Evidence map›Paper›PMID 35119589›Full record

ArticleJournal of neuro-oncology2022

Predicting EGFR mutation status by a deep learning approach in patients with non-small cell lung cancer brain metastases.

Oz Haim, Shani Abramov, Ben Shofty, Claudia Fanizzi, Francesco DiMeco, Netanell Avisdris, Zvi Ram, Moran Artzi, Rachel Grossman

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
5.5field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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  17. Radiomic Signatures for PredictingFrontiers in oncology · 2022
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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

9 authors at 2 institutions in 3 countries.

Oz HaimDepartment of Neurosurgery, Tel Aviv Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman Street, 6423906, Tel-Aviv, Israel.
Shani AbramovDepartment of Neurosurgery, Tel Aviv Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman Street, 6423906, Tel-Aviv, Israel.
Ben ShoftyDepartment of Neurosurgery, Tel Aviv Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman Street, 6423906, Tel-Aviv, Israel.
Claudia FanizziDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico C. Besta, Milan, Italy.
Francesco DiMecoDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico C. Besta, Milan, Italy.
Netanell AvisdrisSchool of Computer Science and Engineering, Hebrew University of Jerusalem, Jerusalem, Israel.
Zvi RamDepartment of Neurosurgery, Tel Aviv Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman Street, 6423906, Tel-Aviv, Israel.
Moran ArtziSagol Brain Institute, Tel Aviv Medical Center, and the Sackler Faculty of Medicine and Sagol School of Neuroscience, Tel Aviv University, Tel-Aviv, Israel.
Rachel GrossmanDepartment of Neurosurgery, Tel Aviv Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman Street, 6423906, Tel-Aviv, Israel. rachelgr@tlvmc.gov.il.ORCID http://orcid.org/0000-0001-7741-375X
Tel Aviv University · ILFondazione IRCCS Istituto Neurologico Carlo Besta · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNon-small cell lung cancer (NSCLC) tends to metastasize to the brain. Between 10 and 60% of NSCLCs harbor an activating mutation in the epidermal growth-factor receptor (EGFR), which may be targeted with selective EGFR inhibitors. However, due to a high discordance rate between the molecular profile of the primary tumor and the brain metastases (BMs), identifying an individual patient's EGFR status of the BMs necessitates tissue diagnosis via an invasive surgical procedure. We employed a deep learning (DL) method with the aim of noninvasive detection of the EGFR mutation status in NSCLC BM.

methodsWe retrospectively collected clinical, radiological, and pathological-molecular data of all the NSCLC patients who had been diagnosed with BMs and underwent resection of their BM during 2009-2019. The study population was then divided into two groups based upon EGFR mutational status. We further employed a DL technique to classify the two groups according to their preoperative magnetic resonance imaging features. Augmentation techniques, transfer learning approach, and post-processing of the predicted results were applied to overcome the relatively small cohort. Finally, we established the accuracy of our model in predicting EGFR mutation status of BM of NSCLC.

resultsFifty-nine patients were included in the study, 16 patients harbored EGFR mutations. Our model predicted mutational status with mean accuracy of 89.8%, sensitivity of 68.7%, specificity of 97.7%, and a receiver operating characteristic curve value of 0.91 across the 5 validation datasets.

conclusionDL-based noninvasive molecular characterization is feasible, has high accuracy and should be further validated in large prospective cohorts.

Indexed as

Brain NeoplasmsCarcinoma, Non-Small-Cell LungDeep LearningLung NeoplasmsErbB ReceptorsHumansMutationProspective StudiesRetrospective StudiesEGFR protein, humanErbB ReceptorsBrainDeep learningEGFRMetastasisMRINSCLC

Identifiers

PMID35119589
OpenAlexW4221046554

What OpenQuestion holds

Textmetadata
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.