Evidence map›Paper›PMID 35361575›Full record

ArticleAJNR. American journal of neuroradiology2022

Radiomics Can Distinguish Pediatric Supratentorial Embryonal Tumors, High-Grade Gliomas, and Ependymomas.

M Zhang, L Tam, J Wright, M Mohammadzadeh, M Han, E Chen, M Wagner, J Nemalka, H Lai, A Eghbal and 8 more

Abstract readMulticenter Study
In one paragraph

Article in AJNR. American journal of neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Molecular subtype prediction model for pediatric low-grade gliomas using conventional neuroradiology reporting.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Applications of Artificial Intelligence for Pediatric Cancer Imaging.AJR. American journal of roentgenology · 2024
    Review
  13. Article
  14. Artificial intelligence applications in pediatric oncology diagnosis.Exploration of targeted anti-tumor therapy · 2023
    Review
  15. Review
  16. 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

18 authors.

M ZhangFrom the Departments of Neurosurgery (M.Z.).ORCID 0000-0002-7067-0689
L TamStanford University School of Medicine (L.T.), Stanford, California.ORCID 0000-0002-9900-3249
J WrightDepartment of Radiology (J.W.).ORCID 0000-0002-6676-8253
M MohammadzadehDepartment of Radiology (M.M.), Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-7922-989X
M HanDepartment of Pediatrics (M.H.), Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-2812-6193
E ChenDepartments of Clinical Radiology & Imaging Sciences (E.C., C.Y.H.), Riley Children's Hospital, Indiana University, Indianapolis, Indiana.ORCID 0000-0001-6039-0723
M WagnerDepartment of Diagnostic Imaging (M.W.), The Hospital for Sick Children, Ontario, Canada.ORCID 0000-0001-6501-839X
J NemalkaDivision of Pediatric Neurosurgery (J.N., S.H.C.), Department of Neurosurgery, Huntsman Cancer Institute, Intermountain Healthcare Primary Children's Hospital, University of Utah School of Medicine, Salt Lake City, Utah.ORCID 0000-0001-8483-5459
H LaiDepartment of Radiology (H.L., A.E.), CHOC Children's Hospital of Orange County California, University of California, Irvine, California.ORCID 0000-0001-6747-7338
A EghbalDepartment of Radiology (H.L., A.E.), CHOC Children's Hospital of Orange County California, University of California, Irvine, California.ORCID 0000-0003-3486-001X
C Y HoDepartments of Clinical Radiology & Imaging Sciences (E.C., C.Y.H.), Riley Children's Hospital, Indiana University, Indianapolis, Indiana.ORCID 0000-0002-2358-1851
R M LoberDivision of Neurosurgery (R.M.L.), Dayton Children's Hospital, Dayton, Ohio; Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, Ohio.ORCID 0000-0002-0824-0274
S H CheshierDivision of Pediatric Neurosurgery (J.N., S.H.C.), Department of Neurosurgery, Huntsman Cancer Institute, Intermountain Healthcare Primary Children's Hospital, University of Utah School of Medicine, Salt Lake City, Utah.ORCID 0000-0003-4983-6610
N A VitanzaDivision of Pediatric Hematology/Oncology (N.A.V.), and Department of Pediatrics, Seattle Children's Hospital, Seattle,Washington.ORCID 0000-0002-3966-4985
G A GrantNeurosurgery (G.A.G., L.M.P.), Lucile Packard Children's Hospital, Stanford University, Palo Alto, California.ORCID 0000-0002-2651-4603
L M ProloNeurosurgery (G.A.G., L.M.P.), Lucile Packard Children's Hospital, Stanford University, Palo Alto, California.ORCID 0000-0001-7737-8675
K W YeomDepartments of Radiology (K.W.Y.).ORCID 0000-0001-9860-3368
A JajuDepartment of Medical Imaging (A.J.), Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois ajaju@luriechildrens.org.ORCID 0000-0001-5025-3709

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePediatric supratentorial tumors such as embryonal tumors, high-grade gliomas, and ependymomas are difficult to distinguish by histopathology and imaging because of overlapping features. We applied machine learning to uncover MR imaging-based radiomics phenotypes that can differentiate these tumor types. MATERIALS AND

methodsOur retrospective cohort of 231 patients from 7 participating institutions had 50 embryonal tumors, 127 high-grade gliomas, and 54 ependymomas. For each tumor volume, we extracted 900 Image Biomarker Standardization Initiative-based PyRadiomics features from T2-weighted and gadolinium-enhanced T1-weighted images. A reduced feature set was obtained by sparse regression analysis and was used as input for 6 candidate classifier models. Training and test sets were randomly allocated from the total cohort in a 75:25 ratio.

resultsThe final classifier model for embryonal tumor-versus-high-grade gliomas identified 23 features with an area under the curve of 0.98; the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 0.85, 0.91, 0.79, 0.94, and 0.89, respectively. The classifier for embryonal tumor-versus-ependymomas identified 4 features with an area under the curve of 0.82; the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 0.93, 0.69, 0.76, 0.90, and 0.81, respectively. The classifier for high-grade gliomas-versus-ependymomas identified 35 features with an area under the curve of 0.96; the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 0.82, 0.94, 0.82, 0.94, and 0.91, respectively.

conclusionsIn this multi-institutional study, we identified distinct radiomic phenotypes that distinguish pediatric supratentorial tumors, high-grade gliomas, and ependymomas with high accuracy. Incorporation of this technique in diagnostic algorithms can improve diagnosis, risk stratification, and treatment planning.

Indexed as

Brain NeoplasmsEpendymomaGliomaNeoplasms, Germ Cell and EmbryonalNeuroectodermal Tumors, PrimitiveSupratentorial NeoplasmsChildHumansMagnetic Resonance ImagingRetrospective Studies

Identifiers

PMID35361575
PMCPMC8993189

What OpenQuestion holds

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Registered trials

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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.