Evidence map›Paper›PMID 36302938›Full record

ArticleNPJ precision oncology2022

Gross tumour volume radiomics for prognostication of recurrence & death following radical radiotherapy for NSCLC.

Sumeet Hindocha, Thomas G Charlton, Kristofer Linton-Reid, Benjamin Hunter, Charleen Chan, Merina Ahmed, Emily J Greenlay, Matthew Orton, Catey Bunce, Jason Lunn and 8 more

Erratum issuedAbstract read
In one paragraph

Article in NPJ precision oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Sumeet HindochaLung Unit, The Royal Marsden NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0003-1644-0142
Thomas G CharltonGuy's Cancer Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Kristofer Linton-ReidCancer Imaging Centre, Department of Surgery & Cancer, Imperial College London, London, UK.
Benjamin HunterLung Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Charleen ChanInstitute of Cancer Research NIHR Biomedical Research Centre, London, UK.
Merina AhmedLung Unit, The Royal Marsden NHS Foundation Trust, Sutton, UK.
Emily J GreenlayClinical Trials Unit, Royal Marsden NHS Foundation Trust, Sutton, UK.
Matthew OrtonArtificial Intelligence Imaging Hub, Royal Marsden NHS Foundation Trust, Sutton, UK.
Catey BunceClinical Trials Unit, Royal Marsden NHS Foundation Trust, Sutton, UK.ORCID http://orcid.org/0000-0002-0935-3713
Jason LunnInstitute of Cancer Research NIHR Biomedical Research Centre, London, UK.ORCID http://orcid.org/0000-0001-9214-6645
Simon J DoranInstitute of Cancer Research NIHR Biomedical Research Centre, London, UK.ORCID http://orcid.org/0000-0001-8569-9188
Shahreen AhmadGuy's Cancer Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Fiona McDonaldLung Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Imogen LockeLung Unit, The Royal Marsden NHS Foundation Trust, Sutton, UK.
Danielle PowerDepartment of Clinical Oncology, Charing Cross Hospital, London, UK.
Matthew BlackledgeRadiotherapy and Imaging, Institute of Cancer Research, London, UK.
Richard W LeeLung Unit, The Royal Marsden NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0001-8368-3406
Eric O AboagyeCancer Imaging Centre, Department of Surgery & Cancer, Imperial College London, London, UK. eric.aboagye@imperial.ac.uk.ORCID http://orcid.org/0000-0003-2276-6771

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recurrence occurs in up to 36% of patients treated with curative-intent radiotherapy for NSCLC. Identifying patients at higher risk of recurrence for more intensive surveillance may facilitate the earlier introduction of the next line of treatment. We aimed to use radiotherapy planning CT scans to develop radiomic classification models that predict overall survival (OS), recurrence-free survival (RFS) and recurrence two years post-treatment for risk-stratification. A retrospective multi-centre study of >900 patients receiving curative-intent radiotherapy for stage I-III NSCLC was undertaken. Models using radiomic and/or clinical features were developed, compared with 10-fold cross-validation and an external test set, and benchmarked against TNM-stage. Respective validation and test set AUCs (with 95% confidence intervals) for the radiomic-only models were: (1) OS: 0.712 (0.592-0.832) and 0.685 (0.585-0.784), (2) RFS: 0.825 (0.733-0.916) and 0.750 (0.665-0.835), (3) Recurrence: 0.678 (0.554-0.801) and 0.673 (0.577-0.77). For the combined models: (1) OS: 0.702 (0.583-0.822) and 0.683 (0.586-0.78), (2) RFS: 0.805 (0.707-0.903) and 0·755 (0.672-0.838), (3) Recurrence: 0·637 (0.51-0.·765) and 0·738 (0.649-0.826). Kaplan-Meier analyses demonstrate OS and RFS difference of >300 and >400 days respectively between low and high-risk groups. We have developed validated and externally tested radiomic-based prediction models. Such models could be integrated into the routine radiotherapy workflow, thus informing a personalised surveillance strategy at the point of treatment. Our work lays the foundations for future prospective clinical trials for quantitative personalised risk-stratification for surveillance following curative-intent radiotherapy for NSCLC.

Identifiers

PMID36302938
PMCPMC9613990

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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.