Evidence map›Paper›PMID 34183009›Full record

ArticleRespiratory research2021

Combination of computed tomography imaging-based radiomics and clinicopathological characteristics for predicting the clinical benefits of immune checkpoint inhibitors in lung cancer.

Bin Yang, Li Zhou, Jing Zhong, Tangfeng Lv, Ang Li, Lu Ma, Jian Zhong, Saisai Yin, Litang Huang, Changsheng Zhou and 6 more

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  9. [Advancements in Radiomics for Immunotherapy of Non-small Cell Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024
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  17. Feature selection methods and predictive models in CT lung cancer radiomics.Journal of applied clinical medical physics · 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

16 authors at 2 institutions in 1 country.

Bin Yang *Department of Medical Imaging, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, China.ORCID http://orcid.org/0000-0001-5518-7325
Li Zhou *Department of Respiratory and Critical Care Medicine, Affiliated Jinling Hospital, Medical School of Nanjing University, Sch Med, Nanjing, 210002, Jiangsu, China.
Jing Zhong *Department of Medical Imaging, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, China.
Tangfeng Lv *Department of Respiratory and Critical Care Medicine, Affiliated Jinling Hospital, Medical School of Nanjing University, Sch Med, Nanjing, 210002, Jiangsu, China.
Ang Li *Department of Medical Imaging, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, China.
Lu Ma *Department of Medical Imaging, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, China.
Jian ZhongDepartment of Medical Imaging, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, China.
Saisai YinDepartment of Medical Imaging, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, China.
Litang HuangDepartment of Respiratory and Critical Care Medicine, Affiliated Jinling Hospital, Southeast University, Sch Med, Nanjing, 210002, Nanjing, China.
Changsheng ZhouDepartment of Medical Imaging, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, China.
Xinyu LiDepartment of Medical Imaging, Affiliated Jinling Hospital, Nanjing Medical University, Nanjing, 210002, China.
Ying Qian GeSiemens Healthineers Ltd., Shanghai, 200000, China.
Xinwei TaoSiemens Healthineers Ltd., Shanghai, 200000, China.
Longjiang ZhangDepartment of Medical Imaging, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, China. kevinzhlj@163.com.
Yong SonDepartment of Respiratory and Critical Care Medicine, Affiliated Jinling Hospital, Medical School of Nanjing University, Sch Med, Nanjing, 210002, Jiangsu, China. yong.song@nju.edu.cn.
Guangming LuDepartment of Medical Imaging, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, China. cjr.luguangming@vip.163.com.
Nanjing General Hospital of Nanjing Military Command · CNSiemens (China) · CN

Funding

National Key Research and Development Program of China 2017YFC0113400
6 · The paper itself

Abstract

backgroundIn this study, we tested whether a combination of radiomic features extracted from baseline pre-immunotherapy computed tomography (CT) images and clinicopathological characteristics could be used as novel noninvasive biomarkers for predicting the clinical benefits of non-small cell lung cancer (NSCLC) patients treated with immune checkpoint inhibitors (ICIs).

methodsThe data from 92 consecutive patients with lung cancer who had been treated with ICIs were retrospectively analyzed. In total, 88 radiomic features were selected from the pretreatment CT images for the construction of a random forest model. Radiomics model 1 was constructed based on the Rad-score. Using multivariate logistic regression analysis, the Rad-score and significant predictors were integrated into a single predictive model (radiomics nomogram model 1) to predict the durable clinical benefit (DCB) of ICIs. Radiomics model 2 was developed based on the same Rad-score as radiomics model 1.Using multivariate Cox proportional hazards regression analysis, the Rad-score, and independent risk factors, radiomics nomogram model 2 was constructed to predict the progression-free survival (PFS).

resultsThe models successfully predicted the patients who would benefit from ICIs. For radiomics model 1, the area under the receiver operating characteristic curve values for the training and validation cohorts were 0.848 and 0.795, respectively, whereas for radiomics nomogram model 1, the values were 0.902 and 0.877, respectively. For the PFS prediction, the Harrell's concordance indexes for the training and validation cohorts were 0.717 and 0.760, respectively, using radiomics model 2, whereas they were 0.749 and 0.791, respectively, using radiomics nomogram model 2.

conclusionsCT-based radiomic features and clinicopathological factors can be used prior to the initiation of immunotherapy for identifying NSCLC patients who are the most likely to benefit from the therapy. This could guide the individualized treatment strategy for advanced NSCLC.

Indexed as

AdolescentAdultCarcinoma, Non-Small-Cell LungCohort StudiesFemaleHumansImage Processing, Computer-AssistedImmune Checkpoint InhibitorsLung NeoplasmsMalePredictive Value of TestsRetrospective StudiesTomography, X-Ray ComputedYoung AdultImmune Checkpoint InhibitorsImmune checkpoint inhibitorsMachine learningNon-small cell lung cancerRadiomicsSurvival outcome

Identifiers

PMID34183009
PMCPMC8240400
OpenAlexW3126805615

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.