Evidence map›Paper›PMID 34935978›Full record

ArticleNeuro-oncology2022

Radiomics for the noninvasive prediction of the BRAF mutation status in patients with melanoma brain metastases.

Anna-Katharina Meißner, Robin Gutsche, Norbert Galldiks, Martin Kocher, Stephanie T Jünger, Marie-Lisa Eich, Manuel Montesinos-Rongen, Anna Brunn, Martina Deckert, Christina Wendl and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 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

18 authors at 3 institutions in 1 country.

Anna-Katharina MeißnerCenter for Neurosurgery, Department of General Neurosurgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Robin GutscheInstitute of Neuroscience and Medicine (INM-3, -4), Research Center Juelich, Juelich, Germany.
Norbert GalldiksInstitute of Neuroscience and Medicine (INM-3, -4), Research Center Juelich, Juelich, Germany.
Martin KocherInstitute of Neuroscience and Medicine (INM-3, -4), Research Center Juelich, Juelich, Germany.
Stephanie T JüngerCenter for Neurosurgery, Department of General Neurosurgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Marie-Lisa EichDepartment of Pathology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Manuel Montesinos-RongenInstitute of Neuropathology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Anna BrunnInstitute of Neuropathology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Martina DeckertCenter for Integrated Oncology (CIO), Universities of Aachen, Bonn, Cologne and Duesseldorf, Cologne, Germany.
Christina WendlDepartment of Radiology and Division of Neuroradiology, University Hospital Regensburg, Regensburg, Germany.
Wolfgang DietmaierInstitute of Pathology and Molecular Pathology Diagnostic Unit, University Hospital Regensburg, Regensburg, Germany.
Roland GoldbrunnerCenter for Neurosurgery, Department of General Neurosurgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Maximilian I RugeCenter for Integrated Oncology (CIO), Universities of Aachen, Bonn, Cologne and Duesseldorf, Cologne, Germany.
Cornelia MauchCenter for Integrated Oncology (CIO), Universities of Aachen, Bonn, Cologne and Duesseldorf, Cologne, Germany.
Nils-Ole SchmidtDepartment of Neurosurgery, University Hospital Regensburg, Regensburg, Germany.
Martin ProescholdtDepartment of Neurosurgery, University Hospital Regensburg, Regensburg, Germany.
Stefan GrauCenter for Neurosurgery, Department of General Neurosurgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.ORCID 0000-0002-9742-527X
Philipp LohmannInstitute of Neuroscience and Medicine (INM-3, -4), Research Center Juelich, Juelich, Germany.ORCID 0000-0002-5360-046X
University of Cologne · DEForschungszentrum Jülich · DEUniversity Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe BRAF V600E mutation is present in approximately 50% of patients with melanoma brain metastases and an important prerequisite for response to targeted therapies, particularly BRAF inhibitors. As heterogeneity in terms of BRAF mutation status may occur in melanoma patients, a wild-type extracranial primary tumor does not necessarily rule out a targetable mutation in brain metastases using BRAF inhibitors. We evaluated the potential of MRI radiomics for a noninvasive prediction of the intracranial BRAF mutation status.

methodsFifty-nine patients with melanoma brain metastases from two university brain tumor centers (group 1, 45 patients; group 2, 14 patients) underwent tumor resection with subsequent genetic analysis of the intracranial BRAF mutation status. Preoperative contrast-enhanced MRI was manually segmented and analyzed. Group 1 was used for model training and validation, group 2 for model testing. After radiomics feature extraction, a test-retest analysis was performed to identify robust features prior to feature selection. Finally, the best performing radiomics model was applied to the test data. Diagnostic performances were evaluated using receiver operating characteristic (ROC) analyses.

resultsTwenty-two of 45 patients (49%) in group 1, and 8 of 14 patients (57%) in group 2 had an intracranial BRAF V600E mutation. A linear support vector machine classifier using a six-parameter radiomics signature yielded an area under the ROC curve of 0.92 (sensitivity, 83%; specificity, 88%) in the test data.

conclusionsThe developed radiomics classifier allows a noninvasive prediction of the intracranial BRAF V600E mutation status in patients with melanoma brain metastases with high diagnostic performance.

Indexed as

Brain NeoplasmsMelanomaHumansMagnetic Resonance ImagingMutationProto-Oncogene Proteins B-rafRetrospective StudiesBRAF protein, humanProto-Oncogene Proteins B-rafartificial intelligence (AI)brain tumorsmachine learningMRIradiogenomics

Identifiers

PMID34935978
PMCPMC9340614
OpenAlexW4200524295

What OpenQuestion holds

Textmetadata
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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.