Evidence map›Paper›PMID 33963236›Full record

ArticleScientific reports2021

Comparison of radiomic feature aggregation methods for patients with multiple tumors.

Enoch Chang, Marina Z Joel, Hannah Y Chang, Justin Du, Omaditya Khanna, Antonio Omuro, Veronica Chiang, Sanjay Aneja

Open access · goldAbstract readComparative Study
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 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

30 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
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  6. Review
  7. Imaging-derived biomarkers fromCancer imaging : the official publication of the International Cancer Imaging Society · 2025
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  8. Article
  9. Review
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  11. Radiomic-based prediction of lesion-specific systemic treatment response in metastatic disease.Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society · 2024
    Article
  12. Article
  13. Review on radiomic analysis inCancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Review
  14. Radiomic-Based Approaches in the Multi-metastatic Setting: A Quantitative Review.medRxiv : the preprint server for health sciences · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 3D Capsule Networks for Brain Image Segmentation.AJNR. American journal of neuroradiology · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Enoch ChangDepartment of Therapeutic Radiology, Yale School of Medicine, New Haven, USA.
Marina Z JoelDepartment of Therapeutic Radiology, Yale School of Medicine, New Haven, USA.
Hannah Y ChangMassachusetts Institute of Technology, Cambridge, USA.
Justin DuYale College, New Haven, USA.
Omaditya KhannaDepartment of Neurosurgery, Thomas Jefferson University, Philadelphia, USA.
Antonio OmuroYale Brain Tumor Center, New Haven, USA.
Veronica ChiangDepartment of Neurosurgery, Yale School of Medicine, New Haven, USA.
Sanjay AnejaDepartment of Therapeutic Radiology, Yale School of Medicine, New Haven, USA. sanjay.aneja@yale.edu.
Yale University · USMassachusetts Institute of Technology · USThomas Jefferson University · USYale Cancer Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
American Cancer Society ACS-IRG 17-172-57NCATS NIH HHS TL1 TR001864NCATS NIH HHS UL1 TR001863Radiological Society of North America RMS1904
6 · The paper itself

Abstract

Radiomic feature analysis has been shown to be effective at analyzing diagnostic images to model cancer outcomes. It has not yet been established how to best combine radiomic features in cancer patients with multifocal tumors. As the number of patients with multifocal metastatic cancer continues to rise, there is a need for improving personalized patient-level prognosis to better inform treatment. We compared six mathematical methods of combining radiomic features of 3,596 tumors in 831 patients with multiple brain metastases and evaluated the performance of these aggregation methods using three survival models: a standard Cox proportional hazards model, a Cox proportional hazards model with LASSO regression, and a random survival forest. Across all three survival models, the weighted average of the largest three metastases had the highest concordance index (95% confidence interval) of 0.627 (0.595-0.661) for the Cox proportional hazards model, 0.628 (0.591-0.666) for the Cox proportional hazards model with LASSO regression, and 0.652 (0.565-0.727) for the random survival forest model. This finding was consistent when evaluating patients with different numbers of brain metastases and different tumor volumes. Radiomic features can be effectively combined to estimate patient-level outcomes in patients with multifocal brain metastases. Future studies are needed to confirm that the volume-weighted average of the largest three tumors is an effective method for combining radiomic features across other imaging modalities and tumor types.

Indexed as

Brain NeoplasmsMagnetic Resonance ImagingModels, BiologicalRadiosurgeryAgedDisease-Free SurvivalFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm MetastasisRetrospective StudiesSurvival Rate

Identifiers

PMID33963236
PMCPMC8105371
OpenAlexW3161801268

What OpenQuestion holds

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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.