Evidence map›Paper›PMID 34944806›Full record

ArticleCancers2021

Fully Automated MR Based Virtual Biopsy of Cerebral Gliomas.

Johannes Haubold, René Hosch, Vicky Parmar, Martin Glas, Nika Guberina, Onofrio Antonio Catalano, Daniela Pierscianek, Karsten Wrede, Cornelius Deuschl, Michael Forsting and 3 more

Abstract 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 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
–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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

13 authors.

Johannes HauboldDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, D-45147 Essen, Germany.
René HoschDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, D-45147 Essen, Germany.
Vicky ParmarDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, D-45147 Essen, Germany.ORCID 0000-0002-0383-0435
Martin GlasDepartment of Neurology, Division of Clinical Neurooncology, University Hospital Essen, D-45147 Essen, Germany.
Nika GuberinaDepartment of Radiotherapy, University Hospital Essen, D-45147 Essen, Germany.
Onofrio Antonio CatalanoDepartment of Radiology, Division of Abdominal Imaging, A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard University Medical School, Boston 02114, MA, USA.
Daniela PierscianekDepartment of Neurosurgery, University Hospital Essen, D-45147 Essen, Germany.
Karsten WredeDepartment of Neurosurgery, University Hospital Essen, D-45147 Essen, Germany.ORCID 0000-0001-7076-3503
Cornelius DeuschlDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, D-45147 Essen, Germany.ORCID 0000-0001-9262-7289
Michael ForstingDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, D-45147 Essen, Germany.
Felix NensaDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, D-45147 Essen, Germany.ORCID 0000-0002-5811-7100
Nils FlaschelDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, D-45147 Essen, Germany.ORCID 0000-0001-9341-0372
Lale UmutluDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, D-45147 Essen, Germany.

Funding

Deutsche Forschungsgemeinschaft FU356/12-1
6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate the diagnostic accuracy of a radiomics analysis based on a fully automated segmentation and a simplified and robust MR imaging protocol to provide a comprehensive analysis of the genetic profile and grading of cerebral gliomas for everyday clinical use.

methodsMRI examinations of 217 therapy-naïve patients with cerebral gliomas, each comprising a non-contrast T1-weighted, FLAIR and contrast-enhanced T1-weighted sequence, were included in the study. In addition, clinical and laboratory parameters were incorporated into the analysis. The BraTS 2019 pretrained DeepMedic network was used for automated segmentation. The segmentations generated by DeepMedic were evaluated with 200 manual segmentations with a DICE score of 0.8082 ± 0.1321. Subsequently, the radiomics signatures were utilized to predict the genetic profile of ATRX, IDH1/2, MGMT and 1p19q co-deletion, as well as differentiating low-grade glioma from high-grade glioma.

resultsThe network provided an AUC (validation/test) for the differentiation between low-grade gliomas vs. high-grade gliomas of 0.981 ± 0.015/0.885 ± 0.02. The best results were achieved for the prediction of the ATRX expression loss with AUCs of 0.979 ± 0.028/0.923 ± 0.045, followed by 0.929 ± 0.042/0.861 ± 0.023 for the prediction of IDH1/2. The prediction of 1p19q and MGMT achieved moderate results, with AUCs of 0.999 ± 0.005/0.711 ± 0.128 for 1p19q and 0.854 ± 0.046/0.742 ± 0.050 for MGMT.

conclusionThis fully automated approach utilizing simplified MR protocols to predict the genetic profile and grading of cerebral gliomas provides an easy and efficient method for non-invasive tumor decoding.

Indexed as

cerebral gliomamultiparametric MRIradiomicsradiomics-based phenotyping and tumordecoding

Identifiers

PMID34944806
PMCPMC8699054

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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.