Evidence map›Paper›PMID 35976518›Full record

ArticleInsights into imaging2022

Enhanced CT-based radiomics predicts pathological complete response after neoadjuvant chemotherapy for advanced adenocarcinoma of the esophagogastric junction: a two-center study.

Wenpeng Huang, Liming Li, Siyun Liu, Yunjin Chen, Chenchen Liu, Yijing Han, Fang Wang, Pengchao Zhan, Huiping Zhao, Jing Li and 1 more

Open access · goldAbstract read
In one paragraph

Article in Insights into imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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 2 institutions in 1 country.

Wenpeng Huang *Department of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Liming Li *Department of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Siyun LiuPharmaceutical Diagnostics, GE Healthcare (China), Beijing, China.
Yunjin ChenDepartment of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Chenchen LiuDepartment of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yijing HanDepartment of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Fang WangDepartment of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Pengchao ZhanDepartment of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Huiping ZhaoDepartment of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Jing LiDepartment of Radiology, The Affiliated Cancer Hospital of Zhengzhou University (Henan Cancer Hospital), Zhengzhou, China.
Jianbo GaoDepartment of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. jianbogaochina@163.com.ORCID http://orcid.org/0000-0003-2621-3701
First Affiliated Hospital of Zhengzhou University · CNZhengzhou University · CN

Funding

National Natural and Science Fund of China (NSFC) 81971615
6 · The paper itself

Abstract

purposeThis study aimed to develop and validate CT-based models to predict pathological complete response (pCR) after neoadjuvant chemotherapy (NAC) for advanced adenocarcinoma of the esophagogastric junction (AEG).

methodsPre-NAC clinical and imaging data of AEG patients who underwent surgical resection after preoperative-NAC at two centers were retrospectively collected from November 2014 to September 2020. The dataset included training (n = 60) and external validation groups (n = 32). Three models, including CT-based radiomics, clinical and radiomics-clinical combined models, were established to differentiate pCR (tumor regression grade (TRG) = grade 0) and nonpCR (TRG = grade 1-3) patients. For the radiomics model, tumor-region-based radiomics features in the arterial and venous phases were extracted and selected. The naïve Bayes classifier was used to establish arterial- and venous-phase radiomics models. The selected candidate clinical factors were used to establish a clinical model, which was further incorporated into the radiomics-clinical combined model. ROC analysis, calibration and decision curves were used to assess the model performance.

resultsFor the radiomics model, the AUC values obtained using the venous data were higher than those obtained using the arterial data (training: 0.751 vs. 0.736; validation: 0.768 vs. 0.750). Borrmann typing, tumor thickness and degree of differentiation were utilized to establish the clinical model (AUC-training: 0.753; AUC-validation: 0.848). The combination of arterial- and venous-phase radiomics and clinical factors further improved the discriminatory performance of the model (AUC-training: 0.838; AUC-validation: 0.902). The decision curve reflects the higher net benefit of the combined model.

conclusionThe combination of CT imaging and clinical factors pre-NAC for advanced AEG could help stratify potential responsiveness to NAC.

Indexed as

AdenocarcinomaEsophagogastric junctionNeoadjuvant therapyResponse evaluationX-ray computed tomography

Identifiers

PMID35976518
PMCPMC9385906
OpenAlexW4292092829

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.