Evidence map›Paper›PMID 34178682›Full record

ArticleFrontiers in oncology2021

Predicting Microsatellite Instability Status in Colorectal Cancer Based on Triphasic Enhanced Computed Tomography Radiomics Signatures: A Multicenter Study.

Yuntai Cao, Guojin Zhang, Jing Zhang, Yingjie Yang, Jialiang Ren, Xiaohong Yan, Zhan Wang, Zhiyong Zhao, Xiaoyu Huang, Haihua Bao and 1 more

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 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
5.5field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  10. Preoperative contrast-enhanced CT imaging and clinicopathological characteristics analysis of mismatch repair-deficient colorectal cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 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

11 authors at 6 institutions in 1 country.

Yuntai CaoDepartment of Radiology, Affiliated Hospital of Qinghai University, Xining, China.
Guojin ZhangDepartment of Radiology, Lanzhou University Second Hospital, Lanzhou, China.
Jing ZhangDepartment of Radiology, Lanzhou University Second Hospital, Lanzhou, China.
Yingjie YangDepartment of Radiology, Second People's Hospital of Lanzhou City, Lanzhou, China.
Jialiang RenDepartment of Pharmaceuticals Diagnosis, GE Healthcare, Beijing, China.
Xiaohong YanDepartment of Critical Medicine, Affiliated Hospital of Qinghai University, Xining, China.
Zhan WangDepartment of Biomedical Engineering, Tsinghua University, Beijing, China.
Zhiyong ZhaoSecond Clinical School, Lanzhou University, Lanzhou, China.
Xiaoyu HuangSecond Clinical School, Lanzhou University, Lanzhou, China.
Haihua BaoDepartment of Radiology, Affiliated Hospital of Qinghai University, Xining, China.
Junlin ZhouDepartment of Radiology, Lanzhou University Second Hospital, Lanzhou, China.
Lanzhou University · CNQinghai University · CNQinghai University Affiliated Hospital · CNTsinghua University · CNXian Yang Central Hospital · CNZunyi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to develop and validate a computed tomography (CT)-based radiomics model to predict microsatellite instability (MSI) status in colorectal cancer patients and to identify the radiomics signature with the most robust and high performance from one of the three phases of triphasic enhanced CT.

methodsIn total, 502 colorectal cancer patients with preoperative contrast-enhanced CT images and available MSI status (441 in the training cohort and 61 in the external validation cohort) were enrolled from two centers in our retrospective study. Radiomics features of the entire primary tumor were extracted from arterial-, delayed-, and venous-phase CT images. The least absolute shrinkage and selection operator method was used to retain the features closely associated with MSI status. Radiomics, clinical, and combined Clinical Radiomics models were built to predict MSI status. Model performance was evaluated by receiver operating characteristic curve analysis.

resultsThirty-two radiomics features showed significant correlation with MSI status. Delayed-phase models showed superior predictive performance compared to arterial- or venous-phase models. Additionally, age, location, and carcinoembryonic antigen were considered useful predictors of MSI status. The Clinical Radiomics nomogram that incorporated both clinical risk factors and radiomics parameters showed excellent performance, with an AUC, accuracy, and sensitivity of 0.898, 0.837, and 0.821 in the training cohort and 0.964, 0.918, and 1.000 in the validation cohort, respectively.

conclusionsThe proposed CT-based radiomics signature has excellent performance in predicting MSI status and could potentially guide individualized therapy.

Indexed as

colorectal cancerCTmicrosatellite instabilityradiomicstriphasic enhanced phase

Identifiers

PMID34178682
PMCPMC8222982
OpenAlexW3173104536

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.