Evidence map›Paper›PMID 34917908›Full record

ArticleEClinicalMedicine2021

Multi-task deep learning network to predict future macrovascular invasion in hepatocellular carcinoma.

Sirui Fu, Haoran Lai, Meiyan Huang, Qiyang Li, Yao Liu, Jiawei Zhang, Jianwen Huang, Xiumei Chen, Chongyang Duan, Xiaoqun Li and 4 more

Abstract read
In one paragraph

Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

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  19. Technological Advancements in Interventional Oncology.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

14 authors.

Sirui FuZhuhai Interventional Medical Centre, Zhuhai People's Hospital (Zhuhai hospital affiliated to Jinan University), Zhuhai, China.
Haoran LaiSchool of Biomedical Engineering, Southern Medical University, Guangzhou, China.
Meiyan HuangSchool of Biomedical Engineering, Southern Medical University, Guangzhou, China.
Qiyang LiDepartment of Radiology, Shenzhen People's Hospital, Shenzhen, China.
Yao LiuZhuhai Interventional Medical Centre, Zhuhai People's Hospital (Zhuhai hospital affiliated to Jinan University), Zhuhai, China.
Jiawei ZhangSchool of Biomedical Engineering, Southern Medical University, Guangzhou, China.
Jianwen HuangZhuhai Interventional Medical Centre, Zhuhai People's Hospital (Zhuhai hospital affiliated to Jinan University), Zhuhai, China.
Xiumei ChenSchool of Biomedical Engineering, Southern Medical University, Guangzhou, China.
Chongyang DuanDepartment of Biostatistics, School of Public Health, Southern Medical University, Guangzhou, China.
Xiaoqun LiDepartment of Interventional Treatment, Zhongshan City People's Hospital, Zhongshan, China.
Tao WangSchool of Biomedical Engineering, Southern Medical University, Guangzhou, China.
Xiaofeng HeInterventional Diagnosis and Treatment Department, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Jianfeng YanDepartment of Radiology, Yangjiang People's hospital, Yangjiang, China.
Ligong LuZhuhai Interventional Medical Centre, Zhuhai People's Hospital (Zhuhai hospital affiliated to Jinan University), Zhuhai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundModels predicting future macrovascular invasion in hepatocellular carcinoma are constructed to assist timely interventions.

methodsA total of 366 HCC cases were retrospectively collected from five Chinese hospitals between April 2007 and November 2016: the training dataset comprised 281 patients from four hospitals; the external validation dataset comprised 85 patients from another hospital. Multi-task deep learning network-based models were constructed to predict future macrovascular invasion. The discrimination, calibration, and decision curves were compared to identify the best model. We compared the time to macrovascular invasion and overall survival using the best model and related image heterogeneity scores (H-score). Then, we determined the need for a segmentation subnet or the replacement deep learning algorithm by logistic regression in screening clinical/radiological factors. Finally, an applet was constructed for future application.

findingsThe best model combined clinical/radiological factors and radiomic features. It achieved best discrimination (areas under the curve: 0·877 in the training dataset and 0·836 in the validation dataset), calibration, and decision curve. Its performance was not affected by the treatments and disease stages. The subgroups had statistical significance for time to macrovascular invasion (training: hazard ratio [HR] = 0·073, 95% confidence interval [CI]: 0·032-0·167,

interpretationOur multi-task deep learning network-based model successfully predicted future macrovascular invasion. In high-risk populations, besides the current first-line treatments, more therapies may be explored for macrovascular invasion.

Indexed as

AUC, AUC areas under curveBCLC, Barcelona Clinic Liver CancerCI, confidence intervalClinical factorsCT, computed tomographyHCC, hepatocellular carcinomaHepatocellular carcinomaHR, hazard ratioIDI, integrated discrimination improvementMacrovascular invasionMTnet, multi-task deep learning neural networkMulti-task deep learningNRI, net reclassification improvementOS, overall survivalPD, disease progressionRadiological characteristicsROC, receiver operating characteristicTACE, transarterial chemoembolization

Identifiers

PMID34917908
PMCPMC8668827

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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.