Evidence map›Paper›PMID 35050415›Full record

ArticleEuropean radiology2022

Multiparametric MRI-based radiomics nomogram for preoperative prediction of lymphovascular invasion and clinical outcomes in patients with breast invasive ductal carcinoma.

Junjie Zhang, Guanghui Wang, Jialiang Ren, Zhao Yang, Dandan Li, Yanfen Cui, Xiaotang Yang

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Article in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

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0cells of the map it votes in
40citing papers in PubMed
8.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 61 citations in OpenAlex.

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  4. Use of contrast-enhanced mammography for preoperative prediction of lymphovascular invasion status in invasive breast cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Junjie Zhang *Department of Radiology, Shanxi Province Cancer Hospital, Shanxi Medical University, Taiyuan, 030013, China.
Guanghui Wang *Department of Breast Surgery, Guizhou Provincial People's Hospital, Guiyang, 550002, China.
Jialiang RenGE Healthcare China, Beijing, China.
Zhao YangDepartment of Radiology, Shanxi Province Cancer Hospital, Shanxi Medical University, Taiyuan, 030013, China.
Dandan LiDepartment of Radiology, Shanxi Province Cancer Hospital, Shanxi Medical University, Taiyuan, 030013, China.
Yanfen CuiDepartment of Radiology, Shanxi Province Cancer Hospital, Shanxi Medical University, Taiyuan, 030013, China. yanfen210@126.com.
Xiaotang YangDepartment of Radiology, Shanxi Province Cancer Hospital, Shanxi Medical University, Taiyuan, 030013, China. yangxt210@126.com.ORCID http://orcid.org/0000-0002-2233-1404
Shanxi Medical University · CNGuizhou Provincial People's Hospital · CN

Funding

applied basic research programs of shanxi province 201801D121307applied basic research programs of shanxi province 201801D221390national natural science foundation of china 81802479national natural science foundation of china 82001789National Natural Science Foundation of China 82171923open fund from shanxi medical university-collaborative innovation center for molecular imaging of precision medicine 2020-MS01youth project of shanxi provincial health commission 2019058
6 · The paper itself

Abstract

objectiveTo develop a multiparametric MRI-based radiomics nomogram for predicting lymphovascular invasion (LVI) status and clinical outcomes in patients with breast invasive ductal carcinoma (IDC).

methodsA total of 160 patients with pathologically confirmed breast IDC (training cohort: n = 112; validation cohort: n = 48) who underwent preoperative breast MRI were included. Imaging features were extracted from T2-weighted imaging (T2WI), apparent diffusion coefficient (ADC) maps, and contrast-enhanced T1-weighted imaging (cT1WI) sequences. A four-step procedure was applied for feature selection and radiomics signature building. Univariate and multivariate logistic regression analyses were conducted to identify the features associated with LVI, which were then incorporated into the radiomics nomogram. The performance of the nomogram was evaluated by its discrimination, calibration, and clinical usefulness. Kaplan-Meier survival curves based on the two radiomics models were used to estimate disease-free survival (DFS).

resultsThe fusion radiomics signature of the T2WI, cT1WI, and ADC maps achieved a better predictive efficacy for LVI than either of them alone. The proposed radiomics nomogram, incorporating the fusion radiomics signature and MRI-reported peritumoral edema, showed satisfactory capabilities of calibration and discrimination in both training and validation datasets, with AUCs of 0.919 (95% CI: 0.871-0.967) and 0.863 (95% CI: 0.726-0.999), respectively. The radiomics signature and nomogram-defined high-risk groups had a shorter DFS than those in the low-risk groups (both p < 0.05). Higher Rad-scores were independently associated with a worse DFS in the whole cohort (p < 0.05).

conclusionsThe proposed nomogram, incorporating multiparametric MRI-based radiomics signature and MRI-reported peritumoral edema, achieved a satisfactory preoperative prediction of LVI and clinical outcomes in IDC patients. KEY POINTS: • The fusion radiomics signature of the T2WI, cT1WI, and ADC maps achieved a better predictive efficacy for LVI than either of them alone. • The proposed nomogram achieved a favorable prediction of LVI in IDC patients with AUCs of 0.919 and 0.863 in the training and validation datasets, respectively. • The radiomics model could classify patients into high- and low-risk groups with significant differences in DFS.

Indexed as

Carcinoma, DuctalMultiparametric Magnetic Resonance ImagingHumansMagnetic Resonance ImagingNomogramsRetrospective StudiesBreast neoplasmsLymphovascular invasionMagnetic resonance imagingNomograms

Identifiers

PMID35050415
OpenAlexW4206003672

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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.