Evidence map›Paper›PMID 33392734›Full record

ArticleNeuroradiology2021

CT texture-based radiomics analysis of carotid arteries identifies vulnerable patients: a preliminary outcome study.

Fulvio Zaccagna, Balaji Ganeshan, Marcello Arca, Marco Rengo, Alessandro Napoli, Leonardo Rundo, Ashley M Groves, Andrea Laghi, Iacopo Carbone, Leon J Menezes

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Article in Neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 32 citations in OpenAlex.

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  9. Quality assessment of radiomics models in carotid plaque: a systematic review.Quantitative imaging in medicine and surgery · 2024
    Review
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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 at 5 institutions in 3 countries.

Fulvio ZaccagnaDivision of Neuroimaging, Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada. f.zaccagna@gmail.com.ORCID http://orcid.org/0000-0001-6838-9532
Balaji GaneshanInstitute of Nuclear Medicine, University College London, London, UK.
Marcello ArcaInternal Medicine Unit, Department of Internal Medicine and Medical Specialties, University of Rome - Sapienza, Rome, Italy.
Marco RengoDepartment of Radiological, Oncological and Pathological Sciences, University of Rome-Sapienza, Polo Pontino, I.C.O.T. Hospital, Latina, Italy.
Alessandro NapoliDepartment of Radiological, Oncological and Pathological Sciences, University of Rome - Sapienza, Rome, Italy.
Leonardo RundoDepartment of Radiology, University of Cambridge, Cambridge, UK.
Ashley M GrovesInstitute of Nuclear Medicine, University College London, London, UK.
Andrea LaghiDepartment of Radiological, Oncological and Pathological Sciences, University of Rome-Sapienza, Polo Pontino, I.C.O.T. Hospital, Latina, Italy.
Iacopo CarboneDepartment of Radiological, Oncological and Pathological Sciences, University of Rome - Sapienza, Rome, Italy.
Leon J MenezesInstitute of Nuclear Medicine, University College London, London, UK.
Sapienza University of Rome · ITUCL Biomedical Research Centre · GBPoliclinico Umberto I · ITUniversity of Cambridge · GBUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the potential role of computed tomography (CT) texture analysis (CTTA) in identifying vulnerable patients with carotid artery atherosclerosis.

methodsIn this case-control pilot study, 12 patients with carotid atherosclerosis and a subsequent history of transient ischemic attack or stroke were age and sex matched with 12 control cases with asymptomatic carotid atherosclerosis (follow-up time 103.58 ± 9.2 months). CTTA was performed using a commercially available research software package (TexRAD) by an operator blinded to clinical data. CTTA comprised a filtration-histogram technique to extract features at different scales corresponding to spatial scale filter (fine = 2 mm, medium = 3 mm, coarse = 4 mm), followed by quantification using histogram-based statistical parameters: mean, kurtosis, skewness, entropy, standard deviation, and mean value of positive pixels. A single axial slice was selected to best represent the largest cross-section of the carotid bifurcation or the greatest degree of stenosis, in presence of an atherosclerotic plaque, on each side.

resultsCTTA revealed a statistically significant difference in skewness between symptomatic and asymptomatic patients at the medium (0.22 ± 0.35 vs - 0.18 ± 0.39, p < 0.001) and coarse (0.23 ± 0.22 vs 0.03 ± 0.29, p = 0.003) texture scales. At the fine-texture scale, skewness (0.20 ± 0.59 vs - 0.18 ± 0.58, p = 0.009) and standard deviation (366.11 ± 117.19 vs 300.37 ± 82.51, p = 0.03) were significant before correction.

conclusionOur pilot study highlights the potential of CTTA to identify vulnerable patients in stroke and TIA. CT texture may have the potential to act as a novel risk stratification tool in patients with carotid atherosclerosis.

Indexed as

Carotid ArteriesTomography, X-Ray ComputedCase-Control StudiesHumansOutcome Assessment, Health CarePilot ProjectsAtherosclerosisCarotid arteryComputed tomography angiographyCTARisk stratificationTexture analysis

Identifiers

PMID33392734
OpenAlexW3120528134

What OpenQuestion holds

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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.