Evidence map›Paper›PMID 34205786›Full record

ArticleCancers2021

Deep Learning with Quantitative Features of Magnetic Resonance Images to Predict Biochemical Recurrence of Radical Prostatectomy: A Multi-Center Study.

Ye Yan, Lizhi Shao, Zhenyu Liu, Wei He, Guanyu Yang, Jiangang Liu, Haizhui Xia, Yuting Zhang, Huiying Chen, Cheng Liu and 8 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 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 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

29 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

18 authors.

Ye YanDepartment of Urology, Peking University Third Hospital, Peking University, Beijing 100191, China.ORCID 0000-0003-0847-561X
Lizhi ShaoCAS Key Laboratory of Molecular Imaging, Beijing Key Laboratory of Molecular Imaging, the State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China.
Zhenyu LiuCAS Key Laboratory of Molecular Imaging, Beijing Key Laboratory of Molecular Imaging, the State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China.ORCID 0000-0001-7559-8519
Wei HeDepartment of Radiology, Peking University Third Hospital, Peking University, Beijing 100191, China.
Guanyu YangSchool of Computer Science and Engineering, Southeast University, Nanjing 210096, China.
Jiangang LiuBeijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Engineering Medicine, Beihang University, Beijing 100191, China.
Haizhui XiaDepartment of Urology, Peking University Third Hospital, Peking University, Beijing 100191, China.
Yuting ZhangDepartment of Urology, Peking University Third Hospital, Peking University, Beijing 100191, China.
Huiying ChenDepartment of Radiology, Peking University Third Hospital, Peking University, Beijing 100191, China.
Cheng LiuDepartment of Urology, Peking University Third Hospital, Peking University, Beijing 100191, China.
Min LuDepartment of Pathology, Peking University Third Hospital, Peking University, Beijing 100191, China.
Lulin MaDepartment of Urology, Peking University Third Hospital, Peking University, Beijing 100191, China.
Kai SunCAS Key Laboratory of Molecular Imaging, Beijing Key Laboratory of Molecular Imaging, the State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China.
Xuezhi ZhouCAS Key Laboratory of Molecular Imaging, Beijing Key Laboratory of Molecular Imaging, the State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China.
Xiongjun YeUrology and Lithotripsy Center, Peking University People's Hospital, Peking University, Beijing 100044, China.
Lei WangDepartment of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Jie TianCAS Key Laboratory of Molecular Imaging, Beijing Key Laboratory of Molecular Imaging, the State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China.
Jian LuDepartment of Urology, Peking University Third Hospital, Peking University, Beijing 100191, China.ORCID 0000-0002-9144-7486

Funding

the Beijing Natural Science Foundation Z200027the National Key R&D Program of China 2018YFC0115900the National Natural Science Foundation of China 61871004, 81922040the Youth Innovation Promotion Association CAS 2019136
6 · The paper itself

Abstract

Biochemical recurrence (BCR) occurs in up to 27% of patients after radical prostatectomy (RP) and often compromises oncologic survival. To determine whether imaging signatures on clinical prostate magnetic resonance imaging (MRI) could noninvasively characterize biochemical recurrence and optimize treatment. We retrospectively enrolled 485 patients underwent RP from 2010 to 2017 in three institutions. Quantitative and interpretable features were extracted from T2 delineated tumors. Deep learning-based survival analysis was then applied to develop the deep-radiomic signature (DRS-BCR). The model's performance was further evaluated, in comparison with conventional clinical models. The model achieved C-index of 0.802 in both primary and validating cohorts, outweighed the CAPRA-S score (0.677), NCCN model (0.586) and Gleason grade group systems (0.583). With application analysis, DRS-BCR model can significantly reduce false-positive predictions, so that nearly one-third of patients could benefit from the model by avoiding overtreatments. The deep learning-based survival analysis assisted quantitative image features from MRI performed well in prediction for BCR and has significant potential in optimizing systemic neoadjuvant or adjuvant therapies for prostate cancer patients.

Indexed as

biochemical recurrencedeep learningMRIprostate cancersurvival prediction

Identifiers

PMID34205786
PMCPMC8234539

What OpenQuestion holds

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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.