Evidence map›Paper›PMID 34439186›Full record

ArticleCancers2021

Enhancement of Radiosurgical Treatment Outcome Prediction Using MRI Radiomics in Patients with Non-Small Cell Lung Cancer Brain Metastases.

Chien-Yi Liao, Cheng-Chia Lee, Huai-Che Yang, Ching-Jen Chen, Wen-Yuh Chung, Hsiu-Mei Wu, Wan-Yuo Guo, Ren-Shyan Liu, Chia-Feng Lu

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 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Personalized prediction of immunotherapy response in lung cancer patients using advanced radiomics and deep learning.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Article
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  16. Computational Modeling and AI in Radiation Neuro-Oncology and Radiosurgery.Advances in experimental medicine and biology · 2024
    Review
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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

9 authors.

Chien-Yi LiaoDepartment of Biomedical Imaging and Radiological Sciences, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan.
Cheng-Chia LeeDepartment of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei 11217, Taiwan.
Huai-Che YangDepartment of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei 11217, Taiwan.
Ching-Jen ChenDepartment of Neurological Surgery, University of Virginia Health System, Charlottesville, VA 22908, USA.ORCID 0000-0002-7830-9273
Wen-Yuh ChungDepartment of Neurosurgery, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan.
Hsiu-Mei WuSchool of Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan.
Wan-Yuo GuoSchool of Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan.
Ren-Shyan LiuDepartment of Nuclear Medicine, Cheng Hsin General Hospital, Taipei 11220, Taiwan.
Chia-Feng LuDepartment of Biomedical Imaging and Radiological Sciences, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan.ORCID 0000-0003-1344-9950

Funding

Ministry of Science and Technology, Taiwan MOST 109-2314-B-010-022-MY3University System of Taiwan VGHUST110-G7-2-2
6 · The paper itself

Abstract

The diagnosis of brain metastasis (BM) is commonly observed in non-small cell lung cancer (NSCLC) with poor outcomes. Accordingly, developing an approach to early predict BM response to Gamma Knife radiosurgery (GKRS) may benefit the patient treatment and monitoring. A total of 237 NSCLC patients with BMs (for survival prediction) and 256 patients with 976 BMs (for prediction of local tumor control) treated with GKRS were retrospectively analyzed. All the survival data were recorded without censoring, and the status of local tumor control was determined by comparing the last MRI follow-up in patients' lives with the pre-GKRS MRI. Overall 1763 radiomic features were extracted from pre-radiosurgical magnetic resonance images. Three prediction models were constructed, using (1) clinical data, (2) radiomic features, and (3) clinical and radiomic features. Support vector machines with a 30% hold-out validation approach were constructed. For treatment outcome predictions, the models derived from both the clinical and radiomics data achieved the best results. For local tumor control, the combined model achieved an area under the curve (AUC) of 0.95, an accuracy of 90%, a sensitivity of 91%, and a specificity of 89%. For patient survival, the combined model achieved an AUC of 0.81, an accuracy of 77%, a sensitivity of 78%, and a specificity of 80%. The pre-radiosurgical radiomics data enhanced the performance of local tumor control and survival prediction models in NSCLC patients with BMs treated with GRKS. An outcome prediction model based on radiomics combined with clinical features may guide therapy in these patients.

Indexed as

brain metastasisGamma Knife radiosurgerymachine learningmagnetic resonance imagingnon-small cell lung canceroutcome predictionradiomics

Identifiers

PMID34439186
PMCPMC8392266

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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.