Evidence map›Paper›PMID 35681720›Full record

ArticleCancers2022

CT-Based Radiomics and Deep Learning for BRCA Mutation and Progression-Free Survival Prediction in Ovarian Cancer Using a Multicentric Dataset.

Giacomo Avesani, Huong Elena Tran, Giulio Cammarata, Francesca Botta, Sara Raimondi, Luca Russo, Salvatore Persiani, Matteo Bonatti, Tiziana Tagliaferri, Miriam Dolciami and 12 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 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  14. CT-based radiomics model to predict platinum sensitivity in epithelial ovarian carcinoma: a multicentre study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
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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

22 authors.

Giacomo AvesaniDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.ORCID 0000-0001-9926-760X
Huong Elena TranDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.
Giulio CammarataDepartment of Experimental Oncology, IEO European Institute of Oncology IRCCS, Via Ripamonti 435, 20141 Milan, Italy.
Francesca BottaMedical Physics Unit, IEO European Institute of Oncology IRCCS, Via Ripamonti 435, 20141 Milan, Italy.ORCID 0000-0002-3693-8899
Sara RaimondiDepartment of Experimental Oncology, IEO European Institute of Oncology IRCCS, Via Ripamonti 435, 20141 Milan, Italy.ORCID 0000-0003-4673-9049
Luca RussoDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.ORCID 0000-0002-0495-7462
Salvatore PersianiDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.ORCID 0000-0002-2542-4614
Matteo BonattiRadiology Unit, Ospedale Centrale di Bolzano, Via Lorenz Böhler, 5, 39100 Bolzano, Italy.
Tiziana TagliaferriGynecology and Obstetrics Unit, Ospedale Centrale di Bolzano, Via Lorenz Böhler, 5, 39100 Bolzano, Italy.
Miriam DolciamiDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.ORCID 0000-0002-8322-8435
Veronica CelliDepartment of Radiological, Oncological and Pathological Sciences, "Sapienza" University of Rome, Piazzale Aldo Moro, 5, 00185 Rome, Italy.ORCID 0000-0003-2331-5235
Luca BoldriniDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.ORCID 0000-0002-5631-1575
Jacopo LenkowiczDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.
Paola PricoloDivision of Radiology, European Institute of Oncology IRCCS, Via Ripamonti 435, 20141 Milan, Italy.
Federica TomaoDepartment of Maternal and Child Health and Urological Sciences, "Sapienza" University of Rome, Piazzale Aldo Moro, 5, 00185 Rome, Italy.
Stefania Maria Rita RizzoClinica di Radiologia EOC, Istituto Imaging della Svizzera Italiana (IIMSI), Via Tesserete 46, 6900 Lugano, Switzerland.ORCID 0000-0002-5151-0866
Nicoletta ColomboMedical Gynecologic Oncology Unit, European Institute of Oncology IRCCS, Via Ripamonti 435, 20141 Milan, Italy.
Lucia ManganaroDepartment of Radiological, Oncological and Pathological Sciences, "Sapienza" University of Rome, Piazzale Aldo Moro, 5, 00185 Rome, Italy.ORCID 0000-0001-9037-9904
Anna FagottiDepartment of Woman, Child and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.
Giovanni ScambiaDepartment of Woman, Child and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.
Benedetta GuiDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.ORCID 0000-0002-5130-2100
Riccardo ManfrediDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.

Funding

Alleanza Contro il Cancro RCR-2021-23671213
6 · The paper itself

Abstract

purposeBuild predictive radiomic models for early relapse and BRCA mutation based on a multicentric database of high-grade serous ovarian cancer (HGSOC) and validate them in a test set coming from different institutions.

methodsPreoperative CTs of patients with HGSOC treated at four referral centers were retrospectively acquired and manually segmented. Hand-crafted features and deep radiomics features were extracted respectively by dedicated software (MODDICOM) and a dedicated convolutional neural network (CNN). Features were selected with and without prior harmonization (ComBat harmonization), and models were built using different machine learning algorithms, including clinical variables.

resultsWe included 218 patients. Radiomic models showed low performance in predicting both BRCA mutation (AUC in test set between 0.46 and 0.59) and 1-year relapse (AUC in test set between 0.46 and 0.56); deep learning models demonstrated similar results (AUC in the test of 0.48 for BRCA and 0.50 for relapse). The inclusion of clinical variables improved the performance of the radiomic models to predict BRCA mutation (AUC in the test set of 0.74).

conclusionsIn our multicentric dataset, representative of a real-life clinical scenario, we could not find a good radiomic predicting model for PFS and BRCA mutational status, with both traditional radiomics and deep learning, but the combination of clinical and radiomic models improved model performance for the prediction of BRCA mutation. These findings highlight the need for standardization through the whole radiomic pipelines and robust multicentric external validations of results.

Indexed as

computed tomographymachine learningovarian cancerradiomics

Identifiers

PMID35681720
PMCPMC9179845

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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.