The best performances for predicting LVI and PNI were achieved with the random forest and Naive Bayes algorithms, respectively.

conclusionML-based CT texture analysis has a potential for predicting LVI and PNI of the tubular GACs. Overall, the method was more successful in predicting LVI than PNI.

Indexed as

AdenocarcinomaStomach NeoplasmsBayes TheoremHumansMachine LearningReproducibility of ResultsRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID32990246
PMCPMC7664741
OpenAlexW3089721792

What OpenQuestion holds

Textmetadata
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.