Evidence map›Paper›PMID 33568735›Full record

ArticleScientific reports2021

Assessing robustness of carotid artery CT angiography radiomics in the identification of culprit lesions in cerebrovascular events.

Elizabeth P V Le, Leonardo Rundo, Jason M Tarkin, Nicholas R Evans, Mohammed M Chowdhury, Patrick A Coughlin, Holly Pavey, Chris Wall, Fulvio Zaccagna, Ferdia A Gallagher and 10 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.5field-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

27 citing papers in PubMed, 48 citations in OpenAlex.

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  11. Quality assessment of radiomics models in carotid plaque: a systematic review.Quantitative imaging in medicine and surgery · 2024
    Review
  12. Machine Intelligence in Cerebrovascular and Endovascular Neurosurgery.Advances in experimental medicine and biology · 2024
    Review
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  14. 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

20 authors at 4 institutions in 2 countries.

Elizabeth P V LeDepartment of Medicine, University of Cambridge, Cambridge, UK.
Leonardo RundoDepartment of Radiology, University of Cambridge, Cambridge, UK.
Jason M TarkinDepartment of Medicine, University of Cambridge, Cambridge, UK.
Nicholas R EvansDepartment of Medicine, University of Cambridge, Cambridge, UK.
Mohammed M ChowdhuryDivision of Vascular Surgery, Department of Surgery, University of Cambridge, Cambridge, UK.
Patrick A CoughlinDivision of Vascular Surgery, Department of Surgery, University of Cambridge, Cambridge, UK.
Holly PaveyDivision of Experimental Medicine and Immunotherapeutics, University of Cambridge, Cambridge, UK.
Chris WallDepartment of Medicine, University of Cambridge, Cambridge, UK.
Fulvio ZaccagnaDepartment of Radiology, University of Cambridge, Cambridge, UK.
Ferdia A GallagherDepartment of Radiology, University of Cambridge, Cambridge, UK.
Yuan HuangDepartment of Radiology, University of Cambridge, Cambridge, UK.
Rouchelle SriranjanDepartment of Medicine, University of Cambridge, Cambridge, UK.
Anthony LeSchool of Medicine, University of Leeds, Leeds, UK.
Jonathan R Weir-McCallDepartment of Radiology, University of Cambridge, Cambridge, UK.
Michael RobertsEPSRC Centre for Mathematical Imaging in Healthcare, University of Cambridge, Cambridge, UK.
Fiona J GilbertDepartment of Radiology, University of Cambridge, Cambridge, UK.
Elizabeth A WarburtonDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Carola-Bibiane SchönliebEPSRC Centre for Mathematical Imaging in Healthcare, University of Cambridge, Cambridge, UK.
Evis SalaDepartment of Radiology, University of Cambridge, Cambridge, UK.
James H F RuddDepartment of Medicine, University of Cambridge, Cambridge, UK. jhfr2@cam.ac.uk.
University of Cambridge · GBCancer Research UK Cambridge Center · GBEngineering and Physical Sciences Research Council · GBUniversity of Leeds · GB

Funding

British Heart Foundation FS/12/29/29463British Heart Foundation FS/16/29/31957British Heart Foundation PG/09/083/27667Cancer Research UK 16628Cancer Research UK 27150Medical Research Council 1966157The Dunhill Medical Trust RTF44/0114Wellcome TrustWellcome Trust 211100/Z/18/Z
6 · The paper itself

Abstract

Radiomics, quantitative feature extraction from radiological images, can improve disease diagnosis and prognostication. However, radiomic features are susceptible to image acquisition and segmentation variability. Ideally, only features robust to these variations would be incorporated into predictive models, for good generalisability. We extracted 93 radiomic features from carotid artery computed tomography angiograms of 41 patients with cerebrovascular events. We tested feature robustness to region-of-interest perturbations, image pre-processing settings and quantisation methods using both single- and multi-slice approaches. We assessed the ability of the most robust features to identify culprit and non-culprit arteries using several machine learning algorithms and report the average area under the curve (AUC) from five-fold cross validation. Multi-slice features were superior to single for producing robust radiomic features (67 vs. 61). The optimal image quantisation method used bin widths of 25 or 30. Incorporating our top 10 non-redundant robust radiomics features into ElasticNet achieved an AUC of 0.73 and accuracy of 69% (compared to carotid calcification alone [AUC: 0.44, accuracy: 46%]). Our results provide key information for introducing carotid CT radiomics into clinical practice. If validated prospectively, our robust carotid radiomic set could improve stroke prediction and target therapies to those at highest risk.

Indexed as

Computed Tomography AngiographyImage Processing, Computer-AssistedMachine LearningAgedAged, 80 and overAlgorithmsCarotid ArteriesFemaleHumansMaleMiddle AgedTomography, X-Ray Computed

Identifiers

PMID33568735
PMCPMC7876096
OpenAlexW3126652400

What OpenQuestion holds

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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.