Evidence map›Paper›PMID 33236529›Full record

ArticleBrain and behavior2021

Radiomics-based classification models for HBV-related cirrhotic patients with covert hepatic encephalopathy.

Sha Luo, Zhi-Ming Zhou, Da-Jing Guo, Chuan-Ming Li, Huan Liu, Xiao-Jia Wu, Shuang Liang, Xiao-Yan Zhao, Ting Chen, Dong Sun and 3 more

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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 2 institutions in 2 countries.

Sha LuoDepartment of Radiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0002-0507-0273
Zhi-Ming ZhouDepartment of Radiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0002-7028-7866
Da-Jing GuoDepartment of Radiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0001-8655-6621
Chuan-Ming LiDepartment of Radiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0003-3428-7831
Huan LiuGE Healthcare Life Sciences, Shanghai, China.ORCID 0000-0002-6700-962X
Xiao-Jia WuDepartment of Radiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0001-6682-9426
Shuang LiangDepartment of Radiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0001-6030-1997
Xiao-Yan ZhaoDepartment of Radiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0003-1232-2691
Ting ChenDepartment of Radiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0002-1707-3658
Dong SunDepartment of Radiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0002-1975-7201
Xin-Lin ShiDepartment of Radiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0001-7569-7410
Wei-Jia ZhongDepartment of Radiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0002-9411-3377
Wei ZhangDepartment of Radiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0002-3933-6009
Dalian Medical University · CNGeneral Electric (Spain) · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe significant abnormalities of precuneus (PC), which are associated with brain dysfunction, have been identified in cirrhotic patients with covert hepatic encephalopathy (CHE). The present study aimed to apply radiomics analysis to identify the significant radiomic features in PC and their subregions, combine with clinical risk factors, then build and evaluate the classification models for CHE diagnosis.

methods106 HBV-related cirrhotic patients (54 had current CHE and 52 had non-CHE) underwent the three-dimensional T1-weighted imaging. For each participant, PC and their subregions were segmented and extracted a large number of radiomic features and then identified the features with significant discriminative power as the radiomics signature. The logistic regression analysis was employed to develop and evaluate the classification models, which are constructed using the radiomics signature and clinical risk factors.

resultsThe classification model (R-C model) achieved best diagnostic performance, which incorporated radiomics signature (4 radiomic features from right PC), venous blood ammonia, and the Child-Pugh stage. And the area under the receiver operating characteristic curve values (AUC), sensitivity, specificity, and accuracy values were 0.926, 1.000, 0.765, and 0.848, in the testing set. Application of the radiomics nomogram in the testing set still showed a good predictive accuracy.

conclusionsThis study presented the radiomic features of the right PC, as a potential image marker of CHE. The radiomics nomogram that incorporates the radiomics signature and clinical risk factors may facilitate the individualized prediction of CHE.

Indexed as

Hepatic EncephalopathyHepatitis B virusHumansLiver CirrhosisNomogramsRetrospective StudiesROC Curvecognitive impairmentcovert hepatic encephalopathyneuroimagingprecuneusradiomics

Identifiers

PMID33236529
PMCPMC7882152
OpenAlexW3107344581

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LicenceCC BY
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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.