Evidence map›Paper›PMID 33828255›Full record

ArticleBritish journal of cancer2021

Radiomics predicts risk of cachexia in advanced NSCLC patients treated with immune checkpoint inhibitors.

Wei Mu, Evangelia Katsoulakis, Christopher J Whelan, Kenneth L Gage, Matthew B Schabath, Robert J Gillies

Open access · bronzeAbstract read
In one paragraph

Article in British journal of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.0field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Pre-therapeutic prediction of cachexia in lymphoma patients using [European journal of clinical nutrition · 2026
    Article
  4. Function ofEJNMMI reports · 2025
    Article
  5. Review
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  7. Article
  8. Article
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  10. Article
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  12. [Advancements in Radiomics for Immunotherapy of Non-small Cell Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Editorial: Immunology of cachexia.Frontiers in immunology · 2023
    Article
  19. Review
  20. Review
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

6 authors at 2 institutions in 1 country.

Wei MuDepartment of Cancer Physiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.ORCID http://orcid.org/0000-0001-7970-8666
Evangelia KatsoulakisJames A. Haley Veterans' Hospital, Tampa, FL, USA.
Christopher J WhelanDepartment of Cancer Physiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.ORCID http://orcid.org/0000-0001-7511-2603
Kenneth L GageDepartment of Radiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Matthew B SchabathDepartment of Cancer Epidemiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA. matthew.schabath@moffitt.org.ORCID http://orcid.org/0000-0003-3241-3216
Robert J GilliesDepartment of Cancer Physiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA. Robert.Gillies@moffitt.org.ORCID http://orcid.org/0000-0002-8888-7747
Moffitt Cancer Center · USJames A. Haley Veterans' Hospital · US

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
Radiomics of NSCLCU01CA143062 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI GILLIES, ROBERT J., SCHABATH, MATTHEW B. · 2010 to 2020
$5.7M
(PQC4) Habitats in Prostate CancerR01CA190105 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI BALAGURUNATHAN, YOGANAND, GILLIES, ROBERT J. · 2014 to 2017
$2.8M
NCI NIH HHS P30 CA076292NCI NIH HHS R01 CA190105NCI NIH HHS U01 CA143062
6 · The paper itself

Abstract

backgroundApproximately 50% of cancer patients eventually develop a syndrome of prolonged weight loss (cachexia), which may contribute to primary resistance to immune checkpoint inhibitors (ICI). This study utilised radiomics analysis of

methodsBaseline (pre-therapy) PET/CT images and clinical data were retrospectively curated from 210 ICI-treated NSCLC patients from two institutions. A radiomics signature was developed to predict the cachexia with PET/CT images, which was further used to predict durable clinical benefit (DCB), progression-free survival (PFS) and overall survival (OS) following ICI.

resultsThe radiomics signature predicted risk of cachexia with areas under receiver operating characteristics curves (AUCs) ≥ 0.74 in the training, test, and external test cohorts. Further, the radiomics signature could identify patients with DCB from ICI with AUCs≥0.66 in these three cohorts. PFS and OS were significantly shorter among patients with higher radiomics-based cachexia probability in all three cohorts, especially among those potentially immunotherapy sensitive patients with PD-L1-positive status (p < 0.05).

conclusionsPET/CT radiomics analysis has the potential to predict the probability of developing cachexia before the start of ICI, triggering aggressive monitoring to improve potential to achieve more clinical benefit.

Indexed as

AgedAged, 80 and overCachexiaCarcinoma, Non-Small-Cell LungDrug Resistance, NeoplasmFemaleFluorodeoxyglucose F18HumansImmune Checkpoint InhibitorsLung NeoplasmsMaleMiddle AgedPositron Emission Tomography Computed TomographyProgression-Free SurvivalRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesFluorodeoxyglucose F18Immune Checkpoint Inhibitors

Identifiers

PMID33828255
PMCPMC8292339
OpenAlexW3142159827

What OpenQuestion holds

Textmetadata
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.