Evidence map›Paper›PMID 35917099›Full record

ArticleLa Radiologia medica2022

Gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs): a radiomic model to predict tumor grade.

Giuditta Chiti, Giulia Grazzini, Federica Flammia, Benedetta Matteuzzi, Paolo Tortoli, Silvia Bettarini, Elisa Pasqualini, Vincenza Granata, Simone Busoni, Luca Messserini and 3 more

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Article in La Radiologia medica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 pooled it
8.3field-weighted citation impact, top 2% 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

46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 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

13 authors at 3 institutions in 1 country.

Giuditta ChitiDepartment of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134, Florence, Italy.
Giulia GrazziniDepartment of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134, Florence, Italy. grazzini.giulia@gmail.com.ORCID http://orcid.org/0000-0003-0874-1199
Federica FlammiaDepartment of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134, Florence, Italy.
Benedetta MatteuzziDepartment of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134, Florence, Italy.
Paolo TortoliMedical Physics Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Silvia BettariniMedical Physics Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Elisa PasqualiniDepartment of Health and Sciences, Section of Pathological Anatomy, University of Florence, 50139, Florence, Italy.
Vincenza GranataDivision of Radiology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS Di Napoli", Via Mariano Semmola, 80131, Naples, Italy.
Simone BusoniMedical Physics Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Luca MessseriniDepartment of Experimental and Clinical Medicine, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
Silvia PradellaDepartment of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134, Florence, Italy.
Daniela MassiDepartment of Health and Sciences, Section of Pathological Anatomy, University of Florence, 50139, Florence, Italy.
Vittorio MieleDepartment of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134, Florence, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · ITIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this single-center retrospective study is to assess whether contrast-enhanced computed tomography (CECT) radiomics analysis is predictive of gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) grade based on the 2019 World Health Organization (WHO) classification and to establish a tumor grade (G) prediction model. MATERIAL AND

methodsPreoperative CECT images of 78 patients with GEP-NENs were retrospectively reviewed and divided in two groups (G1-G2 in class 0, G3-NEC in class 1). A total of 107 radiomics features were extracted from each neoplasm ROI in CT arterial and venous phases acquisitions with 3DSlicer. Mann-Whitney test and LASSO regression method were performed in R for feature selection and feature reduction, in order to build the radiomic-based predictive model. The model was developed for a training cohort (75% of the total) and validated on the independent validation cohort (25%). ROC curves and AUC values were generated on training and validation cohorts.

results40 and 24 features, for arterial phase and venous phase, respectively, were found to be significant in class distinction. From the LASSO regression 3 and 2 features, for arterial phase and venous phase, respectively, were identified as suitable for groups classification and used to build the tumor grade radiomic-based prediction model. The prediction of the arterial model resulted in AUC values of 0.84 (95% CI 0.72-0.97) and 0.82 (95% CI 0.62-1) for the training cohort and validation cohort, respectively, while the prediction of the venous model yielded AUC values of 0.7877 (95% CI 0.6416-0.9338) and 0.6813 (95% CI 0.3933-0.9693) for the training cohort and validation cohort, respectively.

conclusionsCT-radiomics analysis may aid in differentiating the histological grade for GEP-NENs.

Indexed as

Gastrointestinal NeoplasmsNeuroendocrine TumorsPancreatic NeoplasmsHumansRetrospective StudiesTomography, X-Ray ComputedContrast-enhanced computed tomography (CECT)Gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs)RadiomicTumor grade

Identifiers

PMID35917099
OpenAlexW4289524080

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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.