Evidence map›Paper›PMID 33758957›Full record

ArticleEuropean radiology2021

Brain MRI radiomics analysis may predict poor psychomotor outcome in preterm neonates.

Youwon Shin, Yoonho Nam, Taehoon Shin, Jin Wook Choi, Jang Hoon Lee, Da Eun Jung, Jiseon Lim, Hyun Gi Kim

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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 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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  20. Brain MRI Radiomics Analysis of School-Aged Children with Tetralogy of Fallot.Computational and mathematical methods in medicine · 2021
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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 at 5 institutions in 2 countries.

Youwon ShinDivision of Mechanical and Biomedical Engineering, Ewha Womans University, Seoul, Republic of Korea.
Yoonho NamDepartment of Radiology, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Taehoon ShinDivision of Mechanical and Biomedical Engineering, Ewha Womans University, Seoul, Republic of Korea.
Jin Wook ChoiDepartment of Radiology, Ajou University School of Medicine, Ajou University Medical Center, Suwon, Republic of Korea.
Jang Hoon LeeDepartment of Pediatrics, Ajou University School of Medicine, Ajou University Medical Center, Suwon, Republic of Korea.
Da Eun JungDepartment of Pediatrics, Ajou University School of Medicine, Ajou University Medical Center, Suwon, Republic of Korea.
Jiseon LimDivision of Biomedical Engineering, Hankuk University of Foreign Studies, Yongin-si, Gyeonggi-do, Republic of Korea.
Hyun Gi KimDepartment of Radiology, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. catharina@catholic.ac.kr.ORCID http://orcid.org/0000-0002-0086-543X
Ajou University · KREwha Womans University · KRHankuk University of Foreign Studies · KRSt. Mary's Hospital · USThe Catholic University of Korea Seoul St. Mary's Hospital · KR

Funding

National Research Foundation of Korea NRF-2017R1D1A1B03034768National Research Foundation of Korea NRF-2020R1A2C1006293National Research Foundation of Korea NRF-2020R1A6A1A03043528
6 · The paper itself

Abstract

objectivesThis study aimed to apply a radiomics approach to predict poor psychomotor development in preterm neonates using brain MRI.

methodsProspectively enrolled preterm neonates underwent brain MRI near or at term-equivalent age and neurodevelopment was assessed at a corrected age of 12 months. Two radiologists visually assessed the degree of white matter injury. The radiomics analysis on white matter was performed using T1-weighted images (T1WI) and T2-weighted images (T2WI). A total of 1906 features were extracted from the images and the minimum redundancy maximum relevance algorithm was used to select features. A prediction model for the binary classification of the psychomotor developmental index was developed and eightfold cross-validation was performed. The diagnostic performance of the model was evaluated using the AUC with and without including significant clinical and DTI parameters.

resultsA total of 46 preterm neonates (median gestational age, 29 weeks; 26 males) underwent brain MRI (median corrected gestational age, 37 weeks). Thirteen of 46 (28.3%) neonates showed poor psychomotor outcomes. There was one neonate among 46 with moderate to severe white matter injury on visual assessment. For the radiomics analysis, twenty features were selected for each analysis. The AUCs of prediction models based on T1WI, T2WI, and both T1WI and T2WI were 0.925, 0.834, and 0.902. Including gestational age or DTI parameters did not improve the prediction performance of T1WI.

conclusionsA radiomics analysis of white matter using early T1WI or T2WI could predict poor psychomotor outcomes in preterm neonates. KEY POINTS: • Radiomics analysis on T1-weighted images of preterm neonates showed the highest diagnostic performance (AUC, 0.925) for predicting poor psychomotor outcomes. • In spite of 45 of 46 neonates having no significant white matter injury on visual assessment, the radiomics analysis of early brain MRI showed good diagnostic performance (sensitivity, 84.6%; specificity, 78.8%) for predicting poor psychomotor outcomes. • Radiomics analysis on early brain MRI can help to predict poor neurodevelopmental outcomes in preterm neonates.

Indexed as

Magnetic Resonance ImagingWhite MatterGestational AgeHumansInfantInfant, NewbornMaleNeuroimagingRetrospective StudiesInfantMagnetic resonance imagingNeurodevelopmental disorderPremature birthRadiomics

Identifiers

PMID33758957
OpenAlexW3136548278

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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.