Evidence map›Paper›PMID 34724139›Full record

ArticleLa Radiologia medica2022

Radiomic analysis to predict local response in locally advanced pancreatic cancer treated with stereotactic body radiation therapy.

Fabiana Gregucci, Alba Fiorentino, Rosario Mazzola, Francesco Ricchetti, Ilaria Bonaparte, Alessia Surgo, Vanessa Figlia, Roberta Carbonara, Morena Caliandro, Maria Paola Ciliberti and 2 more

Abstract read
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In one paragraph

Article in La Radiologia medica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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  6. [Imaging of pancreatic neuroendocrine tumors].Radiologie (Heidelberg, Germany) · 2024
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  14. Peritoneal Carcinosis: What the Radiologist Needs to Know.Diagnostics (Basel, Switzerland) · 2023
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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 4 institutions in 1 country.

Fabiana GregucciRadiation Oncology Department, General Regional Hospital "F. Miulli", Strada Prov 127, 70021, Acquaviva delle Fonti-Bari, Italy. fabianagregucci@gmail.com.
Alba FiorentinoRadiation Oncology Department, General Regional Hospital "F. Miulli", Strada Prov 127, 70021, Acquaviva delle Fonti-Bari, Italy.
Rosario MazzolaAdvanced Radiation Oncology Department, IRCCS Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Francesco RicchettiAdvanced Radiation Oncology Department, IRCCS Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Ilaria BonaparteRadiation Oncology Department, General Regional Hospital "F. Miulli", Strada Prov 127, 70021, Acquaviva delle Fonti-Bari, Italy.
Alessia SurgoRadiation Oncology Department, General Regional Hospital "F. Miulli", Strada Prov 127, 70021, Acquaviva delle Fonti-Bari, Italy.
Vanessa FigliaAdvanced Radiation Oncology Department, IRCCS Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Roberta CarbonaraRadiation Oncology Department, General Regional Hospital "F. Miulli", Strada Prov 127, 70021, Acquaviva delle Fonti-Bari, Italy.
Morena CaliandroRadiation Oncology Department, General Regional Hospital "F. Miulli", Strada Prov 127, 70021, Acquaviva delle Fonti-Bari, Italy.
Maria Paola CilibertiRadiation Oncology Department, General Regional Hospital "F. Miulli", Strada Prov 127, 70021, Acquaviva delle Fonti-Bari, Italy.
Ruggero RuggieriAdvanced Radiation Oncology Department, IRCCS Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Filippo AlongiAdvanced Radiation Oncology Department, IRCCS Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Ospedale Generale Regionale Francesco Miulli · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITOspedale Sacro Cuore Don Calabria · ITUniversity of Brescia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAim of this study is to assess the ability of contrast-enhanced CT image-based radiomic analysis to predict local response (LR) in a retrospective cohort of patients affected by pancreatic cancer and treated with stereotactic body radiation therapy (SBRT). Secondary aim is to evaluate progression free survival (PFS) and overall survival (OS) at long-term follow-up.

methodsContrast-enhanced-CT images of 37 patients who underwent SBRT were analyzed. Two clinical variables (BED, CTV volume), 27 radiomic features were included. LR was used as the outcome variable to build the predictive model. The Kaplan-Meier method was used to evaluate PFS and OS.

resultsThree variables were statistically correlated with the LR in the univariate analysis: Intensity Histogram (StdValue feature), Gray Level Cooccurrence Matrix (GLCM25_Correlation feature) and Neighbor Intensity Difference (NID25_Busyness feature). Multivariate model showed GLCM25_Correlation (P = 0.007) and NID25_Busyness (P = 0.03) as 2 independent predictive variables for LR. The odds ratio values of GLCM25_Correlation and NID25_Busyness were 0.07 (95%CI 0.01-0.49) and 8.10 (95%CI 1.20-54.40), respectively. The area under the curve for the multivariate logistic regressive model was 0.851 (95%CI 0.724-0.978). At a median follow-up of 30 months, median PFS was 7 months (95%CI 6-NA); median OS was 11 months (95%CI 10-22 months).

conclusionsThis analysis identified a radiomic signature that correlates with LR. To confirm these results, prospective studies could identify patient sub-groups with different rates of radiation dose-response to define a more personalized SBRT approach.

Indexed as

Contrast MediaCohort StudiesFollow-Up StudiesHumansPancreasPancreatic NeoplasmsProgression-Free SurvivalRadiographic Image EnhancementRadiosurgeryRetrospective StudiesSurvival AnalysisTomography, X-Ray ComputedContrast MediaLocal controlPancreatic cancerPredictive analysisRadiomicsStereotactic body radiation therapy

Identifiers

PMID34724139
OpenAlexW3210221738

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.