Evidence map›Paper›PMID 33959498›Full record

ArticleFrontiers in oncology2021

3T DCE-MRI Radiomics Improves Predictive Models of Complete Response to Neoadjuvant Chemotherapy in Breast Cancer.

Stefania Montemezzi, Giulio Benetti, Maria Vittoria Bisighin, Lucia Camera, Chiara Zerbato, Francesca Caumo, Elena Fiorio, Sara Zanelli, Michele Zuffante, Carlo Cavedon

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
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  4. Machine learning and new insights for breast cancer diagnosis.The Journal of international medical research · 2024
    Review
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  8. Predictive value ofEuropean journal of nuclear medicine and molecular imaging · 2023
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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

10 authors at 2 institutions in 1 country.

Stefania MontemezziRadiology Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Giulio BenettiMedical Physics Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Maria Vittoria BisighinRadiology Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Lucia CameraRadiology Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Chiara ZerbatoRadiology Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Francesca CaumoRadiology Unit, Istituto Oncologico Veneto - IRCCS, Padova, Italy.
Elena FiorioPathology Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Sara ZanelliPathology Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Michele ZuffanteNuclear Medicine Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Carlo CavedonMedical Physics Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Azienda Ospedaliera Universitaria Integrata Verona · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo test whether 3T MRI radiomics of breast malignant lesions improves the performance of predictive models of complete response to neoadjuvant chemotherapy when added to other clinical, histological and radiological information.

methodsWomen who consecutively had pre-neoadjuvant chemotherapy (NAC) 3T DCE-MRI between January 2016 and October 2019 were retrospectively included in the study. 18F-FDG PET-CT and histological information obtained through lesion biopsy were also available. All patients underwent surgery and specimens were analyzed. Subjects were divided between complete responders (Pinder class 1i or 1ii) and non-complete responders to NAC. Geometric, first order or textural (higher order) radiomic features were extracted from pre-NAC MRI and feature reduction was performed. Five radiomic features were added to other available information to build predictive models of complete response to NAC using three different classifiers (logistic regression, support vector machines regression and random forest) and exploring the whole set of possible feature selections.

resultsThe study population consisted of 20 complete responders and 40 non-complete responders. Models including MRI radiomic features consistently showed better performance compared to combinations of other clinical, histological and radiological information. The AUC (ROC analysis) of predictors that did not include radiomic features reached up to 0.89, while all three classifiers gave AUC higher than 0.90 with the inclusion of radiomic information (range: 0.91-0.98).

conclusionsRadiomic features extracted from 3T DCE-MRI consistently improved predictive models of complete response to neo-adjuvant chemotherapy. However, further investigation is necessary before this information can be used for clinical decision making.

Indexed as

breast cancerDCEmachine learningmedical imagingMRIneoadjuvant chemotherapyradiomics

Identifiers

PMID33959498
PMCPMC8093630
OpenAlexW3155228675

What OpenQuestion holds

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LicenceCC BY
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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.