Evidence map›Paper›PMID 35962459›Full record

ArticleCancer imaging : the official publication of the International Cancer Imaging Society2022

Full automation of total metabolic tumor volume from FDG-PET/CT in DLBCL for baseline risk assessments.

S Jemaa, J N Paulson, M Hutchings, L Kostakoglu, J Trotman, S Tracy, A de Crespigny, R A D Carano, T C El-Galaly, T G Nielsen and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cancer imaging : the official publication of the International Cancer Imaging Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01287741 (A Phase III, Multicenter, Open-Label Randomized Trial Comparing the Efficacy of GA101), which is not on this 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
3.7field-weighted citation impact, top 6% 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.

NCT01287741 phase3terminatednot on this map

A Phase III, Multicenter, Open-Label Randomized Trial Comparing the Efficacy of GA101 (RO5072759) in Combination With CHOP (G-CHOP) Versus Rituximab and CHOP (R-CHOP) in Previously Untreated Patients With CD20-Positive Diffuse Large B-Cell Lymphoma (DLBCL)

TypeinterventionalSponsorHoffmann-La RocheRan2011 to 2018Enrolled1,418ConditionsDiffuse Large B-Cell LymphomaArmsRituximab, Obinutuzumab, Cyclophosphamide, Doxorubicin, Vincristine
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

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  12. Clinical scoring systems, molecular subtypes and baseline [Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
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  16. Sensitivity of an AI method for [EJNMMI research · 2023
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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

11 authors at 6 institutions in 4 countries.

S Jemaa1PHC Imaging, Genentech, Inc, South San Francisco, CA, USA.
J N PaulsonBiostatistics, Genentech, Inc, South San Francisco, CA, USA.
M HutchingsDepartment of HaematologyRigshospitalet, Copenhagen, Denmark.
L KostakogluDepartment of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, USA.
J TrotmanDepartment of Haematology, Concord Repatriation General Hospital, University of Sydney, Concord, NSW, Australia.
S TracyBiostatistics, Genentech, Inc, South San Francisco, CA, USA.
A de CrespignyClinical Imaging Group, Genentech, Inc, South San Francisco, CA, USA.
R A D Carano1PHC Imaging, Genentech, Inc, South San Francisco, CA, USA.
T C El-GalalyDepartment of Hematology, Aalborg University Hospital, Aalborg, Denmark.
T G NielsenPharmaceutical Development Clinical Oncology, F. Hoffmann-La Roche Ltd, Bldg 1, Grenzarcherstrasse 124m, CH-4070, Basel, Switzerland. tina.nielsen@roche.com.
T Bengtsson1PHC Imaging, Genentech, Inc, South San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-9667-8873
Aalborg University Hospital · DKRigshospitalet · DKRoche (Switzerland) · CHThe University of Sydney · AUUniversity of California, Berkeley · USUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent radiological assessments of

methodsOur aim is to enable real-time assessment of imaging-based risk factors at a large scale and we propose a fully automatic artificial intelligence (AI)-based tool to rapidly extract FDG-PET imaging metrics in DLBCL. On availability of a scan, in combination with clinical data, our approach generates clinically informative risk scores with minimal resource requirements. Overall, 1268 patients with previously untreated DLBCL from the phase III GOYA trial (NCT01287741) were included in the analysis (training: n = 846; hold-out: n = 422).

resultsOur AI-based model comprising imaging and clinical variables yielded a tangible prognostic improvement compared to clinical models without imaging metrics. We observed a risk increase for progression-free survival (PFS) with hazard ratios [HR] of 1.87 (95% CI: 1.31-2.67) vs 1.38 (95% CI: 0.98-1.96) (C-index: 0.59 vs 0.55), and a risk increase for overall survival (OS) (HR: 2.16 (95% CI: 1.37-3.40) vs 1.40 (95% CI: 0.90-2.17); C-index: 0.59 vs 0.55). The combined model defined a high-risk population with 35% and 42% increased odds of a 4-year PFS and OS event, respectively, versus the International Prognostic Index components alone. The method also identified a subpopulation with a 2-year Central Nervous System (CNS)-relapse probability of 17.1%.

conclusionOur tool enables an enhanced risk stratification compared with IPI, and the results indicate that imaging can be used to improve the prediction of central nervous system relapse in DLBCL. These findings support integration of clinically informative AI-generated imaging metrics into clinical workflows to improve identification of high-risk DLBCL patients.

trial registrationRegistered clinicaltrials.gov number: NCT01287741.

Indexed as

Fluorodeoxyglucose F18Lymphoma, Large B-Cell, DiffuseArtificial IntelligenceAutomationClinical Trials, Phase III as TopicHumansNeoplasm Recurrence, LocalPositron-Emission TomographyPositron Emission Tomography Computed TomographyPrognosisRisk AssessmentTumor BurdenFluorodeoxyglucose F18AIDLBCLFDG-PETImaging

Identifiers

PMID35962459
PMCPMC9373298
OpenAlexW4291150496

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.