Evidence map›Paper›PMID 33058224›Full record

ArticleMedical physics2020

Machine learning prediction of axillary lymph node metastasis in breast cancer: 2D versus 3D radiomic features.

Dooman Arefan, Ruimei Chai, Min Sun, Margarita L Zuley, Shandong Wu

Abstract read
In one paragraph

Article in Medical physics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 6 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

36 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  9. Predictive Performance of Radiomic Features Extracted from Breast MR Imaging in Postoperative Upgrading of Ductal Carcinoma in Situ to Invasive Carcinoma.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
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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

5 authors.

Dooman ArefanDepartment of Radiology, University of Pittsburgh, School of Medicine, 4200 Fifth Ave, Pittsburgh, PA, 15260, USA.
Ruimei ChaiDepartment of Radiology, First Hospital of China Medical University, Shenyang, Liaoning Province, China.
Min SunUPMC Hillman Cancer Center at St. Margaret, University of Pittsburgh School of Medicine, Pittsburgh, PA, 15215, USA.
Margarita L ZuleyDepartment of Radiology, University of Pittsburgh, School of Medicine, 4200 Fifth Ave, Pittsburgh, PA, 15260, USA.
Shandong WuDepartments of Radiology of Biomedical Informatics of Bioengineering, University of Pittsburgh, 4200 Fifth Ave, Pittsburgh, PA, 15260, USA.

Funding

Quantitative assessment of breast MRIs for breast cancer risk predictionR01CA193603 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WU, SHANDONG · 2015 to 2018
$1.7M
Deep interpretation of mammographic images in breast cancer screeningR01CA218405 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WU, SHANDONG · 2018 to 2021
$1.4M
Extreme Science and Engineering Discovery Environment (XSEDE)National Institutes of Health (NIH)/National Cancer Institute (NCI) (#1R01CA193603National Institutes of Health (NIH)/National Cancer Institute (NCI) #1R01CA218405National Institutes of Health (NIH)/National Cancer Institute (NCI) #3R01CA193603-03S1National Science Foundation (NSF) ACI-1445606National Science Foundation (NSF) ACI-1548562NCI NIH HHS R01 CA193603NCI NIH HHS R01 CA218405Radiological Society of North America (RSNA) #RSCH1530
6 · The paper itself

Abstract

purposeThe purpose of this study was to distinguish axillary lymph node (ALN) status using preoperative breast DCE-MRI radiomics and compare the effects of two-dimensional (2D) and three-dimensional (3D) analysis.

methodsA retrospective study including 154 breast cancer patients all confirmed by pathology; 80 with ALN metastasis and 74 without. All MRI scans were achieved at a 3.0 Tesla scanner with 7 post-contrast MR phases sequentially acquired with a temporal resolution of 60 s. MRI radiomic features were extracted separately from a 2D single slice (i.e., the representative slice) and the 3D tumor volume. Several machine learning classifiers were built and compared using 2D or 3D analysis to distinguish positive vs negative ALN status. We performed independent test and 10-fold cross validation with multiple repetitions, and used bootstrap test, least absolute shrinkage selection operator, and receiver operating characteristic (ROC) curve analysis as statistical tests.

resultsThe highest area under the ROC curve (AUC) was 0.81 (95% confidence intervals [CI]: 0.80-0.83) and 0.82 (95% CI: 0.81-0.82) for 2D and 3D analysis, respectively; the corresponding accuracy was 79% and 80%. The linear discriminant analysis (LDA) classifier achieved the highest classification performance. None of the AUC differences between 2D and 3D analysis was statistically significant for the several tested machine learning classifiers (all P> 0.05).

conclusionsRadiomic features from segmented tumor region in breast MRI were associated with ALN status. The separate radiomic analysis on 3D tumor volume showed a similar effect to the 2D analysis on the single representative slice in the tested machine learning classifiers.

Indexed as

Breast NeoplasmsAxillaHumansLymphatic MetastasisMachine LearningRetrospective Studies2D/3D analysisaxillary lymph node (ALN) metastasisbreast cancerMRI radiomics

Identifiers

PMID33058224
PMCPMC8581816

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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.