Evidence map›Paper›PMID 34201021›Full record

ArticleCancers2021

Glioblastoma Surgery Imaging-Reporting and Data System: Standardized Reporting of Tumor Volume, Location, and Resectability Based on Automated Segmentations.

Ivar Kommers, David Bouget, André Pedersen, Roelant S Eijgelaar, Hilko Ardon, Frederik Barkhof, Lorenzo Bello, Mitchel S Berger, Marco Conti Nibali, Julia Furtner and 19 more

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

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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

29 authors.

Ivar KommersDepartment of Neurosurgery, Amsterdam University Medical Centers, Vrije Universiteit, 1081 HV Amsterdam, The Netherlands.
David BougetDepartment of Health Research, SINTEF Digital, NO-7465 Trondheim, Norway.ORCID 0000-0002-5669-9514
André PedersenDepartment of Health Research, SINTEF Digital, NO-7465 Trondheim, Norway.ORCID 0000-0002-3637-953X
Roelant S EijgelaarDepartment of Neurosurgery, Amsterdam University Medical Centers, Vrije Universiteit, 1081 HV Amsterdam, The Netherlands.
Hilko ArdonDepartment of Neurosurgery, Twee Steden Hospital, 5042 AD Tilburg, The Netherlands.ORCID 0000-0002-3131-1069
Frederik BarkhofDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, Vrije Universiteit, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0003-3543-3706
Lorenzo BelloNeurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Humanitas Research Hospital, Università Degli Studi di Milano, 20122 Milano, Italy.
Mitchel S BergerDepartment of Neurological Surgery, University of California San Francisco, San Francisco, CA 94143, USA.
Marco Conti NibaliNeurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Humanitas Research Hospital, Università Degli Studi di Milano, 20122 Milano, Italy.ORCID 0000-0003-2611-5685
Julia FurtnerDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University Vienna, 1090 Wien, Austria.
Even H FyllingenDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway.ORCID 0000-0003-0495-1914
Shawn Hervey-JumperDepartment of Neurological Surgery, University of California San Francisco, San Francisco, CA 94143, USA.
Albert J S IdemaDepartment of Neurosurgery, Northwest Clinics, 1815 JD Alkmaar, The Netherlands.
Barbara KieselDepartment of Neurosurgery, Medical University Vienna, 1090 Wien, Austria.
Alfred KloetDepartment of Neurosurgery, Haaglanden Medical Center, 2512 VA The Hague, The Netherlands.
Emmanuel MandonnetDepartment of Neurological Surgery, Hôpital Lariboisière, 75010 Paris, France.
Domenique M J MüllerDepartment of Neurosurgery, Amsterdam University Medical Centers, Vrije Universiteit, 1081 HV Amsterdam, The Netherlands.
Pierre A RobeDepartment of Neurology and Neurosurgery, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.ORCID 0000-0001-7845-6196
Marco RossiNeurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Humanitas Research Hospital, Università Degli Studi di Milano, 20122 Milano, Italy.ORCID 0000-0002-0196-2370
Lisa M SagbergDepartment of Neurosurgery, St. Olav's Hospital, Trondheim University Hospital, NO-7030 Trondheim, Norway.
Tommaso SciortinoNeurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Humanitas Research Hospital, Università Degli Studi di Milano, 20122 Milano, Italy.ORCID 0000-0001-6214-1253
Wimar A van den BrinkDepartment of Neurosurgery, Isala, 8025 AB Zwolle, The Netherlands.
Michiel WagemakersDepartment of Neurosurgery, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Georg WidhalmDepartment of Neurosurgery, Medical University Vienna, 1090 Wien, Austria.ORCID 0000-0001-6014-0273
Marnix G WitteDepartment of Radiation Oncology, The Netherlands Cancer Institute, 1066 CX Amsterdam, The Netherlands.
Aeilko H ZwindermanDepartment of Clinical Epidemiology and Biostatistics, Amsterdam University Medical Centers, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Ingerid ReinertsenDepartment of Health Research, SINTEF Digital, NO-7465 Trondheim, Norway.ORCID 0000-0003-0999-3849
Ole SolheimDepartment of Neurosurgery, St. Olav's Hospital, Trondheim University Hospital, NO-7030 Trondheim, Norway.
Philip C De Witt HamerDepartment of Neurosurgery, Amsterdam University Medical Centers, Vrije Universiteit, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0003-2988-8544

Funding

Anita Veldman foundation CCA2018-2-17KWF Kankerbestrijding VU2014-7113Nederlandse Organisatie voor Wetenschappelijk Onderzoek 2020.027Norwegian National Advisory Unit for Ultrasound and Image guided Therapy 2020Rijksdienst voor Ondernemend Nederland & Topsector Life Sciences & Health 2019Stichting Hanarth fonds 2019ZonMw 10-10400-96-14003
6 · The paper itself

Abstract

Treatment decisions for patients with presumed glioblastoma are based on tumor characteristics available from a preoperative MR scan. Tumor characteristics, including volume, location, and resectability, are often estimated or manually delineated. This process is time consuming and subjective. Hence, comparison across cohorts, trials, or registries are subject to assessment bias. In this study, we propose a standardized Glioblastoma Surgery Imaging Reporting and Data System (GSI-RADS) based on an automated method of tumor segmentation that provides standard reports on tumor features that are potentially relevant for glioblastoma surgery. As clinical validation, we determine the agreement in extracted tumor features between the automated method and the current standard of manual segmentations from routine clinical MR scans before treatment. In an observational consecutive cohort of 1596 adult patients with a first time surgery of a glioblastoma from 13 institutions, we segmented gadolinium-enhanced tumor parts both by a human rater and by an automated algorithm. Tumor features were extracted from segmentations of both methods and compared to assess differences, concordance, and equivalence. The laterality, contralateral infiltration, and the laterality indices were in excellent agreement. The native and normalized tumor volumes had excellent agreement, consistency, and equivalence. Multifocality, but not the number of foci, had good agreement and equivalence. The location profiles of cortical and subcortical structures were in excellent agreement. The expected residual tumor volumes and resectability indices had excellent agreement, consistency, and equivalence. Tumor probability maps were in good agreement. In conclusion, automated segmentations are in excellent agreement with manual segmentations and practically equivalent regarding tumor features that are potentially relevant for neurosurgical purposes. Standard GSI-RADS reports can be generated by open access software.

Indexed as

computer-assisted image processingglioblastomamachine learningmagnetic resonance imagingneuroimagingneurosurgical procedures

Identifiers

PMID34201021
PMCPMC8229389

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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.