Evidence map›Paper›PMID 33923697›Full record

ArticleCancers2021

Prognostic Assessment in High-Grade Soft-Tissue Sarcoma Patients: A Comparison of Semantic Image Analysis and Radiomics.

Jan C Peeken, Jan Neumann, Rebecca Asadpour, Yannik Leonhardt, Joao R Moreira, Daniel S Hippe, Olena Klymenko, Sarah C Foreman, Claudio E von Schacky, Matthew B Spraker and 9 more

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. MRI features outperform histologic grade for outcome prediction in translocation-driven enriched soft-tissue sarcoma.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
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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

19 authors.

Jan C PeekenDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich (TUM), Ismaninger Straße 22, 81675 Munich, Germany.ORCID 0000-0003-2679-9853
Jan NeumannDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany.ORCID 0000-0003-4388-737X
Rebecca AsadpourDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich (TUM), Ismaninger Straße 22, 81675 Munich, Germany.
Yannik LeonhardtDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany.
Joao R MoreiraDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany.
Daniel S HippeDepartment of Radiation Oncology, University of Washington, Seattle, WA 98195, USA.
Olena KlymenkoDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich (TUM), Ismaninger Straße 22, 81675 Munich, Germany.
Sarah C ForemanDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany.
Claudio E von SchackyDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany.
Matthew B SprakerDepartment of Radiation Oncology, Washington University in St. Louis, St. Louis, MO 63110, USA.
Stephanie K SchaubDepartment of Radiation Oncology, University of Washington, Seattle, WA 98195, USA.
Hendrik DapperDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich (TUM), Ismaninger Straße 22, 81675 Munich, Germany.
Carolin KnebelDepartment of Orthopedics and Sports Orthopedics, Klinikum rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany.
Nina A MayrDepartment of Radiation Oncology, University of Washington, Seattle, WA 98195, USA.
Henry C WoodruffDepartment of Precision Medicine, GROW-School for Oncology and Developmental Biology, Maastricht University, 6200 MD Maastricht, The Netherlands.ORCID 0000-0001-7911-5123
Philippe LambinDepartment of Precision Medicine, GROW-School for Oncology and Developmental Biology, Maastricht University, 6200 MD Maastricht, The Netherlands.ORCID 0000-0001-7961-0191
Matthew J NyflotDepartment of Radiation Oncology, University of Washington, Seattle, WA 98195, USA.
Alexandra S GersingDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich (TUM), 81675 Munich, Germany.
Stephanie E CombsDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University of Munich (TUM), Ismaninger Straße 22, 81675 Munich, Germany.

Funding

Helmholtz Zentrum München Physician Scientist for Groundbreaking ProjectsTechnische Universität München KKF Physician Scientist Program
6 · The paper itself

Abstract

backgroundIn patients with soft-tissue sarcomas of the extremities, the treatment decision is currently regularly based on tumor grading and size. The imaging-based analysis may pose an alternative way to stratify patients' risk. In this work, we compared the value of MRI-based radiomics with expert-derived semantic imaging features for the prediction of overall survival (OS).

methodsFat-saturated T2-weighted sequences (T2FS) and contrast-enhanced T1-weighted fat-saturated (T1FSGd) sequences were collected from two independent retrospective cohorts (training: 108 patients; testing: 71 patients). After preprocessing, 105 radiomic features were extracted. Semantic imaging features were determined by three independent radiologists. Three machine learning techniques (elastic net regression (ENR), least absolute shrinkage and selection operator, and random survival forest) were compared to predict OS.

resultsENR models achieved the best predictive performance. Histologies and clinical staging differed significantly between both cohorts. The semantic prognostic model achieved a predictive performance with a C-index of 0.58 within the test set. This was worse compared to a clinical staging system (C-index: 0.61) and the radiomic models (C-indices: T1FSGd: 0.64, T2FS: 0.63). Both radiomic models achieved significant patient stratification.

conclusionsT2FS and T1FSGd-based radiomic models outperformed semantic imaging features for prognostic assessment.

Indexed as

elastic net regressionmachine learningMRIprognosisradiologyradiomicssoft-tissue sarcomastail sign

Identifiers

PMID33923697
PMCPMC8073388

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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.