Evidence map›Paper›PMID 36497362›Full record

ArticleCancers2022

MRI- and Histologic-Molecular-Based Radio-Genomics Nomogram for Preoperative Assessment of Risk Classes in Endometrial Cancer.

Veronica Celli, Michele Guerreri, Angelina Pernazza, Ilaria Cuccu, Innocenza Palaia, Federica Tomao, Violante Di Donato, Paola Pricolo, Giada Ercolani, Sandra Ciulla and 14 more

Open access · goldAbstract 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 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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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

24 authors at 6 institutions in 3 countries.

Veronica CelliDepartment of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0003-2331-5235
Michele GuerreriDepartment of Computer Science & Centre for Medical Image Computing, University College London, London WC1E 6BT, UK.
Angelina PernazzaDepartment of Medico-Surgical Sciences and Biotechnologies, Polo Pontino-Sapienza University, 04100 Latina, Italy.
Ilaria CuccuDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 166, 00161 Rome, Italy.
Innocenza PalaiaDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 166, 00161 Rome, Italy.
Federica TomaoDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 166, 00161 Rome, Italy.
Violante Di DonatoDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 166, 00161 Rome, Italy.ORCID 0000-0002-9254-5790
Paola PricoloDepartment of Radiology, European Institute of Oncology IRCCS, 20141 Milan, Italy.
Giada ErcolaniDepartment of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy.
Sandra CiullaDepartment of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy.
Nicoletta ColomboDivision of Gynecologic Oncology, European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 20099 Milano, Italy.
Martina LeopizziDepartment of Medico-Surgical Sciences and Biotechnologies, Polo Pontino-Sapienza University, 04100 Latina, Italy.ORCID 0000-0002-9258-4191
Valeria Di MaioDepartment of Medico-Surgical Sciences and Biotechnologies, Polo Pontino-Sapienza University, 04100 Latina, Italy.
Eliodoro FaiellaMedical Oncology Department, Università Campus Bio-Medico di Roma, 00128 Rome, Italy.
Domiziana SantucciUnit of Diagnostic Imaging, Università Campus Bio-Medico di Roma, 00128 Rome, Italy.
Paolo SodaUnit of Computer Systems and Bioinformatics, Department of Engineering, University Campus Bio-Medico di Roma, 00128 Rome, Italy.ORCID 0000-0003-2621-072X
Ermanno CordelliUnit of Computer Systems and Bioinformatics, Department of Engineering, University Campus Bio-Medico di Roma, 00128 Rome, Italy.
Giorgia PerniolaDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 166, 00161 Rome, Italy.
Benedetta GuiDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, 00168 Rome, Italy.ORCID 0000-0002-5130-2100
Stefania RizzoClinica di Radiologia EOC, Istituto Imaging della Svizzera Italiana (IIMSI), 6900 Lugano, Switzerland.ORCID 0000-0002-5151-0866
Carlo Della RoccaDepartment of Medico-Surgical Sciences and Biotechnologies, Polo Pontino-Sapienza University, 04100 Latina, Italy.
Giuseppe PetraliaDepartment of Radiology, European Institute of Oncology IRCCS, 20141 Milan, Italy.
Carlo CatalanoDepartment of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy.
Lucia ManganaroDepartment of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0001-9037-9904
Policlinico Umberto I · ITUniversità Campus Bio-Medico · ITAgostino Gemelli University Polyclinic · ITEuropean Institute of Oncology · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Imaging della Svizzera Italiana

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High- and low-risk endometrial carcinoma (EC) differ in whether or not a lymphadenectomy is performed. We aimed to develop MRI-based radio-genomic models able to preoperatively assess lymph-vascular space invasion (LVSI) and discriminate between low- and high-risk EC according to the ESMO-ESGO-ESTRO 2020 guidelines, which include molecular risk classification proposed by "ProMisE". This is a retrospective, multicentric study that included 64 women with EC who underwent 3T-MRI before a hysterectomy. Radiomics features were extracted from T2WI images and apparent diffusion coefficient maps (ADC) after manual segmentation of the gross tumor volume. We constructed a multiple logistic regression approach from the most relevant radiomic features to distinguish between low- and high-risk classes under the ESMO-ESGO-ESTRO 2020 guidelines. A similar approach was taken to assess LVSI. Model diagnostic performance was assessed via ROC curves, accuracy, sensitivity and specificity on training and test sets. The LVSI predictive model used a single feature from ADC as a predictor; the risk class model used two features as predictors from both ADC and T2WI. The low-risk predictive model showed an AUC of 0.74 with an accuracy, sensitivity, and specificity of 0.74, 0.76, 0.94; the LVSI model showed an AUC of 0.59 with an accuracy, sensitivity, and specificity of 0.60, 0.50, 0.61. MRI-based radio-genomic models are useful for preoperative EC risk stratification and may facilitate therapeutic management.

Indexed as

endometrial cancerlymph-vascular space invasionmagnetic resonance imaging (MRI)molecular classificationradio-genomic analysisradiomic analysisrisk classestexture analysis

Identifiers

PMID36497362
PMCPMC9739755
OpenAlexW4311006191

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.