Evidence map›Paper›PMID 35135492›Full record

ArticleBMC medical imaging2022

Prediction of overall survival in patients with pancreatic ductal adenocarcinoma: histogram analysis of ADC value and correlation with pathological intratumoral necrosis.

Yoshifumi Noda, Hiroyuki Tomita, Takuma Ishihara, Yoshiki Tsuboi, Nobuyuki Kawai, Masaya Kawaguchi, Tetsuro Kaga, Fuminori Hyodo, Akira Hara, Avinash R Kambadakone and 1 more

Abstract read
In one paragraph

Article in BMC medical imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
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  3. Review
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  6. Article
  7. Programmable immunoprobiotics orchestrate antitumor immune response with Pin1 inhibition for pancreatic cancer treatment.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  8. Article
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  14. Theranostic nanoparticles for detection and treatment of pancreatic cancer.Wiley interdisciplinary reviews. Nanomedicine and nanobiotechnology
    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

11 authors.

Yoshifumi NodaDepartment of Radiology, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan. noda1031@gifu-u.ac.jp.
Hiroyuki TomitaDepartment of Tumor Pathology, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.
Takuma IshiharaInnovative and Clinical Research Promotion Center, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194, Japan.
Yoshiki TsuboiInnovative and Clinical Research Promotion Center, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194, Japan.
Nobuyuki KawaiDepartment of Radiology, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.
Masaya KawaguchiDepartment of Radiology, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.
Tetsuro KagaDepartment of Radiology, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.
Fuminori HyodoDepartment of Radiology, Frontier Science for Imaging, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.
Akira HaraDepartment of Tumor Pathology, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.
Avinash R KambadakoneDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, White 270, Boston, MA, 02114, USA.
Masayuki MatsuoDepartment of Radiology, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the utility of histogram analysis (HA) of apparent diffusion coefficient (ADC) values to predict the overall survival (OS) in patients with pancreatic ductal adenocarcinoma (PDAC) and to correlate with pathologically evaluated massive intratumoral necrosis (MITN). MATERIALS AND

methodsThirty-nine patients were included in this retrospective study with surgically resected PDAC who underwent preoperative magnetic resonance imaging. Twelve patients received neoadjuvant chemotherapy. HA on the ADC maps were performed to obtain the tumor HA parameters. Using Cox proportional regression analysis adjusted for age, time-dependent receiver-operating-characteristic (ROC) curve analysis, and Kaplan-Meier estimation, we evaluated the association between HA parameters and OS. The association between prognostic factors and pathologically confirmed MITN was assessed by logistic regression analysis.

resultsThe median OS was 19.9 months. The kurtosis (P < 0.001), entropy (P = 0.013), and energy (P = 0.04) were significantly associated with OS. The kurtosis had the highest area under the ROC curve (AUC) for predicting 3-year survival (AUC 0.824) among these three parameters. Between the kurtosis and MITN, the logistic regression model revealed a positive correlation (P = 0.045). Lower survival rates occurred in patients with high kurtosis (cutoff value > 2.45) than those with low kurtosis (≤ 2.45) (P < 0.001: 1-year survival rate, 75.2% versus 100%: 3-year survival rate, 14.7% versus 100%).

conclusionsHA derived kurtosis obtained from tumor ADC maps might be a potential imaging biomarker for predicting the presence of MITN and OS in patients with PDAC.

Indexed as

AgedAged, 80 and overCarcinoma, Pancreatic DuctalDiffusion Magnetic Resonance ImagingFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNecrosisPancreatic NeoplasmsProportional Hazards ModelsRegression AnalysisRetrospective StudiesSurvival RateDiffusion magnetic resonance imagingPancreatic cancerPrognosis

Identifiers

PMID35135492
PMCPMC8826708

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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.