Evidence map›Paper›PMID 34287480›Full record

ArticleClinics (Sao Paulo, Brazil)

Radiomic analysis of MRI to Predict Sustained Complete Response after Radiofrequency Ablation in Patients with Hepatocellular Carcinoma - A Pilot Study.

Natally Horvat, Jose de Arimateia B Araujo-Filho, Antonildes N Assuncao-Jr, Felipe Augusto de M Machado, John A Sims, Camila Carlos Tavares Rocha, Brunna Clemente Oliveira, Joao Vicente Horvat, Claudia Maccali, Anna Luísa Boschiroli Lamanna Puga and 3 more

Abstract read
In one paragraph

Article in Clinics (Sao Paulo, Brazil). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 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

13 authors.

Natally HorvatDepartamento de Radiologia, Hospital Sirio Libanes, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0001-8849-5789
Jose de Arimateia B Araujo-FilhoDepartamento de Radiologia, Hospital Sirio Libanes, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-8627-3661
Antonildes N Assuncao-JrInstituto de Educacao e Pesquisa, Hospital Sirio Libanes, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-2567-017X
Felipe Augusto de M MachadoInstituto de Educacao e Pesquisa, Hospital Sirio Libanes, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-1852-1782
John A SimsDepartamento de Engenharia Biomedica, Centro de Engenharia, Modelagem e Ciencias Sociais Aplicadas, Universidade Federal do ABC (UFABC), Santo Andre, SP, BR.ORCID http://orcid.org/0000-0002-6513-6860
Camila Carlos Tavares RochaDepartamento de Radiologia, Instituto de Radiologia (InRad), Hospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-3392-8011
Brunna Clemente OliveiraDepartamento de Radiologia, Hospital Sirio Libanes, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0003-0963-5910
Joao Vicente HorvatDepartamento de Radiologia, Hospital Sirio Libanes, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0001-5699-2094
Claudia MaccaliDepartamento de Gastroenterologia, Divisao de Gastroenterologia e Hepatologia Clinica, Hospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-0300-2066
Anna Luísa Boschiroli Lamanna PugaEscola Politecnica, Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-6099-599X
Aline Lopes ChagasDepartamento de Gastroenterologia, Divisao de Gastroenterologia e Hepatologia Clinica, Hospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-7404-2540
Marcos Roberto MenezesDepartamento de Radiologia, Hospital Sirio Libanes, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0001-7231-2925
Giovanni Guido CerriDepartamento de Radiologia, Hospital Sirio Libanes, Sao Paulo, SP, BR.ORCID http://orcid.org/0000-0002-6707-8721

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectivesTo investigate whether quantitative textural features, extracted from pretreatment MRI, can predict sustained complete response to radiofrequency ablation (RFA) in patients with hepatocellular carcinoma (HCC).

methodsIn this IRB-approved study, patients were selected from a maintained six-year database of consecutive patients who underwent both pretreatment MRI imaging with a probable or definitive imaging diagnosis of HCC (LI-RADS 4 or 5) and loco-regional treatment with RFA. An experienced radiologist manually segmented the hepatic nodules in MRI arterial and equilibrium phases to obtain the volume of interest (VOI) for extraction of 107 quantitative textural features, including shape and first- and second-order features. Statistical analysis was performed to evaluate associations between textural features and complete response.

resultsThe study consisted of 34 patients with 51 treated hepatic nodules. Sustained complete response was achieved by 6 patients (4 with single nodule and 2 with multiple nodules). Of the 107 features from the arterial and equilibrium phases, 20 (18%) and 25 (23%) achieved AUC >0.7, respectively. The three best performing features were found in the equilibrium phase: Dependence Non-Uniformity Normalized and Dependence Variance (both GLDM class, with AUC of 0.78 and 0.76, respectively) and Maximum Probability (GLCM class, AUC of 0.76).

conclusionsThis pilot study demonstrates that a radiomic analysis of pre-treatment MRI might be useful in identifying patients with HCC who are most likely to have a sustained complete response to RFA. Second-order features (GLDM and GLCM) extracted from equilibrium phase obtained highest discriminatory performance.

Indexed as

Carcinoma, HepatocellularCatheter AblationLiver NeoplasmsRadiofrequency AblationHumansMagnetic Resonance ImagingPilot ProjectsRetrospective Studies

Identifiers

PMID34287480
PMCPMC8266162

What OpenQuestion holds

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LicenceCC BY
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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.