Evidence map›Paper›PMID 33409797›Full record

ArticleEuropean radiology2021

An MRI-based radiomics signature as a pretreatment noninvasive predictor of overall survival and chemotherapeutic benefits in lower-grade gliomas.

Jingtao Wang, Xuejun Zheng, Jinling Zhang, Hao Xue, Lijie Wang, Rui Jing, Shuo Chen, Fengyuan Che, Xueyuan Heng, Gang Li and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 43 citations in OpenAlex.

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  8. Exploring the association of glioma tumor residuals from incongruent [European journal of nuclear medicine and molecular imaging · 2024
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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

11 authors at 5 institutions in 2 countries.

Jingtao WangDepartment of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong University, 44 Wenhuaxi Road, Jinan, 250012, Shandong, China.
Xuejun ZhengDepartment of Radiology, The Linyi People's Hospital, Shandong University, 27 Jiefang Road, Linyi, 276000, Shandong, China.
Jinling ZhangCancer Center & The Research Center Of Function Image on Brain Tumor, The Linyi People's Hospital, Shandong University, 27 Jiefang Road, Linyi, 276000, Shandong, China.
Hao XueDepartment of Neurosurgery, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, 250012, Shandong, China.
Lijie WangDepartment of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong University, 44 Wenhuaxi Road, Jinan, 250012, Shandong, China.
Rui JingDepartment of Radiology, Second Hospital of Shandong University, 247 Beiyuan Road, Jinan, 250000, Shandong, China.
Shuo ChenDivision of Biostatistics and Bioinformatics, Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, 55 Wade Avenue, Baltimore, MD, 20742, USA.
Fengyuan CheNeurology Department & The Research Center of Function Image on Brain Tumor, The Linyi People's Hospital, Shandong University, 27 Jiefang Road, Linyi, 276000, Shandong, China.
Xueyuan HengNeurology Department & The Research Center of Function Image on Brain Tumor, The Linyi People's Hospital, Shandong University, 27 Jiefang Road, Linyi, 276000, Shandong, China.
Gang LiDepartment of Neurosurgery, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, 250012, Shandong, China. ligangqiluhospital@163.com.
Fuzhong XueDepartment of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong University, 44 Wenhuaxi Road, Jinan, 250012, Shandong, China. xuefzh@sdu.edu.cn.
Shandong University · CNLinyi People's Hospital · CNQilu Hospital of Shandong University · CNSecond Hospital of Shandong University · CNUniversity of Maryland, Baltimore · US

Funding

A Multivariate Mediation and Deep Learning Framework for Genome-Connectome -Substance Use ResearchDP1DA048968 · NIDA · UNIVERSITY OF MARYLAND BALTIMORE · PI CHEN, SHUO · 2019 to 2023
$2.3M
Shandong Province major science and technology innovation project NO 2018CXGC1210
6 · The paper itself

Abstract

objectivesThe aim of this study was to develop and validate a radiomics signature for predicting survival and chemotherapeutic benefits of patients with lower-grade gliomas (LGG).

methodsRadiomics features were extracted from precontrast axial fluid-attenuated inversion recovery (FLAIR) and contrast-enhanced axial T-1 weighted (CE-T1-w) sequence. Lasso Cox regression model was used for feature selection and radiomics signature building. The radiomics signature was developed in a primary cohort that consisted of 149 LGG patients and was then validated on an entirely new validation cohort that contained 66 LGG patients. A radiomics nomogram for the prediction of OS was established by adding the radiomics to clinicopathologic nomogram which developed with clinical data.

resultsA radiomics signature derived from joint CE-T1-w and FLAIR images showed better prognostic performance (C-index, 0.798) than signatures derived from CE-T1-w (C-index, 0.744) or FLAIR (C-index, 0.736) sequences alone. Multivariable Cox regression revealed that the radiomics signature was an independent prognostic factor. One radiomics nomogram integrated the radiomics signature from joint CE-T1-w and FLAIR sequences with the clinicopathologic nomogram outperformed the clinicopathologic nomogram based on clinicopathologic data alone in predicting OS of LGG (C-index, 0.821 vs. 0.692; p < 0.001). Further analysis revealed that patients with higher radiomics signature were prone to benefit from chemotherapy.

conclusionsThe radiomics signature was independent with clinicopathologic data and was a noninvasive pretreatment predictor for LGG patients' survival. Moreover, it could predict which patients with LGG benefit from chemotherapy. KEY POINTS: • A radiomics signature derived from joint CE-T1-w and FLAIR sequences showed better prognostic performance than signatures derived from either single imaging modality. • The radiomics signature is an independent prognostic factor and outperformed clinicopathologic features in predicting overall survival of LGG patients. • The radiomics signature could help preoperatively identify LGG patients who may benefit from chemotherapy.

Indexed as

GliomaMagnetic Resonance ImagingHumansNomogramsPrognosisRetrospective StudiesGliomaMagnetic resonance imagingNomogramsPrognosisRadiomics

Identifiers

PMID33409797
OpenAlexW3119944854

What OpenQuestion holds

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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.