Evidence map›Paper›PMID 36239836›Full record

ArticleJournal of neuro-oncology2022

Pre-operative MRI radiomics model non-invasively predicts key genomic markers and survival in glioblastoma patients.

Mathew Pease, Zachary C Gersey, Murat Ak, Ahmed Elakkad, Aikaterini Kotrotsou, Serafettin Zenkin, Nabil Elshafeey, Priyadarshini Mamindla, Vinodh A Kumar, Ashok J Kumar and 2 more

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In one paragraph

Article in Journal of neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
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  8. Correlations ofMolecular and clinical oncology · 2025
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  15. Development of A Radiomic Model forInternational journal of molecular sciences · 2023
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  17. Advanced MR Techniques for Preoperative Glioma Characterization: Part 2.Journal of magnetic resonance imaging : JMRI · 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

12 authors.

Mathew Pease *Department of Neurosurgery, 200 Lothrop St., Suit 400B, Pittsburgh, PA, 15213, USA.
Zachary C Gersey *Department of Neurosurgery, 200 Lothrop St., Suit 400B, Pittsburgh, PA, 15213, USA.
Murat AkDepartment of Diagnostic Radiology, UPMC, Pittsburgh, PA, USA.
Ahmed ElakkadDepartment of Neuroradiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Aikaterini KotrotsouDepartment of Neuroradiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Serafettin ZenkinDepartment of Diagnostic Radiology, UPMC, Pittsburgh, PA, USA.
Nabil ElshafeeyDepartment of Neuroradiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Priyadarshini MamindlaDepartment of Diagnostic Radiology, UPMC, Pittsburgh, PA, USA.
Vinodh A KumarDepartment of Neuroradiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Ashok J KumarDepartment of Neuroradiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
R R Colen *Department of Diagnostic Radiology, UPMC, Pittsburgh, PA, USA.
P O Zinn *Department of Neurosurgery, 200 Lothrop St., Suit 400B, Pittsburgh, PA, 15213, USA. zinnpo@upmc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough glioblastoma (GBM) is the most common primary brain malignancy, few tools exist to pre-operatively risk-stratify patients by overall survival (OS) or common genetic alterations. We developed an MRI-based radiomics model to identify patients with EGFR amplification, MGMT methylation, GBM subtype, and OS greater than 12 months.

methodsWe retrospectively identified 235 patients with pathologically confirmed GBMs from the Cancer Genome Atlas (88; TCGA) and MD Anderson Cancer Center (147; MDACC). After two neuroradiologists segmented MRI tumor volumes, we extracted first-order and second-order radiomic features (gray-level co-occurrence matrices). We used the Maximum Relevance Minimum Redundancy technique to identify the 100 most relevant features and validated models using leave-one-out-cross-validation and validation on external datasets (i.e., TCGA). Our results were reported as the area under the curve (AUC).

resultsThe MDACC patient cohort had significantly higher OS (22 months) than the TCGA dataset (14 months). On both LOOCV and external validation, our radiomics models were able to identify EGFR amplification (all AUCs > 0.83), MGMT methylation (all AUCs > 0.85), GBM subtype (all AUCs > 0.92), and OS (AUC > 0.91 on LOOCV and 0.71 for TCGA validation).

conclusionsOur robust radiomics pipeline has the potential to pre-operatively discriminate common genetic alterations and identify patients with favorable survival.

Indexed as

Brain NeoplasmsGlioblastomaBiomarkers, TumorErbB ReceptorsGenomicsHumansMagnetic Resonance ImagingRetrospective StudiesBiomarkers, TumorErbB ReceptorsGlioblastomaPredictionRadiogenomicsRadiomicsSurvival

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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.