Evidence map›Paper›PMID 34911546›Full record

ArticleRadiation oncology (London, England)2021

Delta radiomics analysis of Magnetic Resonance guided radiotherapy imaging data can enable treatment response prediction in pancreatic cancer.

M R Tomaszewski, K Latifi, E Boyer, R F Palm, I El Naqa, E G Moros, S E Hoffe, S A Rosenberg, J M Frakes, R J Gillies

Open access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  9. MR-linac: role of artificial intelligence and automation.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 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

10 authors at 2 institutions in 1 country.

M R TomaszewskiCancer Physiology Department, H. Lee Moffitt Cancer Center and Research Institute, 12902 USF Magnolia Dr, Tampa, FL, 33612, USA.
K LatifiMedical Physics Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
E BoyerRadiation Oncology Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
R F PalmRadiation Oncology Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
I El NaqaMachine Learning Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
E G MorosMedical Physics Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
S E HoffeRadiation Oncology Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
S A RosenbergRadiation Oncology Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
J M FrakesRadiation Oncology Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
R J GilliesCancer Physiology Department, H. Lee Moffitt Cancer Center and Research Institute, 12902 USF Magnolia Dr, Tampa, FL, 33612, USA. Robert.gillies@moffitt.org.ORCID https://orcid.org/0000-0002-8888-7747
Moffitt Cancer Center · USUnited States Military Academy · US

Funding

"Research Supplement to Promote Diversity in Health-Related Research", as part of Moffitt PS-OC, "Cancer as a Complex adaptive System"U54CA193489 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI ANDERSON, ALEXANDER ROBERTSON ALLAN, GATENBY, ROBERT A · 2015 to 2020
$12.5M
Quantitative Imaging Clinical Validation Center at Moffitt Cancer CenterU01CA200464 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI JOHN J HEINE, Matthew B. Schabath · 2016 to 2026
$9.2M
Imaging Habitats in SarcomaR01CA187532 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI GILLIES, ROBERT J., MARTINEZ, GARY · 2015 to 2019
$2.7M
Foundation for the National Institutes of Health 1U54CA193489Foundation for the National Institutes of Health R01CA187532Foundation for the National Institutes of Health U01CA200464NCI NIH HHS R01 CA187532NCI NIH HHS U01 CA200464NCI NIH HHS U54 CA193489
6 · The paper itself

Abstract

backgroundMagnetic Resonance Image guided Stereotactic body radiotherapy (MRgRT) is an emerging technology that is increasingly used in treatment of visceral cancers, such as pancreatic adenocarcinoma (PDAC). Given the variable response rates and short progression times of PDAC, there is an unmet clinical need for a method to assess early RT response that may allow better prescription personalization. We hypothesize that quantitative image feature analysis (radiomics) of the longitudinal MR scans acquired before and during MRgRT may be used to extract information related to early treatment response.

methodsHistogram and texture radiomic features (n = 73) were extracted from the Gross Tumor Volume (GTV) in 0.35T MRgRT scans of 26 locally advanced and borderline resectable PDAC patients treated with 50 Gy RT in 5 fractions. Feature ratios between first (F1) and last (F5) fraction scan were correlated with progression free survival (PFS). Feature stability was assessed through region of interest (ROI) perturbation.

resultsLinear normalization of image intensity to median kidney value showed improved reproducibility of feature quantification. Histogram skewness change during treatment showed significant association with PFS (p = 0.005, HR = 2.75), offering a potential predictive biomarker of RT response. Stability analyses revealed a wide distribution of feature sensitivities to ROI delineation and was able to identify features that were robust to variability in contouring.

conclusionsThis study presents a proof-of-concept for the use of quantitative image analysis in MRgRT for treatment response prediction and providing an analysis pipeline that can be utilized in future MRgRT radiomic studies.

Indexed as

AdenocarcinomaAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPancreatic NeoplasmsRadiotherapy, Image-GuidedTumor Burden

Identifiers

PMID34911546
PMCPMC8672552
OpenAlexW4200505423

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.