Evidence map›Paper›PMID 34830885›Full record

ArticleCancers2021

Quantitative Imaging Biomarkers of the Whole Liver Tumor Burden Improve Survival Prediction in Metastatic Pancreatic Cancer.

Leonie Gebauer, Jan H Moltz, Alexander Mühlberg, Julian W Holch, Thomas Huber, Johanna Enke, Nils Jäger, Michael Haas, Stephan Kruger, Stefan Boeck and 7 more

Open access · goldAbstract 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Tumor classification of gastrointestinal liver metastases using CT-based radiomics and deep learning.Cancer imaging : the official publication of the International Cancer Imaging Society · 2023
    Article
  7. Review
  8. Review
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  10. Article
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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

17 authors at 4 institutions in 1 country.

Leonie GebauerDepartment of Medicine III, University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Jan H MoltzFraunhofer Institute for Digital Medicine MEVIS, Max-von-Laue-Str. 2, 28359 Bremen, Germany.ORCID 0000-0002-7880-1014
Alexander MühlbergCT R&D Image Analytics, Siemens Healthineers, Siemensstr. 1, 91301 Forchheim, Germany.
Julian W HolchDepartment of Medicine III, University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Thomas HuberDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Johanna EnkeDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Nils JägerDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Michael HaasDepartment of Medicine III, University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Stephan KrugerDepartment of Medicine III, University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Stefan BoeckDepartment of Medicine III, University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Michael SühlingCT R&D Image Analytics, Siemens Healthineers, Siemensstr. 1, 91301 Forchheim, Germany.
Alexander KatzmannCT R&D Image Analytics, Siemens Healthineers, Siemensstr. 1, 91301 Forchheim, Germany.
Horst HahnFraunhofer Institute for Digital Medicine MEVIS, Max-von-Laue-Str. 2, 28359 Bremen, Germany.
Wolfgang G KunzDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.ORCID 0000-0002-5021-1952
Volker HeinemannDepartment of Medicine III, University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Dominik NörenbergDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.ORCID 0000-0001-7726-9006
Stefan MaurusDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
LMU Klinikum · DESiemens Healthineers (Germany) · DEFraunhofer Institute for Digital Medicine · DEHeidelberg University · DE

Funding

Federal Ministry of Education and Research FKZ 13GW0163B
6 · The paper itself

Abstract

Finding prognostic biomarkers with high accuracy in patients with pancreatic cancer (PC) remains a challenging problem. To improve the prediction of survival and to investigate the relevance of quantitative imaging biomarkers (QIB) we combined QIB with established clinical parameters. In this retrospective study a total of 75 patients with metastatic PC and liver metastases were analyzed. Segmentations of whole liver tumor burden (WLTB) from baseline contrast-enhanced CT images were used to derive QIBs. The benefits of QIBs in multivariable Cox models were analyzed in comparison with two clinical prognostic models from the literature. To discriminate survival, the two clinical models had concordance indices of 0.61 and 0.62 in a statistical setting. Combined clinical and imaging-based models achieved concordance indices of 0.74 and 0.70 with WLTB volume, tumor burden score (TBS), and bilobar disease being the three WLTB parameters that were kept by backward elimination. These combined clinical and imaging-based models have significantly higher predictive performance in discriminating survival than the underlying clinical models alone (

Indexed as

computed tomographymetastatic pancreatic cancerprognostic biomarkerquantitative imaging biomarkerradiomicsspatial analysiswhole liver tumor burden

Identifiers

PMID34830885
PMCPMC8616514
OpenAlexW3213244937

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.