Evidence map›Paper›PMID 36230746›Full record

ArticleCancers2022

Radiogenomic System for Non-Invasive Identification of Multiple Actionable Mutations and PD-L1 Expression in Non-Small Cell Lung Cancer Based on CT Images.

Jun Shao, Jiechao Ma, Shu Zhang, Jingwei Li, Hesen Dai, Shufan Liang, Yizhou Yu, Weimin Li, Chengdi Wang

Abstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  12. [Advancements in Radiomics for Immunotherapy of Non-small Cell Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024
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  15. Observational
  16. New developments in the imaging of lung cancer.Breathe (Sheffield, England) · 2024
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  19. Novel tools for early diagnosis and precision treatment based on artificial intelligence.Chinese medical journal pulmonary and critical care medicine · 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

9 authors.

Jun ShaoDepartment of Respiratory and Critical Care Medicine, Med-X Center for Manufacturing, West China Hospital, West China School of Medicine, Sichuan University, No. 37 GuoXue Alley, Chengdu 610041, China.
Jiechao MaAI Lab, Deepwise Healthcare, No. 8 Haidian Street, Beijing 100080, China.
Shu ZhangAI Lab, Deepwise Healthcare, No. 8 Haidian Street, Beijing 100080, China.
Jingwei LiDepartment of Respiratory and Critical Care Medicine, Med-X Center for Manufacturing, West China Hospital, West China School of Medicine, Sichuan University, No. 37 GuoXue Alley, Chengdu 610041, China.
Hesen DaiAI Lab, Deepwise Healthcare, No. 8 Haidian Street, Beijing 100080, China.
Shufan LiangDepartment of Respiratory and Critical Care Medicine, Med-X Center for Manufacturing, West China Hospital, West China School of Medicine, Sichuan University, No. 37 GuoXue Alley, Chengdu 610041, China.
Yizhou YuAI Lab, Deepwise Healthcare, No. 8 Haidian Street, Beijing 100080, China.
Weimin LiDepartment of Respiratory and Critical Care Medicine, Med-X Center for Manufacturing, West China Hospital, West China School of Medicine, Sichuan University, No. 37 GuoXue Alley, Chengdu 610041, China.
Chengdi WangDepartment of Respiratory and Critical Care Medicine, Med-X Center for Manufacturing, West China Hospital, West China School of Medicine, Sichuan University, No. 37 GuoXue Alley, Chengdu 610041, China.

Funding

Beijing Municipal Science and Technology Planning Project Z201100005620008, Z201100005620002Chinese Postdoctoral Science Foundation 2022T150451, 2021M692309National Key Research & Development Program 2019YFB1404800, 2020AAA0104900National Natural Science Foundation of China 91859203, 82100119, 81971616Postdoctoral Program of Sichuan University 2021SCU12018Postdoctoral Program of West China Hospital, Sichuan University 2020HXBH084Science and Technology Project of Sichuan 2020YFG0473, 2022ZDZX0018Xuhui District Artificial Intelligence Medical Hospital Cooperation Project 2020-010
6 · The paper itself

Abstract

purposePersonalized treatments such as targeted therapy and immunotherapy have revolutionized the predominantly therapeutic paradigm for non-small cell lung cancer (NSCLC). However, these treatment decisions require the determination of targetable genomic and molecular alterations through invasive genetic or immunohistochemistry (IHC) tests. Numerous previous studies have demonstrated that artificial intelligence can accurately predict the single-gene status of tumors based on radiologic imaging, but few studies have achieved the simultaneous evaluation of multiple genes to reflect more realistic clinical scenarios.

methodsWe proposed a multi-label multi-task deep learning (MMDL) system for non-invasively predicting actionable NSCLC mutations and PD-L1 expression utilizing routinely acquired computed tomography (CT) images. This radiogenomic system integrated transformer-based deep learning features and radiomic features of CT volumes from 1096 NSCLC patients based on next-generation sequencing (NGS) and IHC tests.

resultsFor each task cohort, we randomly split the corresponding dataset into training (80%), validation (10%), and testing (10%) subsets. The area under the receiver operating characteristic curves (AUCs) of the MMDL system achieved 0.862 (95% confidence interval (CI), 0.758-0.969) for discrimination of a panel of 8 mutated genes, including

conclusionsTo the best of our knowledge, this study is the first deep learning system to simultaneously analyze 10 molecular expressions, which might be utilized as an assistive tool in conjunction with or in lieu of ancillary testing to support precision treatment options.

Indexed as

actionable mutationsdeep learningmolecular statusnon-small cell lung cancerradiomics

Identifiers

PMID36230746
PMCPMC9563625

What OpenQuestion holds

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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.