Evidence map›Paper›PMID 34189600›Full record

ArticleEuropean radiology2022

Diagnostic performance of perilesional radiomics analysis of contrast-enhanced mammography for the differentiation of benign and malignant breast lesions.

Simin Wang, Yuqi Sun, Ruimin Li, Ning Mao, Qin Li, Tingting Jiang, Qianqian Chen, Shaofeng Duan, Haizhu Xie, Yajia Gu

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Article in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.9field-weighted citation impact, top 6% 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, 40 citations in OpenAlex.

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  17. Machine learning and new insights for breast cancer diagnosis.The Journal of international medical research · 2024
    Review
  18. State-of-the-art for contrast-enhanced mammography.The British journal of radiology · 2024
    Review
  19. Article
  20. Article
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 3 institutions in 1 country.

Simin Wang *Department of Radiology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Yuqi Sun *Department of Biostatistics, School of Public Health, Fudan University, Shanghai, 200032, China.
Ruimin LiDepartment of Radiology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Ning MaoDepartment of Radiology, Yantai Yuhuangding Hospital, Qingdao University, Shandong, 264000, China.
Qin LiDepartment of Radiology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Tingting JiangDepartment of Radiology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Qianqian ChenGE Healthcare China, No. 1 Huatuo Road, Shanghai, 210000, China.
Shaofeng DuanGE Healthcare China, No. 1 Huatuo Road, Shanghai, 210000, China.
Haizhu XieDepartment of Radiology, Yantai Yuhuangding Hospital, Qingdao University, Shandong, 264000, China.
Yajia GuDepartment of Radiology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China. guyajia@126.com.ORCID http://orcid.org/0000-0001-5831-5214
Shanghai Medical College of Fudan University · CNQingdao University · CNFudan University · CN

Funding

Clinical Research Plan of SHDC SHDC2020CR2008ANational Natural Science Foundation of China NSFC 82071878Shanghai Anticancer Association FLIGHT PROJECT SACA-AX201903Shanghai Science and Technology Foundation 19DZ1930502
6 · The paper itself

Abstract

objectiveTo conduct perilesional region radiomics analysis of contrast-enhanced mammography (CEM) images to differentiate benign and malignant breast lesions. METHODS AND MATERIALS: This retrospective study included patients who underwent CEM from November 2017 to February 2020. Lesion contours were manually delineated. Perilesional regions were automatically obtained. Seven regions of interest (ROIs) were obtained for each lesion, including the lesion ROI, annular perilesional ROIs (1 mm, 3 mm, 5 mm), and lesion + perilesional ROIs (1 mm, 3 mm, 5 mm). Overall, 4,098 radiomics features were extracted from each ROI. Datasets were divided into training and testing sets (1:1). Seven classification models using features from the seven ROIs were constructed using LASSO regression. Model performance was assessed by the AUC with 95% CI.

resultsOverall, 190 women with 223 breast lesions (101 benign; 122 malignant) were enrolled. In the testing set, the annular perilesional ROI of 3-mm model showed the highest AUC of 0.930 (95% CI: 0.882-0.977), followed by the annular perilesional ROI of 1 mm model (AUC = 0.929; 95% CI: 0.881-0.978) and the lesion ROI model (AUC = 0.909; 95% CI: 0.857-0.961). A new model was generated by combining the predicted probabilities of the lesion ROI and annular perilesional ROI of 3-mm models, which achieved a higher AUC in the testing set (AUC = 0.940).

conclusionsAnnular perilesional radiomics analysis of CEM images is useful for diagnosing breast cancers. Adding annular perilesional information to the radiomics model built on the lesion information may improve the diagnostic performance. KEY POINTS: • Radiomics analysis of the annular perilesional region of 3 mm in CEM images may provide valuable information for the differential diagnosis of benign and malignant breast lesions. • The radiomics information from the lesion region and the annular perilesional region may be complementary. Combining the predicted probabilities of the models constructed by the features from the two regions may improve the diagnostic performance of radiomics models.

Indexed as

Breast NeoplasmsMammographyBreastDiagnosis, DifferentialFemaleHumansRetrospective StudiesBreast cancerMachine learningMammography

Identifiers

PMID34189600
OpenAlexW3173916850

What OpenQuestion holds

Textmetadata
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.