Evidence map›Paper›PMID 33017440›Full record

ArticlePloS one2020

Exploring MRI based radiomics analysis of intratumoral spatial heterogeneity in locally advanced nasopharyngeal carcinoma treated with intensity modulated radiotherapy.

Farhan Akram, Ping En Koh, Fuqiang Wang, Siqin Zhou, Sze Huey Tan, Mahsa Paknezhad, Sojeong Park, Tiffany Hennedige, Choon Hua Thng, Hwee Kuan Lee and 1 more

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Cancer heterogeneity and metastasis: life at the edge.Clinical & experimental metastasis · 2022
    Review
  6. Article
  7. Radiomics in Nasopharyngeal Carcinoma.Clinical Medicine Insights. Oncology · 2022
    Review
  8. Review
  9. Review
  10. 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

11 authors.

Farhan AkramA*STAR (Agency for Science, Technology and Research), Bioinformatics Institute, Singapore.
Ping En KohDivisions of Radiation Oncology, National Cancer Centre Singapore, Singapore.
Fuqiang WangDivisions of Radiation Oncology, National Cancer Centre Singapore, Singapore.
Siqin ZhouDivisions of Clinical Trials and Epidemiological Sciences, National Cancer Centre Singapore, Singapore.
Sze Huey TanDivisions of Clinical Trials and Epidemiological Sciences, National Cancer Centre Singapore, Singapore.
Mahsa PaknezhadA*STAR (Agency for Science, Technology and Research), Bioinformatics Institute, Singapore.
Sojeong ParkA*STAR (Agency for Science, Technology and Research), Bioinformatics Institute, Singapore.
Tiffany HennedigeDivisions of Oncologic Imaging and Epidemiological Sciences, National Cancer Centre Singapore, Singapore.
Choon Hua ThngDivisions of Oncologic Imaging and Epidemiological Sciences, National Cancer Centre Singapore, Singapore.
Hwee Kuan LeeA*STAR (Agency for Science, Technology and Research), Bioinformatics Institute, Singapore.
Kiattisa SommatDivisions of Radiation Oncology, National Cancer Centre Singapore, Singapore.ORCID 0000-0003-4050-2841

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe hypothesized that spatial heterogeneity exists between recurrent and non-recurrent regions within a tumor. The aim of this study was to determine if there is a difference between radiomics features derived from recurrent versus non recurrent regions within the tumor based on pre-treatment MRI.

methodsA total of 14 T4NxM0 NPC patients with histologically proven "in field" recurrence in the post nasal space following curative intent IMRT were included in this study. Pretreatment MRI were co-registered with MRI at the time of recurrence for the delineation of gross tumor volume at diagnosis(GTV) and at recurrence(GTVr). A total of 7 histogram features and 40 texture features were computed from the recurrent(GTVr) and non-recurrent region(GTV-GTVr). Paired t-tests and Wilcoxon signed-rank tests were carried out on the 47 quantified radiomics features.

resultsA total of 7 features were significantly different between recurrent and non-recurrent regions. Other than the variance from intensity-based histogram, the remaining six significant features were either from the gray-level size zone matrix (GLSZM) or the neighbourhood gray-tone difference matrix (NGTDM).

conclusionsThe radiomic features extracted from pre-treatment MRI can potentially reflect the difference between recurrent and non-recurrent regions within a tumor and has a potential role in pre-treatment identification of intra-tumoral radio-resistance for selective dose escalation.

Indexed as

Magnetic Resonance ImagingHumansImage Processing, Computer-AssistedNasopharyngeal NeoplasmsNasopharynxNeoplasm Recurrence, LocalPrincipal Component AnalysisRadiotherapy, Intensity-ModulatedRetrospective StudiesUser-Computer Interface

Identifiers

PMID33017440
PMCPMC7535039

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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.