Evidence map›Paper›PMID 34775000›Full record

ArticleInternational journal of radiation oncology, biology, physics2022

Integration of Deep Learning Radiomics and Counts of Circulating Tumor Cells Improves Prediction of Outcomes of Early Stage NSCLC Patients Treated With Stereotactic Body Radiation Therapy.

Zhicheng Jiao, Hongming Li, Ying Xiao, Jay Dorsey, Charles B Simone, Steven Feigenberg, Gary Kao, Yong Fan

Open access · greenAbstract read
In one paragraph

Article in International journal of radiation oncology, biology, physics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Recent advances in applying machine learning to proton radiotherapy.Biomedical physics & engineering express · 2025
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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

8 authors at 2 institutions in 1 country.

Zhicheng JiaoDepartment of Radiology, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania.
Hongming LiDepartment of Radiology, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania.
Ying XiaoDepartment of Radiation Oncology, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania.
Jay DorseyDepartment of Radiation Oncology, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania.
Charles B SimoneNew York Proton Center, New York, New York; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Steven FeigenbergDepartment of Radiation Oncology, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania.
Gary KaoDepartment of Radiation Oncology, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania.
Yong FanDepartment of Radiology, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: yong.fan@pennmedicine.upenn.edu.
University of Pennsylvania · USMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Circulating Tumor Cells Analyses and Molecular Profiling for Patients Receiving Radiation TherapyR01CA201071 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DORSEY, JAY FITZGERALD, KAO, GARY D · 2016 to 2020
$2.2M
Biomedical Image Computing and Informatics ClusterS10OD023495 · OD · UNIVERSITY OF PENNSYLVANIA · PI DAVATZIKOS, CHRISTOS · 2017 to 2017
$1.9M
Learning radiomic signatures to early predict response of rectal cancer patients to neoadjuvant chemoradiation therapyR21CA223358 · NCI · UNIVERSITY OF PENNSYLVANIA · PI FAN, YONG · 2018 to 2019
$380k
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA201071NCI NIH HHS R21 CA223358NIH HHS S10 OD023495
6 · The paper itself

Abstract

purposeWe develop a deep learning (DL) radiomics model and integrate it with circulating tumor cell (CTC) counts as a clinically useful prognostic marker for predicting recurrence outcomes of early-stage (ES) non-small cell lung cancer (NSCLC) patients treated with stereotactic body radiation therapy (SBRT). METHODS AND MATERIALS: A cohort of 421 NSCLC patients was used to train a DL model for gleaning informative imaging features from computed tomography (CT) data. The learned imaging features were optimized on a cohort of 98 ES-NSCLC patients treated with SBRT for predicting individual patient recurrence risks by building DL models on CT data and clinical measures. These DL models were validated on the third cohort of 60 ES-NSCLC patients treated with SBRT to predict recurrent risks and stratify patients into subgroups with distinct outcomes in conjunction with CTC counts.

resultsThe DL model obtained a concordance-index of 0.880 (95% confidence interval, 0.879-0.881). Patient subgroups with low and high DL risk scores had significantly different recurrence outcomes (P = 3.5e-04). The integration of DL risk scores and CTC measures identified 4 subgroups of patients with significantly different risks of recurrence (χ

conclusionsIn this first-ever study integrating DL radiomics models and CTC counts, our results suggested that this integration improves patient stratification compared with either imagining data or CTC measures alone in predicting recurrence outcomes for patients treated with SBRT for ES-NSCLC.

Indexed as

Carcinoma, Non-Small-Cell LungDeep LearningLung NeoplasmsNeoplastic Cells, CirculatingRadiosurgeryHumans

Identifiers

PMID34775000
PMCPMC9074888
OpenAlexW3214383549

What OpenQuestion holds

Textmetadata
LicenceTDM
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.