Evidence map›Paper›PMID 34591597›Full record

ArticleThe British journal of radiology2021

Diagnostic performance of qualitative and radiomics approach to parotid gland tumors: which is the added benefit of texture analysis?

Federica Vernuccio, Federica Arnone, Roberto Cannella, Barbara Verro, Albert Comelli, Francesco Agnello, Alessandro Stefano, Rosalia Gargano, Vito Rodolico, Giuseppe Salvaggio and 3 more

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in The British journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 37 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

13 authors at 2 institutions in 1 country.

Federica VernuccioDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University Hospital of Palermo, Palermo, Italy.ORCID 0000-0003-0350-1794
Federica ArnoneDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University Hospital of Palermo, Palermo, Italy.
Roberto CannellaDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University Hospital of Palermo, Palermo, Italy.
Barbara VerroDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University Hospital of Palermo, Palermo, Italy.
Albert ComelliRi.MED Foundation, Palermo, Italy.
Francesco AgnelloDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University Hospital of Palermo, Palermo, Italy.
Alessandro StefanoInstitute of Molecular Bioimaging and Physiology, National Research Council (IBFM-CNR), Cefalù, Italy.
Rosalia GarganoDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University Hospital of Palermo, Palermo, Italy.
Vito RodolicoDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, Palermo, Italy.
Giuseppe SalvaggioDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University Hospital of Palermo, Palermo, Italy.
Roberto LagallaDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University Hospital of Palermo, Palermo, Italy.
Massimo MidiriDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University Hospital of Palermo, Palermo, Italy.
Antonio Lo CastoDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University Hospital of Palermo, Palermo, Italy.
University of Palermo · ITInstitute of Molecular Bioimaging and Physiology · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether MRI-based texture analysis improves diagnostic performance for the diagnosis of parotid gland tumors compared to conventional radiological approach.

methodsPatients with parotid gland tumors who underwent salivary glands MRI between 2008 and 2019 were retrospectively selected. MRI analysis included a qualitative assessment by two radiologists (one of which subspecialized on head and neck imaging), and texture analysis on various sequences. Diagnostic performances including sensitivity, specificity, and area under the receiver operating characteristic curve (AUROC) of qualitative features, radiologists' diagnosis, and radiomic models were evaluated.

resultsFinal study cohort included 57 patients with 74 tumors (27 pleomorphic adenomas, 40 Warthin tumors, 8 malignant tumors). Sensitivity, specificity, and AUROC for the diagnosis of malignancy were 75%, 97% and 0.860 for non-subspecialized radiologist, 100%, 94% and 0.970 for subspecialized radiologist and 57.2%, 93.4%, and 0.927 using a MRI radiomics model obtained combining texture analysis on various MRI sequences. Sensitivity, specificity, and AUROC for the differential diagnosis between pleomorphic adenoma and Warthin tumors were 81.5%, 70%, and 0.757 for non-subspecialized radiologist, 81.5%, 95% and 0.882 for subspecialized radiologist and 70.8%, 82.5%, and 0.808 using a MRI radiomics model based on texture analysis of

conclusionMRI qualitative radiologist assessment outperforms radiomic analysis for the diagnosis of malignancy. MRI predictive radiomics models improves the diagnostic performance of non-subspecialized radiologist for the differential diagnosis between pleomorphic adenoma and Warthin tumor, achieving similar performance to the subspecialized radiologist. ADVANCES IN KNOWLEDGE: Radiologists outperform radiomic analysis for the diagnosis of malignant parotid gland tumors, with some MRI qualitative features such as ill-defined margins, perineural spread, invasion of adjacent structures and enlarged lymph nodes being highly specific for malignancy. A radiomic model based on texture analysis of

Indexed as

AdolescentAdultAgedAged, 80 and overChildDiagnosis, DifferentialEvaluation Studies as TopicFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedParotid GlandParotid NeoplasmsReproducibility of ResultsRetrospective Studies

Identifiers

PMID34591597
PMCPMC8631014
OpenAlexW3204876282

What OpenQuestion holds

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LicenceCC BY-NC
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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.