Evidence map›Paper›PMID 33649882›Full record

SynthesisNeuroradiology2021

Meningioma MRI radiomics and machine learning: systematic review, quality score assessment, and meta-analysis.

Lorenzo Ugga, Teresa Perillo, Renato Cuocolo, Arnaldo Stanzione, Valeria Romeo, Roberta Green, Valeria Cantoni, Arturo Brunetti

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 8 pooled it
–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

45 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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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

8 authors.

Lorenzo UggaDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.ORCID https://orcid.org/0000-0001-7811-4612
Teresa PerilloDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.ORCID https://orcid.org/0000-0002-3840-7637
Renato CuocoloDepartment of Clinical Medicine and Surgery, University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy. renato.cuocolo@unina.it.ORCID http://orcid.org/0000-0002-1452-1574
Arnaldo StanzioneDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.ORCID https://orcid.org/0000-0002-7905-5789
Valeria RomeoDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.ORCID https://orcid.org/0000-0002-1603-6396
Roberta GreenDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.
Valeria CantoniDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.
Arturo BrunettiDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.ORCID https://orcid.org/0000-0001-7057-3494

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo systematically review and evaluate the methodological quality of studies using radiomics for diagnostic and predictive purposes in patients with intracranial meningioma. To perform a meta-analysis of machine learning studies for the prediction of intracranial meningioma grading from pre-operative brain MRI.

methodsArticles published from the year 2000 on radiomics and machine learning applications in brain imaging of meningioma patients were included. Their methodological quality was assessed by three readers with the radiomics quality score, using the intra-class correlation coefficient (ICC) to evaluate inter-reader reproducibility. A meta-analysis of machine learning studies for the preoperative evaluation of meningioma grading was performed and their risk of bias was assessed with the Quality Assessment of Diagnostic Accuracy Studies tool.

resultsIn all, 23 studies were included in the systematic review, 8 of which were suitable for the meta-analysis. Total (possible range, -8 to 36) and percentage radiomics quality scores were respectively 6.96 ± 4.86 and 19 ± 13% with a moderate to good inter-reader reproducibility (ICC = 0.75, 95% confidence intervals, 95%CI = 0.54-0.88). The meta-analysis showed an overall AUC of 0.88 (95%CI = 0.84-0.93) with a standard error of 0.02.

conclusionsMachine learning and radiomics have been proposed for multiple applications in the imaging of meningiomas, with promising results for preoperative lesion grading. However, future studies with adequate standardization and higher methodological quality are required prior to their introduction in clinical practice.

Indexed as

Meningeal NeoplasmsMeningiomaHumansMachine LearningMagnetic Resonance ImagingReproducibility of ResultsRetrospective StudiesMachine learningMagnetic resonance imagingMeningiomaMeta-analysisSystematic review

Identifiers

PMID33649882
PMCPMC8295153

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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.