Evidence map›Paper›PMID 36104481›Full record

ArticleAbdominal radiology (New York)2022

Non-contrast-enhanced CT texture analysis of primary and metastatic pancreatic ductal adenocarcinomas: value in assessment of histopathological grade and differences between primary and metastatic lesions.

Michael Janisch, Gabriel Adelsmayr, Heimo Müller, Andreas Holzinger, Elmar Janek, Emina Talakic, Michael Fuchsjäger, Helmut Schöllnast

Open access · hybridAbstract read
In one paragraph

Article in Abdominal radiology (New York), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 6 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

8 authors at 1 institution in 1 country.

Michael JanischDivision of General Radiology, Department of Radiology, Medical University of Graz, Graz, Austria.
Gabriel AdelsmayrDivision of General Radiology, Department of Radiology, Medical University of Graz, Graz, Austria.
Heimo MüllerDiagnostic and Research Center for Molecular BioMedicine, Diagnostic and Research Institute of Pathology, Medical University of Graz, Graz, Austria.
Andreas HolzingerInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Elmar JanekDivision of General Radiology, Department of Radiology, Medical University of Graz, Graz, Austria.
Emina TalakicDivision of General Radiology, Department of Radiology, Medical University of Graz, Graz, Austria.
Michael FuchsjägerDivision of General Radiology, Department of Radiology, Medical University of Graz, Graz, Austria. michael.fuchsjaeger@medunigraz.at.
Helmut SchöllnastDivision of General Radiology, Department of Radiology, Medical University of Graz, Graz, Austria.
Medical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the utility of non-contrast-enhanced CT texture analysis (CTTA) for predicting the histopathological differentiation of pancreatic ductal adenocarcinomas (PDAC) and to compare non-contrast-enhanced CTTA texture features between primary PDAC and hepatic metastases of PDAC.

methodsThis retrospective study included 120 patients with histopathologically confirmed PDAC. Sixty-five patients underwent CT-guided biopsy of primary PDAC, while 55 patients underwent CT-guided biopsy of hepatic PDAC metastasis. All lesions were segmented in non-contrast-enhanced CT scans for CTTA based on histogram analysis, co-occurrence matrix, and run-length matrix. Statistical analysis was conducted for 372 texture features using Mann-Whitney U test, Bonferroni-Holm correction, and receiver operating characteristic (ROC) analysis. A p value < 0.05 was considered statistically significant.

resultsThree features were identified that differed significantly between histopathological G2 and G3 primary tumors. Of these, "low gray-level zone emphasis" yielded the largest AUC (0.87 ± 0.04), reaching a sensitivity and specificity of 0.76 and 0.83, respectively, when a cut-off value of 0.482 was applied. Fifty-four features differed significantly between primary and hepatic metastatic PDAC.

conclusionNon-contrast-enhanced CTTA of PDAC identified differences in texture features between primary G2 and G3 tumors that could be used for non-invasive tumor assessment. Extensive differences between the features of primary and metastatic PDAC on CTTA suggest differences in tumor microenvironment.

Indexed as

AdenocarcinomaCarcinoma, Pancreatic DuctalLiver NeoplasmsPancreatic NeoplasmsHumansRetrospective StudiesTomography, X-Ray ComputedTumor MicroenvironmentHistopathologyNeoplasm metastasesPancreas cancerTomographyX-ray computed

Identifiers

PMID36104481
PMCPMC9626421
OpenAlexW4295706236

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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.