Evidence map›Paper›PMID 33386910›Full record

ArticleAbdominal radiology (New York)2021

Preoperative prediction of the stage, size, grade, and necrosis score in clear cell renal cell carcinoma using MRI-based radiomics.

Ji Whae Choi, Rong Hu, Yijun Zhao, Subhanik Purkayastha, Jing Wu, Aidan J McGirr, S William Stavropoulos, Alvin C Silva, Michael C Soulen, Matthew B Palmer and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Abdominal radiology (New York), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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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

14 authors.

Ji Whae Choi *Warren Alpert Medical School, Brown University, Providence, RI, 02903, USA. ji_whae_choi@brown.edu.ORCID http://orcid.org/0000-0003-1061-3102
Rong Hu *School of Computer Science and Engineering, Central South University, Changsha, 410083, China.
Yijun ZhaoDepartment of Radiology, Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.
Subhanik PurkayasthaWarren Alpert Medical School, Brown University, Providence, RI, 02903, USA.
Jing WuDepartment of Diagnostic Imaging, Rhode Island Hospital, Providence, RI, 02903, USA.
Aidan J McGirrDepartment of Radiology, Mayo Clinic Hospital, Scottsdale, AZ, 85054, USA.
S William StavropoulosDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, 19104, PA, USA.
Alvin C SilvaDepartment of Radiology, Mayo Clinic Hospital, Scottsdale, AZ, 85054, USA.
Michael C SoulenDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, 19104, PA, USA.
Matthew B PalmerDepartment of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, 19104, PA, USA.
Paul J L ZhangDepartment of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, 19104, PA, USA.
Chengzhang ZhuJoint Laboratory of Mobile Health, Ministry of Education and China Mobile, Hunan, 410083, China.
Sun Ho AhnWarren Alpert Medical School, Brown University, Providence, RI, 02903, USA.
Harrison X BaiWarren Alpert Medical School, Brown University, Providence, RI, 02903, USA.

Funding

Deep learning for renal tumor characterizationR03CA249554 · NCI · RHODE ISLAND HOSPITAL · PI BAI, HARRISON · 2020 to 2021
$162k
NCI NIH HHS R03 CA249554
6 · The paper itself

Abstract

purposeClear cell renal cell carcinoma (ccRCC) is the most common subtype of renal cell carcinoma. Currently, there is a lack of noninvasive methods to stratify ccRCC prognosis prior to any invasive therapies. The purpose of this study was to preoperatively predict the tumor stage, size, grade, and necrosis (SSIGN) score of ccRCC using MRI-based radiomics.

methodsA multicenter cohort of 364 histopathologically confirmed ccRCC patients (272 low [< 4] and 92 high [≥ 4] SSIGN score) with preoperative T2-weighted and T1-contrast-enhanced MRI were retrospectively identified and divided into training (254 patients) and testing sets (110 patients). The performance of a manually optimized radiomics model was assessed by measuring accuracy, sensitivity, specificity, area under receiver operating characteristic curve (AUROC), and area under precision-recall curve (AUPRC) on an independent test set, which was not included in model training. Lastly, its performance was compared to that of a machine learning pipeline, Tree-Based Pipeline Optimization Tool (TPOT).

resultsThe manually optimized radiomics model using Random Forest classification and Analysis of Variance feature selection methods achieved an AUROC of 0.89, AUPRC of 0.81, accuracy of 0.89 (95% CI 0.816-0.937), specificity of 0.95 (95% CI 0.875-0.984), and sensitivity of 0.72 (95% CI 0.537-0.852) on the test set. The TPOT using Extra Trees Classifier achieved an AUROC of 0.94, AUPRC of 0.83, accuracy of 0.89 (95% CI 0.816-0.937), specificity of 0.95 (95% CI 0.875-0.984), and sensitivity of 0.72 (95% CI 0.537-0.852) on the test set.

conclusionPreoperative MR radiomics can accurately predict SSIGN score of ccRCC, suggesting its promise as a prognostic tool that can be used in conjunction with diagnostic markers.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsHumansMagnetic Resonance ImagingNecrosisRetrospective StudiesImaging analysisMedical imagingNeoplasm progressionRenal cancer

Identifiers

PMID33386910
PMCPMC11193204

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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.