Evidence map›Paper›PMID 34258636›Full record

ArticleEuropean radiology2022

Pre-treatment CT-based radiomics nomogram for predicting microsatellite instability status in colorectal cancer.

Qian Pei, Xiaoping Yi, Chen Chen, Peipei Pang, Yan Fu, Guangwu Lei, Changyong Chen, Fengbo Tan, Guanghui Gong, Qingling Li and 2 more

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In one paragraph

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 42 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 4 pooled it
12.9field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 107 citations in OpenAlex.

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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

12 authors at 2 institutions in 2 countries.

Qian Pei *Department of General Surgery, Xiangya Hospital, Central South University, Changsha, People's Republic of China.
Xiaoping Yi *Department of Radiology, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410008, People's Republic of China. yixiaoping@csu.edu.cn.ORCID http://orcid.org/0000-0002-4220-1981
Chen ChenDepartment of Radiology, 331 Hospital of Zhuzhou City, Zhuzhou, People's Republic of China.
Peipei PangGE Healthcare, Hangzhou, 310000, People's Republic of China.
Yan FuDepartment of Radiology, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410008, People's Republic of China.
Guangwu LeiDepartment of Radiology, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410008, People's Republic of China.
Changyong ChenDepartment of Radiology, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410008, People's Republic of China.
Fengbo TanDepartment of General Surgery, Xiangya Hospital, Central South University, Changsha, People's Republic of China.
Guanghui GongDepartment of Pathology, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410008, People's Republic of China.
Qingling LiDepartment of Pathology, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410008, People's Republic of China. liqinglingw168@163.com.
Hongyan ZaiDepartment of General Surgery, Xiangya Hospital, Central South University, Changsha, People's Republic of China.
Bihong T ChenDepartment of Diagnostic Radiology, City of Hope National Medical Center, Duarte, CA, USA.
Central South University · CNCity Of Hope National Medical Center · US

Funding

Natural Science Foundation of Hunan Province 2018JJ2641, 2019JJ40485
6 · The paper itself

Abstract

objectivesStratification of microsatellite instability (MSI) status in patients with colorectal cancer (CRC) improves clinical decision-making for cancer treatment. The present study aimed to develop a radiomics nomogram to predict the pre-treatment MSI status in patients with CRC.

methodsA total of 762 patients with CRC confirmed by surgical pathology and MSI status determined with polymerase chain reaction (PCR) method were retrospectively recruited between January 2013 and May 2019. Radiomics features were extracted from routine pre-treatment abdominal pelvic computed tomography (CT) scans acquired as part of the patients' clinical care. A radiomics nomogram was constructed using multivariate logistic regression. The performance of the nomogram was evaluated using discrimination, calibration, and decision curves.

resultsThe radiomics nomogram incorporating radiomics signatures, tumor location, patient age, high-density lipoprotein expression, and platelet counts showed good discrimination between patients with non-MSI-H and MSI-H, with an area under the curve (AUC) of 0.74 [95% CI, 0.68-0.80] in the training cohort and 0.77 [95% CI, 0.68-0.85] in the validation cohort. Favorable clinical application was observed using decision curve analysis. The addition of pathological characteristics to the nomogram failed to show incremental prognostic value.

conclusionsWe developed a radiomics nomogram incorporating radiomics signatures and clinical indicators, which could potentially be used to facilitate the individualized prediction of MSI status in patients with CRC. KEY POINTS: • There is an unmet need to non-invasively determine MSI status prior to treatment. However, the traditional radiological evaluation of CT is limited for evaluating MSI status. • Our non-invasive CT imaging-based radiomics method could efficiently distinguish patients with high MSI disease from those with low MSI disease. • Our radiomics approach demonstrated promising diagnostic efficiency for MSI status, similar to the commonly used IHC method.

Indexed as

Colorectal NeoplasmsNomogramsHumansMicrosatellite InstabilityRetrospective StudiesTomography, X-Ray ComputedColorectal cancer (CRC)CT scansMicrosatellite instability (MSI)NomogramPolymerase chain reaction (PCR)

Identifiers

PMID34258636
OpenAlexW3181460753

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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.