Evidence map›Paper›PMID 34993153›Full record

ArticleFrontiers in oncology2021

MRI Radiomics in Prostate Cancer: A Reliability Study.

Fabrizio Urraro, Valerio Nardone, Alfonso Reginelli, Carlo Varelli, Antonio Angrisani, Vittorio Patanè, Luca D'Ambrosio, Pietro Roccatagliata, Gaetano Maria Russo, Luigi Gallo and 3 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
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  3. The Stalk Sign in Bladder Cancer: CEUS Versus MRI.Diagnostics (Basel, Switzerland) · 2026
    Article
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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.

Fabrizio UrraroDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Valerio NardoneDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Alfonso ReginelliDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Carlo VarelliIstituto Diagnostico Varelli, Naples, Italy.
Antonio AngrisaniDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Vittorio PatanèDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Luca D'AmbrosioDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Pietro RoccatagliataDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Gaetano Maria RussoDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Luigi GalloDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Marco De ChiaraDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Lucia AltucciDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Salvatore CappabiancaDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadiomics can provide quantitative features from medical imaging that can be correlated to clinical endpoints. The challenges relevant to robustness of radiomics features have been analyzed by many researchers, as it seems to be influenced by acquisition and reconstruction protocols, as well as by the segmentation of the region of interest (ROI). Prostate cancer (PCa) represents a difficult playground for this technique, due to discrepancies in the identification of the cancer lesion and the heterogeneity of the acquisition protocols. The aim of this study was to investigate the reliability of radiomics in PCa magnetic resonance imaging (MRI).

methodsA homogeneous cohort of patients with a PSA rise that underwent multiparametric MRI imaging of the prostate before biopsy was tested in this study. All the patients were acquired with the same MRI scanner, with a standardized protocol. The identification and the contouring of the region of interest (ROI) of an MRI suspicious cancer lesion were done by two radiologists with great experience in prostate cancer (>10 years). After the segmentation, the texture features were extracted with LIFEx. Texture features were then tested with intraclass coefficient correlation (ICC) analysis to analyze the reliability of the segmentation.

resultsForty-four consecutive patients were included in the present analysis. In 26 patients (59.1%), the prostate biopsy confirmed the presence of prostate cancer, which was scored as Gleason 6 in 6 patients (13.6%), Gleason 3 + 4 in 8 patients (18.2%), and Gleason 4 + 3 in 12 patients (27.3%). The reliability analysis conversely showed poor reliability in the majority of the MRI acquisition (61% in T2, 89% in DWI50, 44% in DWI400, and 83% in DWI1,500), with ADC acquisition only showing better reliability (poor reliability in only 33% of the texture features).

conclusionsThe low ratio of reliability in a monoinstitutional homogeneous cohort represents a significant alarm bell for the application of MRI radiomics in the field of prostate cancer. More work is needed in a clinical setting to further study the potential of MRI radiomics in prostate cancer.

Indexed as

magnetic resonance imaging (MRI)prostate cancerradiomicstarget therapytexture

Identifiers

PMID34993153
PMCPMC8725993

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