Evidence map›Paper›PMID 33758304›Full record

ArticleScientific reports2021

CT based radiomic approach on first line pembrolizumab in lung cancer.

Marta Zerunian, Damiano Caruso, Alberto Zucchelli, Michela Polici, Carlo Capalbo, Marco Filetti, Federica Mazzuca, Paolo Marchetti, Andrea Laghi

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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.9field-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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Application of Enhanced T1WI of MRI Radiomics in Glioma Grading.International journal of clinical practice · 2022
    Trial
  3. Article
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  8. A 3D lung lesion variational autoencoder.Cell reports methods · 2024
    Article
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  10. Article
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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

9 authors at 1 institution in 1 country.

Marta Zerunian *Radiology Unit, Department of Medical-Surgical Sciences and Translational Medicine-"Sapienza", University of Rome, Sant'Andrea University Hospital, via di Grottarossa 1035, 00189, Rome, Italy.
Damiano Caruso *Radiology Unit, Department of Medical-Surgical Sciences and Translational Medicine-"Sapienza", University of Rome, Sant'Andrea University Hospital, via di Grottarossa 1035, 00189, Rome, Italy.
Alberto ZucchelliRadiology Unit, Department of Medical-Surgical Sciences and Translational Medicine-"Sapienza", University of Rome, Sant'Andrea University Hospital, via di Grottarossa 1035, 00189, Rome, Italy.
Michela PoliciRadiology Unit, Department of Medical-Surgical Sciences and Translational Medicine-"Sapienza", University of Rome, Sant'Andrea University Hospital, via di Grottarossa 1035, 00189, Rome, Italy.
Carlo CapalboOncology Unit, Department of Clinical and Molecular Oncology-"Sapienza", University of Rome, Sant'Andrea University Hospital, via di Grottarossa 1035, 00189, Rome, Italy.
Marco FilettiOncology Unit, Department of Clinical and Molecular Oncology-"Sapienza", University of Rome, Sant'Andrea University Hospital, via di Grottarossa 1035, 00189, Rome, Italy.
Federica MazzucaOncology Unit, Department of Clinical and Molecular Oncology-"Sapienza", University of Rome, Sant'Andrea University Hospital, via di Grottarossa 1035, 00189, Rome, Italy.
Paolo MarchettiOncology Unit, Department of Clinical and Molecular Oncology-"Sapienza", University of Rome, Sant'Andrea University Hospital, via di Grottarossa 1035, 00189, Rome, Italy.
Andrea LaghiRadiology Unit, Department of Medical-Surgical Sciences and Translational Medicine-"Sapienza", University of Rome, Sant'Andrea University Hospital, via di Grottarossa 1035, 00189, Rome, Italy. andrea.laghi@uniroma1.it.
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical evaluation poorly predicts outcomes in lung cancer treated with immunotherapy. The aim of the study is to assess whether CT-derived texture parameters can predict overall survival (OS) and progression-free survival (PFS) in patients with advanced non-small-cell lung cancer (NSCLC) treated with first line Pembrolizumab. Twenty-one patients with NSLC were prospectively enrolled; they underwent contrast enhanced CT (CECT) at baseline and during Pembrolizumab treatment. Response to therapy was assessed both with clinical and iRECIST criteria. Two radiologists drew a volume of interest of the tumor at baseline CECT, extracting several texture parameters. ROC curves, a univariate Kaplan-Meyer analysis and Cox proportional analysis were performed to evaluate the prognostic value of texture analysis. Twelve (57%) patients showed partial response to therapy while nine (43%) had confirmed progressive disease. Among texture parameters, mean value of positive pixels (MPP) at fine and medium filters showed an AUC of 72% and 74% respectively (P < 0.001). Kaplan-Meyer analysis showed that MPP < 56.2 were significantly associated with lower OS and PFS (P < 0.0035). Cox proportional analysis showed a significant correlation between MPP4 and OS (P = 0.0038; HR = 0.89[CI 95%:0.83,0.96]). In conclusion, MPP could be used as predictive imaging biomarkers of OS and PFS in patients with NSLC with first line immune treatment.

Indexed as

Tomography, X-Ray ComputedAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalBiomarkers, TumorCarcinoma, Non-Small-Cell LungFemaleHumansLung NeoplasmsMaleMiddle AgedMolecular Targeted TherapyPrognosisProportional Hazards ModelsROC CurveAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalBiomarkers, Tumorpembrolizumab

Identifiers

PMID33758304
PMCPMC7988058
OpenAlexW3136207749

What OpenQuestion holds

Textmetadata
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.