Evidence map›Paper›PMID 34841195›Full record

ArticleNature machine intelligence2021

Radiological tumor classification across imaging modality and histology.

Jia Wu, Chao Li, Michael Gensheimer, Sukhmani Padda, Fumi Kato, Hiroki Shirato, Yiran Wei, Carola-Bibiane Schönlieb, Stephen John Price, David Jaffray and 6 more

Open access · greenAbstract read
In one paragraph

Article in Nature machine intelligence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
8.9field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 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

16 authors at 5 institutions in 3 countries.

Jia Wu *Department of Radiation Oncology, Stanford University School of Medicine, Palo Alto, CA, USA.ORCID 0000-0001-8392-8338
Chao Li *The Centre for Mathematical Imaging in Healthcare, Department of Pure Mathematics and Mathematical Statistics, University of Cambridge, UK.
Michael GensheimerDepartment of Radiation Oncology, Stanford University School of Medicine, Palo Alto, CA, USA.
Sukhmani PaddaDepartment of Medicine, Division of Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Fumi KatoDepartment of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
Hiroki ShiratoGlobal Center for Biomedical Science and Engineering, Faculty of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Yiran WeiCambridge Brain Tumor Imaging Laboratory, Division of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Carola-Bibiane SchönliebDepartment of Applied Mathematics and Theoretical Physics, University of Cambridge, UK.
Stephen John PriceCambridge Brain Tumor Imaging Laboratory, Division of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
David JaffrayDepartment of Imaging Physics, MD Anderson Cancer Center, Houston, TX, USA.
John HeymachDepartment of Thoracic and Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Joel W NealDepartment of Medicine, Division of Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Billy W LooDepartment of Radiation Oncology, Stanford University School of Medicine, Palo Alto, CA, USA.
Heather WakeleeDepartment of Medicine, Division of Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Maximilian DiehnDepartment of Radiation Oncology, Stanford University School of Medicine, Palo Alto, CA, USA.
Ruijiang LiDepartment of Radiation Oncology, Stanford University School of Medicine, Palo Alto, CA, USA.ORCID 0000-0002-0232-5998
Stanford University · USUniversity of Cambridge · GBThe University of Texas MD Anderson Cancer Center · USHokkaido University · JPHokkaido University Hospital · JP

Funding

Imaging and circulating DNA markers to assess early response and predict treatment failure patterns in lung cancerR01CA233578 · NCI · STANFORD UNIVERSITY · PI DIEHN, MAXIMILIAN, LI, RUIJIANG · 2019 to 2023
$2.7M
Multiregional imaging phenotypes and molecular correlates of aggressive versus indolent breast cancerR01CA222512 · NCI · STANFORD UNIVERSITY · PI LI, RUIJIANG · 2018 to 2023
$2.4M
MRI-Based Radiation Therapy Treatment PlanningR01CA193730 · NCI · STANFORD UNIVERSITY · PI LI, RUIJIANG · 2016 to 2020
$1.8M
QUANTITATIVE IMAGING BIOMARKERS OF TREATMENT RESPONSE AND PROGNOSIS IN BREAST CANCERR00CA218667 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI WU, JIA · 2020 to 2022
$747k
Quantitative Imaging Biomarkers of Treatment Response and Prognosis in Breast CancerK99CA218667 · NCI · STANFORD UNIVERSITY · PI WU, JIA · 2018 to 2019
$322k
Cancer Research UK 19732NCI NIH HHS K99 CA218667NCI NIH HHS R00 CA218667NCI NIH HHS R01 CA193730NCI NIH HHS R01 CA222512NCI NIH HHS R01 CA233578
6 · The paper itself

Abstract

Radiomics refers to the high-throughput extraction of quantitative features from radiological scans and is widely used to search for imaging biomarkers for prediction of clinical outcomes. Current radiomic signatures suffer from limited reproducibility and generalizability, because most features are dependent on imaging modality and tumor histology, making them sensitive to variations in scan protocol. Here, we propose novel radiological features that are specially designed to ensure compatibility across diverse tissues and imaging contrast. These features provide systematic characterization of tumor morphology and spatial heterogeneity. In an international multi-institution study of 1,682 patients, we discover and validate four unifying imaging subtypes across three malignancies and two major imaging modalities. These tumor subtypes demonstrate distinct molecular characteristics and prognoses after conventional therapies. In advanced lung cancer treated with immunotherapy, one subtype is associated with improved survival and increased tumor-infiltrating lymphocytes compared with the others. Deep learning enables automatic tumor segmentation and reproducible subtype identification, which can facilitate practical implementation. The unifying radiological tumor classification may inform prognosis and treatment response for precision medicine.

Identifiers

PMID34841195
PMCPMC8612063
OpenAlexW3188344035

What OpenQuestion holds

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Registered trials

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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.