Evidence map›Paper›PMID 36419451›Full record

ArticlePatterns (New York, N.Y.)2022

A transformer-based deep-learning approach for classifying brain metastases into primary organ sites using clinical whole-brain MRI images.

Qing Lyu, Sanjeev V Namjoshi, Emory McTyre, Umit Topaloglu, Richard Barcus, Michael D Chan, Christina K Cramer, Waldemar Debinski, Metin N Gurcan, Glenn J Lesser and 10 more

Abstract read
In one paragraph

Article in Patterns (New York, N.Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

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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

20 authors.

Qing LyuDepartment of Biomedical Engineering, Rensselaer Polytechnic Institute, Troy, NY, USA.
Sanjeev V NamjoshiComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Emory McTyreBrain Tumor Center of Excellence, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Umit TopalogluComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Richard BarcusRadiology Informatics & Image Processing Laboratory, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Michael D ChanComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Christina K CramerComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Waldemar DebinskiComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Metin N GurcanComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Glenn J LesserComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Hui-Kuan LinComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Reginald F MundenComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Boris C PascheComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Kiran K S SaiComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Roy E StrowdComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Stephen B TatterComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Kounosuke WatabeComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Wei ZhangComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Ge WangDepartment of Biomedical Engineering, Rensselaer Polytechnic Institute, Troy, NY, USA.
Christopher T WhitlowComprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Funding

Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
NCATS NIH HHS UL1 TR001420
6 · The paper itself

Abstract

Treatment decisions for brain metastatic disease rely on knowledge of the primary organ site and are currently made with biopsy and histology. Here, we develop a deep-learning approach for accurate non-invasive digital histology with whole-brain magnetic resonance imaging (MRI) data. Contrast-enhanced T1-weighted and fast spoiled gradient echo brain MRI exams (n = 1,582) were preprocessed and input to the proposed deep-learning workflow for tumor segmentation, modality transfer, and primary site classification into one of five classes. Tenfold cross-validation generated an overall area under the receiver operating characteristic curve (AUC) of 0.878 (95% confidence interval [CI]: 0.873,0.883). These data establish that whole-brain imaging features are discriminative enough to allow accurate diagnosis of the primary organ site of malignancy. Our end-to-end deep radiomic approach has great potential for classifying metastatic tumor types from whole-brain MRI images. Further refinement may offer an invaluable clinical tool to expedite primary cancer site identification for precision treatment and improved outcomes.

Indexed as

brain metastasisclassificationdeep learningMRIprimary organ sitevision transformer

Identifiers

PMID36419451
PMCPMC9676537

What OpenQuestion holds

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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.