Evidence map›Paper›PMID 35008405›Full record

ArticleCancers2022

Delta-Radiomics Predicts Response to First-Line Oxaliplatin-Based Chemotherapy in Colorectal Cancer Patients with Liver Metastases.

Valentina Giannini, Laura Pusceddu, Arianna Defeudis, Giulia Nicoletti, Giovanni Cappello, Simone Mazzetti, Andrea Sartore-Bianchi, Salvatore Siena, Angelo Vanzulli, Francesco Rizzetto and 5 more

Abstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. A CT-based radiomics tumor quality and quantity model to predict early recurrence after radical surgery for colorectal liver metastases.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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  20. Radiomics in colorectal cancer patients.World journal of gastroenterology · 2023
    Review
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

15 authors.

Valentina GianniniDepartment of Surgical Sciences, University of Turin, 10124 Turin, Italy.ORCID 0000-0001-5052-8231
Laura PuscedduRadiology Unit, Candiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, Italy.
Arianna DefeudisDepartment of Surgical Sciences, University of Turin, 10124 Turin, Italy.
Giulia NicolettiDepartment of Surgical Sciences, University of Turin, 10124 Turin, Italy.ORCID 0000-0003-2013-5933
Giovanni CappelloRadiology Unit, Candiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, Italy.
Simone MazzettiDepartment of Surgical Sciences, University of Turin, 10124 Turin, Italy.ORCID 0000-0001-6011-4040
Andrea Sartore-BianchiDepartment of Oncology and Hemato-Oncology, Università degli Studi di Milano, 20122 Milan, Italy.ORCID 0000-0003-0780-0409
Salvatore SienaDepartment of Oncology and Hemato-Oncology, Università degli Studi di Milano, 20122 Milan, Italy.ORCID 0000-0002-2681-2846
Angelo VanzulliDepartment of Oncology and Hemato-Oncology, Università degli Studi di Milano, 20122 Milan, Italy.ORCID 0000-0002-2452-3370
Francesco RizzettoDepartment of Radiology, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.ORCID 0000-0003-3451-9874
Elisabetta FenocchioMultidisciplinary Outpatient Oncology Clinic, Candiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, Italy.ORCID 0000-0001-6679-0955
Luca LazzariPrecision Oncology, IFOM-The FIRC Institute of Molecular Oncology, 20139 Milan, Italy.ORCID 0000-0001-6841-4240
Alberto BardelliCandiolo Cancer Institute-FPO, IRCCS, 10060 Candiolo, Italy.
Silvia MarsoniPrecision Oncology, IFOM-The FIRC Institute of Molecular Oncology, 20139 Milan, Italy.ORCID 0000-0002-5361-7122
Daniele ReggeDepartment of Surgical Sciences, University of Turin, 10124 Turin, Italy.

Funding

Italian Association for Cancer Research 5 per Mille 2018-ID. 21091 program
6 · The paper itself

Abstract

The purpose of this paper is to develop and validate a delta-radiomics score to predict the response of individual colorectal cancer liver metastases (lmCRC) to first-line FOLFOX chemotherapy. Three hundred one lmCRC were manually segmented on both CT performed at baseline and after the first cycle of first-line FOLFOX, and 107 radiomics features were computed by subtracting textural features of CT at baseline from those at timepoint 1 (TP1). LmCRC were classified as nonresponders (R-) if they showed progression of disease (PD), according to RECIST1.1, before 8 months, and as responders (R+), otherwise. After feature selection, we developed a decision tree statistical model trained using all lmCRC coming from one hospital. The final output was a delta-radiomics signature subsequently validated on an external dataset. Sensitivity, specificity, positive (PPV), and negative (NPV) predictive values in correctly classifying individual lesions were assessed on both datasets. Per-lesion sensitivity, specificity, PPV, and NPV were 99%, 94%, 95%, 99%, 85%, 92%, 90%, and 87%, respectively, in the training and validation datasets. The delta-radiomics signature was able to reliably predict R- lmCRC, which were wrongly classified by lesion RECIST as R+ at TP1, (93%, averaging training and validation set, versus 67% of RECIST). The delta-radiomics signature developed in this study can reliably predict the response of individual lmCRC to oxaliplatin-based chemotherapy. Lesions forecasted as poor or nonresponders by the signature could be further investigated, potentially paving the way to lesion-specific therapies.

Indexed as

artificial intelligenceCRC liver metastasesdelta-radiomicsmachine learningpredictionresponse to therapy

Identifiers

PMID35008405
PMCPMC8750408

What OpenQuestion holds

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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.