Evidence map›Paper›PMID 33230285›Full record

ArticleScientific reports2020

Discriminating pseudoprogression and true progression in diffuse infiltrating glioma using multi-parametric MRI data through deep learning.

Joonsang Lee, Nicholas Wang, Sevcan Turk, Shariq Mohammed, Remy Lobo, John Kim, Eric Liao, Sandra Camelo-Piragua, Michelle Kim, Larry Junck and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. 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

13 authors at 1 institution in 1 country.

Joonsang LeeDepartment of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA.
Nicholas WangDepartment of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA.
Sevcan TurkDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Shariq MohammedDepartment of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA.
Remy LoboDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
John KimDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Eric LiaoDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Sandra Camelo-PiraguaDepartment of Pathology, University of Michigan, Ann Arbor, MI, USA.
Michelle KimDepartment of Radiation Oncology, University of Michigan, Ann Arbor, MI, USA.
Larry JunckDepartment of Neurology, University of Michigan, Ann Arbor, MI, USA.
Jayapalli BapurajDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Ashok SrinivasanDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Arvind RaoDepartment of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA. ukarvind@umich.edu.
University of Michigan–Ann Arbor · US

Funding

Synthesizing Image-derived Heterogeneity with Genomic measurements for Assessing Disease Aggressiveness in Lower Grade GliomasR37CA214955 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KURTEK, SEBASTIAN, RAO, ARVIND · 2018 to 2024
$3.9M
NCI NIH HHS R37 CA214955
6 · The paper itself

Abstract

Differentiating pseudoprogression from true tumor progression has become a significant challenge in follow-up of diffuse infiltrating gliomas, particularly high grade, which leads to a potential treatment delay for patients with early glioma recurrence. In this study, we proposed to use a multiparametric MRI data as a sequence input for the convolutional neural network with the recurrent neural network based deep learning structure to discriminate between pseudoprogression and true tumor progression. In this study, 43 biopsy-proven patient data identified as diffuse infiltrating glioma patients whose disease progressed/recurred were used. The dataset consists of five original MRI sequences; pre-contrast T1-weighted, post-contrast T1-weighted, T2-weighted, FLAIR, and ADC images as well as two engineered sequences; T1post-T1pre and T2-FLAIR. Next, we used three CNN-LSTM models with a different set of sequences as input sequences to pass through CNN-LSTM layers. We performed threefold cross-validation in the training dataset and generated the boxplot, accuracy, and ROC curve, AUC from each trained model with the test dataset to evaluate models. The mean accuracy for VGG16 models ranged from 0.44 to 0.60 and the mean AUC ranged from 0.47 to 0.59. For CNN-LSTM model, the mean accuracy ranged from 0.62 to 0.75 and the mean AUC ranged from 0.64 to 0.81. The performance of the proposed CNN-LSTM with multiparametric sequence data was found to outperform the popular convolutional CNN with a single MRI sequence. In conclusion, incorporating all available MRI sequences into a sequence input for a CNN-LSTM model improved diagnostic performance for discriminating between pseudoprogression and true tumor progression.

Indexed as

Deep LearningDisease ProgressionAdultAgedArea Under CurveAstrocytomaBiopsyBrain NeoplasmsData AccuracyFeasibility StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedMultiparametric Magnetic Resonance Imaging

Identifiers

PMID33230285
PMCPMC7683728
OpenAlexW3108356711

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.