Evidence map›Paper›PMID 34145367›Full record

ArticleScientific reports2021

A predictive model for pain response following radiotherapy for treatment of spinal metastases.

Kohei Wakabayashi, Yutaro Koide, Takahiro Aoyama, Hidetoshi Shimizu, Risei Miyauchi, Hiroshi Tanaka, Hiroyuki Tachibana, Katsumasa Nakamura, Takeshi Kodaira

Abstract read
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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Moving towards the use of artificial intelligence in pain management.European journal of pain (London, England) · 2025
    Pooled it
  2. Radiomics and Back Pain.Global spine journal · 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

9 authors.

Kohei WakabayashiDepartment of Radiation Oncology, Aichi Cancer Center, 1-1 Kanokoden, Chikusa-ku, Nagoya, Japan. 33jouho@gmail.com.
Yutaro KoideDepartment of Radiation Oncology, Aichi Cancer Center, 1-1 Kanokoden, Chikusa-ku, Nagoya, Japan.
Takahiro AoyamaDepartment of Radiation Oncology, Aichi Cancer Center, 1-1 Kanokoden, Chikusa-ku, Nagoya, Japan.
Hidetoshi ShimizuDepartment of Radiation Oncology, Aichi Cancer Center, 1-1 Kanokoden, Chikusa-ku, Nagoya, Japan.
Risei MiyauchiDepartment of Radiation Oncology, Aichi Cancer Center, 1-1 Kanokoden, Chikusa-ku, Nagoya, Japan.
Hiroshi TanakaDepartment of Radiation Oncology, Aichi Cancer Center, 1-1 Kanokoden, Chikusa-ku, Nagoya, Japan.
Hiroyuki TachibanaDepartment of Radiation Oncology, Aichi Cancer Center, 1-1 Kanokoden, Chikusa-ku, Nagoya, Japan.
Katsumasa NakamuraDepartment of Radiation Oncology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka, Japan.
Takeshi KodairaDepartment of Radiation Oncology, Aichi Cancer Center, 1-1 Kanokoden, Chikusa-ku, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To establish a predictive model for pain response following radiotherapy using a combination of radiomic and clinical features of spinal metastasis. This retrospective study enrolled patients with painful spine metastases who received palliative radiation therapy from 2018 to 2019. Pain response was defined using the International Consensus Criteria. The clinical and radiomic features were extracted from medical records and pre-treatment CT images. Feature selection was performed and a random forests ensemble learning method was used to build a predictive model. Area under the curve (AUC) was used as a predictive performance metric. 69 patients were enrolled with 48 patients showing a response. Random forest models built on the radiomic, clinical, and 'combined' features achieved an AUC of 0.824, 0.702, 0.848, respectively. The sensitivity and specificity of the combined features model were 85.4% and 76.2%, at the best diagnostic decision point. We built a pain response model in patients with spinal metastases using a combination of clinical and radiomic features. To the best of our knowledge, we are the first to examine pain response using pre-treatment CT radiomic features. Our model showed the potential to predict patients who respond to radiation therapy.

Indexed as

AdultAgedAged, 80 and overDisease ManagementDisease SusceptibilityFemaleHumansImage Processing, Computer-AssistedMaleMiddle AgedPainPrognosisRadiotherapyResearch DesignRetrospective StudiesROC Curve

Identifiers

PMID34145367
PMCPMC8213735

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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.