Evidence map›Paper›PMID 36175084›Full record

ArticleAJNR. American journal of neuroradiology2022

Cluster Analysis of DSC MRI, Dynamic Contrast-Enhanced MRI, and DWI Parameters Associated with Prognosis in Patients with Glioblastoma after Removal of the Contrast-Enhancing Component: A Preliminary Study.

H Chung, H Seo, S H Choi, C-K Park, T M Kim, S-H Park, J K Won, J H Lee, S-T Lee, J Y Lee and 3 more

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
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 5 institutions in 5 countries.

H ChungFrom the Seoul National University College of Medicine (H.C., H.S.), Seoul, Korea.ORCID 0000-0002-1017-4421
H SeoFrom the Seoul National University College of Medicine (H.C., H.S.), Seoul, Korea.ORCID 0000-0002-6552-8039
S H ChoiDepartment of Radiology (S.H.C., J.Y.L., I.H., K.M.K., T.J.Y.), Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea verocay@snuh.org.ORCID 0000-0002-0412-2270
C-K ParkDepartment of Neurosurgery (C.-K.P.), Internal Medicine.ORCID 0000-0002-2350-9876
T M KimCancer Research Institute (T.M.K.).ORCID 0000-0001-6145-4426
S-H ParkDepartments of Pathology (S.-H.P., J.K.W.), Radiation Oncology.ORCID 0000-0002-8681-1597
J K WonDepartments of Pathology (S.-H.P., J.K.W.), Radiation Oncology.ORCID 0000-0003-1459-8093
J H LeeCancer Research Institute (J.H.L.).ORCID 0000-0003-4767-7564
S-T LeeNeurology (S.-T.L.), Seoul National University Hospital, Seoul, Korea.
J Y LeeDepartment of Radiology (S.H.C., J.Y.L., I.H., K.M.K., T.J.Y.), Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-3929-6254
I HwangDepartment of Radiology (S.H.C., J.Y.L., I.H., K.M.K., T.J.Y.), Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-1291-8973
K M KangDepartment of Radiology (S.H.C., J.Y.L., I.H., K.M.K., T.J.Y.), Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0001-9643-2008
T J YunDepartment of Radiology (S.H.C., J.Y.L., I.H., K.M.K., T.J.Y.), Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0001-8441-4574
Seoul National University Hospital · KRSeoul National University · KRResearch Institute of Radiology · BYInstitute of Cancer Research · CAUniversity Radiology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeNo report has been published on the use of DSC MR imaging, DCE MR imaging, and DWI parameters in combination to create a prognostic prediction model in glioblastoma patients. The aim of this study was to develop a machine learning-based model to find preoperative multiparametric MR imaging parameters associated with prognosis in patients with glioblastoma. Normalized CBV, volume transfer constant, and ADC of the nonenhancing T2 high-signal-intensity lesions were evaluated using K-means clustering. MATERIALS AND

methodsA total of 142 patients with glioblastoma who underwent preoperative MR imaging and total resection were included in this retrospective study. From the normalized CBV, volume transfer constant, and ADC maps, the parametric data were sorted using the K-means clustering method. Patients were divided into training and test sets (ratio, 1:1), and the optimal number of clusters was determined using receiver operating characteristic analysis. Kaplan-Meier survival analysis and log-rank tests were performed to identify potential parametric predictors. A multivariate Cox proportional hazard model was conducted to adjust for clinical predictors.

resultsThe nonenhancing T2 high-signal-intensity lesions were divided into 6 clusters. The cluster (class 4) with the relatively low normalized CBV and volume transfer constant value and the lowest ADC values was most associated with predicting glioblastoma prognosis. The optimal cutoff of the class 4 volume fraction of nonenhancing T2 high-signal-intensity lesions predicting 1-year progression-free survival was 9.70%, below which the cutoff was associated with longer progression-free survival. Two Kaplan-Meier curves based on the cutoff value showed a statistically significant difference (

conclusionsOur model showed that nonenhancing T2 high-signal-intensity lesions with the relatively low normalized CBV, low volume transfer constant values, and the lowest ADC values could serve as useful prognostic imaging markers for predicting survival outcomes in patients with glioblastoma.

Indexed as

Brain NeoplasmsGlioblastomaCluster AnalysisContrast MediaHumansMagnetic Resonance ImagingPrognosisRetrospective StudiesContrast Media

Identifiers

PMID36175084
PMCPMC9731243
OpenAlexW4297996419

What OpenQuestion holds

Textmetadata
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.