Evidence map›Paper›PMID 36564734›Full record

ArticleBMC medical imaging2022

A radiomic model to classify response to neoadjuvant chemotherapy in breast cancer.

Peter McAnena, Brian M Moloney, Robert Browne, Niamh O'Halloran, Leon Walsh, Sinead Walsh, Declan Sheppard, Karl J Sweeney, Michael J Kerin, Aoife J Lowery

Open access · goldAbstract read
In one paragraph

Article in BMC medical imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Machine learning and new insights for breast cancer diagnosis.The Journal of international medical research · 2024
    Review
  6. Article
  7. Article
  8. 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

10 authors at 2 institutions in 1 country.

Peter McAnenaDepartment of Surgery, Clinical Sciences Institute, University Hospital Galway, Galway, Ireland. pmcanuig@gmail.com.ORCID 0000-0003-1179-7150
Brian M MoloneyDepartment of Radiology, University Hospital Galway, Galway, Ireland.
Robert BrowneDepartment of Surgery, Clinical Sciences Institute, University Hospital Galway, Galway, Ireland.
Niamh O'HalloranDepartment of Radiology, University Hospital Galway, Galway, Ireland.
Leon WalshDepartment of Radiology, University Hospital Galway, Galway, Ireland.
Sinead WalshDepartment of Radiology, University Hospital Galway, Galway, Ireland.
Declan SheppardDepartment of Radiology, University Hospital Galway, Galway, Ireland.
Karl J SweeneyDepartment of Surgery, Clinical Sciences Institute, University Hospital Galway, Galway, Ireland.
Michael J KerinDepartment of Surgery, Clinical Sciences Institute, University Hospital Galway, Galway, Ireland.
Aoife J LoweryDepartment of Surgery, Clinical Sciences Institute, University Hospital Galway, Galway, Ireland.
University Hospital Galway · IEOllscoil na Gaillimhe – University of Galway · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical image analysis has evolved to facilitate the development of methods for high-throughput extraction of quantitative features that can potentially contribute to the diagnostic and treatment paradigm of cancer. There is a need for further improvement in the accuracy of predictive markers of response to neo-adjuvant chemotherapy (NAC). The aim of this study was to develop a radiomic classifier to enhance current approaches to predicting the response to NAC breast cancer.

methodsData on patients treated for breast cancer with NAC prior to surgery who had a pre-NAC dynamic contrast enhanced breast MRI were included. Response to NAC was assessed using the Miller-Payne system on the excised tumor. Tumor segmentation was carried out manually under the supervision of a consultant breast radiologist. Features were selected using least absolute shrinkage selection operator regression. A support vector machine learning model was used to classify response to NAC.

results74 patients were included. Patients were classified as having a poor response to NAC (reduction in cellularity < 90%, n = 44) and an excellent response (> 90% reduction in cellularity, n = 30). 4 radiomics features (discretized kurtosis, NGDLM contrast, GLZLM_SZE and GLZLM_ZP) were identified as pertinent predictors of response to NAC. A SVM model using these features stratified patients into poor and excellent response groups producing an AUC of 0.75. Addition of estrogen receptor status improved the accuracy of the model with an AUC of 0.811.

conclusionThis study identified a radiomic classifier incorporating 4 radiomics features to augment subtype based classification of response to NAC in breast cancer.

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsBreastFemaleHumansMagnetic Resonance ImagingNeoadjuvant TherapyRetrospective StudiesBiomarkerBreast cancerMRINeoadjuvant chemotherapyRadiomics

Identifiers

PMID36564734
PMCPMC9789647
OpenAlexW4312179175

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.