Evidence map›Paper›PMID 33228815›Full record

Trial reportCancer imaging : the official publication of the International Cancer Imaging Society2020

Intratumoral and peritumoral radiomics analysis for preoperative Lauren classification in gastric cancer.

Xiao-Xiao Wang, Yi Ding, Si-Wen Wang, Di Dong, Hai-Lin Li, Jian Chen, Hui Hu, Chao Lu, Jie Tian, Xiu-Hong Shan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer imaging : the official publication of the International Cancer Imaging Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Xiao-Xiao WangDepartment of Radiology, Affiliated People's Hospital of Jiangsu University, Zhenjiang, China.
Yi DingDepartment of Radiology, Affiliated People's Hospital of Jiangsu University, Zhenjiang, China.
Si-Wen WangCAS Key Laboratory of Molecular Imaging, Beijing Key Laboratory of Molecular Imaging, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China.
Di DongCAS Key Laboratory of Molecular Imaging, Beijing Key Laboratory of Molecular Imaging, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China.
Hai-Lin LiCAS Key Laboratory of Molecular Imaging, Beijing Key Laboratory of Molecular Imaging, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China.
Jian ChenDepartment of Medical Imaging, Medical College of Jiangsu University, Zhenjiang, China.
Hui HuDepartment of Radiology, Affiliated People's Hospital of Jiangsu University, Zhenjiang, China.
Chao LuDepartment of Radiology, Affiliated People's Hospital of Jiangsu University, Zhenjiang, China.
Jie TianCAS Key Laboratory of Molecular Imaging, Beijing Key Laboratory of Molecular Imaging, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China. jie.tian@ia.ac.cn.
Xiu-Hong ShanDepartment of Radiology, Affiliated People's Hospital of Jiangsu University, Zhenjiang, China. 13913433095@163.com.ORCID http://orcid.org/0000-0003-4257-6174

Funding

Jiangsu 333 talent fund BRA2020016Jiangsu Innovative team leading talent fund CXTDC2016006Jiangsu Provincial Key Research and Development Special Found BE2015666Jiangsu six high peak talent fund WSW-205National Key R&D Program of China 2017YFC1309100, 2017YFA0205200National Natural Science Foundation of China 82022036, 91959130, 81971776, 81771924, 6202790004, 81930053Strategic Priority Research Program of Chinese Academy of Sciences XDB 38040200the Beijing Natural Science Foundation L182061the Key Research Program of the Chinese Academy of Sciences No. KGZD-EW-T03the Project of High-Level Talents Team Introduction in Zhuhai City Zhuhai HLHPTP201703the Youth Innovation Promotion Association CAS 2017175Zhenjiang first people's Hospital Fund Y2019016-SZhenjiang Innovation Capacity Building Program (technological infrastructure) - R&D project of China SS2015023
6 · The paper itself

Abstract

backgroundPreoperative prediction of the Lauren classification in gastric cancer (GC) is very important to the choice of therapy, the evaluation of prognosis, and the improvement of quality of life. However, there is not yet radiomics analysis concerning the prediction of Lauren classification straightly. In this study, a radiomic nomogram was developed to preoperatively differentiate Lauren diffuse type from intestinal type in GC.

methodsA total of 539 GC patients were enrolled in this study and later randomly allocated to two cohorts at a 7:3 ratio for training and validation. Two sets of radiomic features were derived from tumor regions and peritumor regions on venous phase computed tomography (CT) images, respectively. With the least absolute shrinkage and selection operator logistic regression, a combined radiomic signature was constructed. Also, a tumor-based model and a peripheral ring-based model were built for comparison. Afterwards, a radiomic nomogram integrating the combined radiomic signature and clinical characteristics was developed. All the models were evaluated regarding classification ability and clinical usefulness.

resultsThe combined radiomic signature achieved an area under receiver operating characteristic curve (AUC) of 0.715 (95% confidence interval [CI], 0.663-0.767) in the training cohort and 0.714 (95% CI, 0.636-0.792) in the validation cohort. The radiomic nomogram incorporating the combined radiomic signature, age, CT T stage, and CT N stage outperformed the other models with a training AUC of 0.745 (95% CI, 0.696-0.795) and a validation AUC of 0.758 (95% CI, 0.685-0.831). The significantly improved sensitivity of radiomic nomogram (0.765 and 0.793) indicated better identification of diffuse type GC patients. Further, calibration curves and decision curves demonstrated its great model fitness and clinical usefulness.

conclusionsThe radiomic nomogram involving the combined radiomic signature and clinical characteristics holds potential in differentiating Lauren diffuse type from intestinal type for reasonable clinical treatment strategy.

Indexed as

AgedFemaleHumansMaleMiddle AgedNeoplasm StagingNomogramsStomach NeoplasmsTomography, X-Ray ComputedComputed tomographyGastric cancerLauren classificationPeritumoral analysisRadiomics

Identifiers

PMID33228815
PMCPMC7684959

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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.