Evidence map›Paper›PMID 35785153›Full record

ArticleFrontiers in oncology2022

Clinically Interpretable Radiomics-Based Prediction of Histopathologic Response to Neoadjuvant Chemotherapy in High-Grade Serous Ovarian Carcinoma.

Leonardo Rundo, Lucian Beer, Lorena Escudero Sanchez, Mireia Crispin-Ortuzar, Marika Reinius, Cathal McCague, Hilal Sahin, Vlad Bura, Roxana Pintican, Marta Zerunian and 13 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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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

23 authors at 7 institutions in 4 countries.

Leonardo RundoDepartment of Radiology, Cambridge, United Kingdom.
Lucian BeerDepartment of Radiology, Cambridge, United Kingdom.
Lorena Escudero SanchezDepartment of Radiology, Cambridge, United Kingdom.
Mireia Crispin-OrtuzarCancer Research UK Cambridge Centre, University of Cambridge, Cambridge, United Kingdom.
Marika ReiniusCancer Research UK Cambridge Centre, University of Cambridge, Cambridge, United Kingdom.
Cathal McCagueDepartment of Radiology, Cambridge, United Kingdom.
Hilal SahinDepartment of Radiology, Cambridge, United Kingdom.
Vlad BuraDepartment of Radiology, Cambridge, United Kingdom.
Roxana PinticanDepartment of Radiology and Medical Imaging, County Clinical Emergency Hospital, Cluj-Napoca, Romania.
Marta ZerunianDepartment of Surgical and Medical Sciences and Translational Medicine, Sapienza University of Rome-Sant'Andrea University Hospital, Rome, Italy.
Stephan UrsprungDepartment of Radiology, Cambridge, United Kingdom.
Iris AllajbeuDepartment of Radiology, Cambridge, United Kingdom.
Helen AddleyCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Paula Martin-GonzalezCancer Research UK Cambridge Centre, University of Cambridge, Cambridge, United Kingdom.
Thomas BuddenkotteDepartment of Applied Mathematics and Theoretical Physics, University of Cambridge, Cambridge, United Kingdom.
Naveena SinghDepartment of Clinical Pathology, Barts Health NHS Trust, London, United Kingdom.
Anju SahdevDepartment of Radiology, Barts Health NHS Trust, London, United Kingdom.
Ionut-Gabriel FuninganaCancer Research UK Cambridge Centre, University of Cambridge, Cambridge, United Kingdom.
Mercedes Jimenez-LinanCancer Research UK Cambridge Centre, University of Cambridge, Cambridge, United Kingdom.
Florian MarkowetzCancer Research UK Cambridge Centre, University of Cambridge, Cambridge, United Kingdom.
James D BrentonCancer Research UK Cambridge Centre, University of Cambridge, Cambridge, United Kingdom.
Evis SalaDepartment of Radiology, Cambridge, United Kingdom.
Ramona WoitekDepartment of Radiology, Cambridge, United Kingdom.
University of Cambridge · GBCancer Research UK Cambridge Center · GBBarts Health NHS Trust · GBCambridge University Hospitals NHS Foundation Trust · GBMedical University of Vienna · ATClinical Emergency Hospital Bucharest · ROSapienza University of Rome · IT

Funding

Austrian Science Fund FWF J 4025Cancer Research UK 22905
6 · The paper itself

Abstract

Background: Pathological response to neoadjuvant treatment for patients with high-grade serous ovarian carcinoma (HGSOC) is assessed using the chemotherapy response score (CRS) for omental tumor deposits. The main limitation of CRS is that it requires surgical sampling after initial neoadjuvant chemotherapy (NACT) treatment. Earlier and non-invasive response predictors could improve patient stratification. We developed computed tomography (CT) radiomic measures to predict neoadjuvant response before NACT using CRS as a gold standard. Methods: Omental CT-based radiomics models, yielding a simplified fully interpretable radiomic signature, were developed using Elastic Net logistic regression and compared to predictions based on omental tumor volume alone. Models were developed on a single institution cohort of neoadjuvant-treated HGSOC ( Results: The performance of the comprehensive radiomics models and the fully interpretable radiomics model was significantly higher than volume-based predictions of response in both the discovery and external test sets when assessed using G-mean (geometric mean of sensitivity and specificity) and NPV, indicating high generalizability and reliability in identifying non-responders when using radiomics. The performance of a fully interpretable model was similar to that of comprehensive radiomics models. Conclusions: CT-based radiomics allows for predicting response to NACT in a timely manner and without the need for abdominal surgery. Adding pre-NACT radiomics to volumetry improved model performance for predictions of response to NACT in HGSOC and was robust to external testing. A radiomic signature based on five robust predictive features provides improved clinical interpretability and may thus facilitate clinical acceptance and application.

Indexed as

chemotherapy response scorecomputed tomographyneoadjuvant chemotherapyovarian cancerradiomics

Identifiers

PMID35785153
PMCPMC9243357
OpenAlexW4282974582

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.