Evidence map›Paper›PMID 34327133›Full record

ArticleFrontiers in oncology2021

Development of a Machine Learning Classifier Based on Radiomic Features Extracted From Post-Contrast 3D T1-Weighted MR Images to Distinguish Glioblastoma From Solitary Brain Metastasis.

Alix de Causans, Alexandre Carré, Alexandre Roux, Arnault Tauziède-Espariat, Samy Ammari, Edouard Dezamis, Frederic Dhermain, Sylvain Reuzé, Eric Deutsch, Catherine Oppenheim and 4 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 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

14 authors.

Alix de CausansNeuroradiology Department, Hôpital Sainte-Anne, GHU-Paris Psychiatrie et Neurosciences, Paris, France.
Alexandre CarréRadiothérapie Moléculaire et Innovation Thérapeutique, INSERM UMR1030, Gustave Roussy Cancer Campus, Université Paris Saclay, Villejuif, France.
Alexandre RouxUniversité de Paris, Paris, France.
Arnault Tauziède-EspariatUniversité de Paris, Paris, France.
Samy AmmariDépartement de Radiologie, Gustave Roussy, Université Paris Saclay, Villejuif, France.
Edouard DezamisUniversité de Paris, Paris, France.
Frederic DhermainRadiothérapie Moléculaire et Innovation Thérapeutique, INSERM UMR1030, Gustave Roussy Cancer Campus, Université Paris Saclay, Villejuif, France.
Sylvain ReuzéRadiothérapie Moléculaire et Innovation Thérapeutique, INSERM UMR1030, Gustave Roussy Cancer Campus, Université Paris Saclay, Villejuif, France.
Eric DeutschRadiothérapie Moléculaire et Innovation Thérapeutique, INSERM UMR1030, Gustave Roussy Cancer Campus, Université Paris Saclay, Villejuif, France.
Catherine OppenheimNeuroradiology Department, Hôpital Sainte-Anne, GHU-Paris Psychiatrie et Neurosciences, Paris, France.
Pascale VarletUniversité de Paris, Paris, France.
Johan PalludUniversité de Paris, Paris, France.
Myriam EdjlaliNeuroradiology Department, Hôpital Sainte-Anne, GHU-Paris Psychiatrie et Neurosciences, Paris, France.
Charlotte RobertRadiothérapie Moléculaire et Innovation Thérapeutique, INSERM UMR1030, Gustave Roussy Cancer Campus, Université Paris Saclay, Villejuif, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo differentiate Glioblastomas (GBM) and Brain Metastases (BM) using a radiomic features-based Machine Learning (ML) classifier trained from post-contrast three-dimensional T1-weighted (post-contrast 3DT1) MR imaging, and compare its performance in medical diagnosis

methodsWe enrolled 143 patients (71 GBM and 72 BM) in a retrospective bicentric study from January 2010 to May 2019 to train the classifier. Post-contrast 3DT1 MR images were performed on a 3-Tesla MR unit and 100 radiomic features were extracted. Selection and optimization of the Machine Learning (ML) classifier was performed using a nested cross-validation. Sensitivity, specificity, balanced accuracy, and area under the receiver operating characteristic curve (AUC) were calculated as performance metrics. The model final performance was cross-validated, then evaluated on a test set of 37 patients, and compared to human blind reading using a McNemar's test.

resultsThe ML classifier had a mean [95% confidence interval] sensitivity of 85% [77; 94], a specificity of 87% [78; 97], a balanced accuracy of 86% [80; 92], and an AUC of 92% [87; 97] with cross-validation. Sensitivity, specificity, balanced accuracy and AUC were equal to 75, 86, 80 and 85% on the test set. Sphericity 3D radiomic index highlighted the highest coefficient in the logistic regression model. There were no statistical significant differences observed between the performance of the classifier and the experts' blinded examination.

conclusionsThe proposed diagnostic support system based on radiomic features extracted from post-contrast 3DT1 MR images helps in differentiating solitary BM from GBM with high diagnosis performance and generalizability.

Indexed as

brain metastasisdiagnostic decision support systemglioblastomamachine learningradiomics

Identifiers

PMID34327133
PMCPMC8315001

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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.