Evidence map›Paper›PMID 36353547›Full record

ArticleFrontiers in oncology2022

Prediction of axillary lymph node pathological complete response to neoadjuvant therapy using nomogram and machine learning methods.

Tianyang Zhou, Mengting Yang, Mijia Wang, Linlin Han, Hong Chen, Nan Wu, Shan Wang, Xinyi Wang, Yuting Zhang, Di Cui and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 42% 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, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
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 4 institutions in 1 country.

Tianyang ZhouDepartment of Breast Surgery, The Second Hospital of Dalian Medical University, Dalian, China.
Mengting YangFaculty of Electronic Information and Electrical Engineering, Dalian University of Technology, Dalian, China.
Mijia WangDepartment of Breast Surgery, The Second Hospital of Dalian Medical University, Dalian, China.
Linlin HanHealth Management Center, The Second Hospital of Dalian Medical University, Dalian, China.
Hong ChenDepartment of Breast Surgery, The Second Hospital of Dalian Medical University, Dalian, China.
Nan WuDepartment of Breast Surgery, The Second Hospital of Dalian Medical University, Dalian, China.
Shan WangDepartment of Breast Surgery, The Second Hospital of Dalian Medical University, Dalian, China.
Xinyi WangDepartment of Breast Surgery, The Second Hospital of Dalian Medical University, Dalian, China.
Yuting ZhangDepartment of Breast Surgery, The Second Hospital of Dalian Medical University, Dalian, China.
Di CuiInformation Center, The Second Hospital of Dalian Medical University, Dalian, China.
Feng JinDepartment of Breast Surgery, The First Affiliated Hospital of China Medical University, Shenyang, China.
Pan QinFaculty of Electronic Information and Electrical Engineering, Dalian University of Technology, Dalian, China.
Jia WangDepartment of Breast Surgery, The Second Hospital of Dalian Medical University, Dalian, China.
Dalian Medical University · CNDalian University · CNChina Medical University · CNSecond Affiliated Hospital of Dalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To determine the feasibility of predicting the rate of an axillary lymph node pathological complete response (apCR) using nomogram and machine learning methods. Methods: A total of 247 patients with early breast cancer (eBC), who underwent neoadjuvant therapy (NAT) were included retrospectively. We compared pre- and post-NAT ultrasound information and calculated the maximum diameter change of the primary lesion (MDCPL): [(pre-NAT maximum diameter of primary lesion - post-NAT maximum diameter of preoperative primary lesion)/pre-NAT maximum diameter of primary lesion] and described the lymph node score (LNS) (1): unclear border (2), irregular morphology (3), absence of hilum (4), visible vascularity (5), cortical thickness, and (6) aspect ratio <2. Each description counted as 1 point. Logistic regression analyses were used to assess apCR independent predictors to create nomogram. The area under the curve (AUC) of the receiver operating characteristic curve as well as calibration curves were employed to assess the nomogram's performance. In machine learning, data were trained and validated by random forest (RF) following Pycharm software and five-fold cross-validation analysis. Results: The mean age of enrolled patients was 50.4 ± 10.2 years. MDCPL (odds ratio [OR], 1.013; 95% confidence interval [CI], 1.002-1.024; Conclusion: Both nomogram and machine learning methods can predict apCR well. Nomogram is simple and practical, and shows high operability. Machine learning makes better use of a patient's clinicopathological information. These prediction models can assist surgeons in deciding on a reasonable strategy for axillary surgery.

Indexed as

axillary lymph node pathological complete responsebreast cancermachine learningneoadjuvant therapynomogram

Identifiers

PMID36353547
PMCPMC9637839
OpenAlexW4307267326

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.