Evidence map›Paper›PMID 36582803›Full record

ArticleFrontiers in oncology2022

Biparametric MRI-based radiomics classifiers for the detection of prostate cancer in patients with PSA serum levels of 4∼10 ng/mL.

Yangbai Lu, Binfei Li, Hongxing Huang, Qu Leng, Qiang Wang, Rui Zhong, Yaqiang Huang, Canyong Li, Runqiang Yuan, Yongxin Zhang

Abstract read
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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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

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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

10 authors.

Yangbai LuDepartment of Urology, Zhongshan City People's Hospital, Zhongshan, Guangdong, China.
Binfei LiDepartment of Anesthesiology, Zhongshan City People's Hospital, Zhongshan, Guangdong, China.
Hongxing HuangDepartment of Urology, Zhongshan City People's Hospital, Zhongshan, Guangdong, China.
Qu LengDepartment of Urology, Zhongshan City People's Hospital, Zhongshan, Guangdong, China.
Qiang WangDepartment of Urology, Zhongshan City People's Hospital, Zhongshan, Guangdong, China.
Rui ZhongDepartment of Urology, Zhongshan City People's Hospital, Zhongshan, Guangdong, China.
Yaqiang HuangDepartment of Urology, Zhongshan City People's Hospital, Zhongshan, Guangdong, China.
Canyong LiDepartment of Urology, Zhongshan City People's Hospital, Zhongshan, Guangdong, China.
Runqiang YuanDepartment of Urology, Zhongshan City People's Hospital, Zhongshan, Guangdong, China.
Yongxin ZhangDepartment of Magnetic Resonance Imaging, Zhongshan City People's Hospital, Zhongshan, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate the predictive performance of the combined model by integrating clinical variables and radiomic features for the accurate detection of prostate cancer (PCa) in patients with prostate-specific antigen (PSA) serum levels of 4-10 ng/mL. Methods: A retrospective study of 136 males (mean age, 67.3 ± 8.4 years) with Prostate Imaging-Reporting and Data System (PI-RADS) v2.1 category ≤3 lesions and PSA serum levels of 4-10 ng/mL were performed. All patients underwent multiparametric MRI at 3.0T and transrectal ultrasound-guided systematic prostate biopsy in their clinical workup. Radiomic features were extracted from axial T2-weighted images (T2WI) and apparent diffusion coefficient (ADC) maps of each patient using PyRadiomics. Pearson correlation coefficient (PCC) and recursive feature elimination (RFE) were implemented to identify the most significant radiomic features. Independent clinic-radiological factors were identified Results: The transitional zone-specific antigen density was identified as the only independent clinic-radiological factor, which yielded an AUC of 0.592 (95% confidence interval [CI]: 0.527-0.657). The ADC radscore based on six features and Naive Bayes achieved an AUC of 0.779 (95%CI: 0.730-0.828); the T2WI radscore based on 13 features and Support Vector Machine yielded an AUC of 0.808 (95%CI: 0.761-0.855). The fusion radscore obtained an improved AUC of 0.844 (95%CI: 0.801-0.887), which was higher than the single-layered radscores (both P<0.05). The radiomic nomogram achieved the highest value among all models (all P<0.05), with an AUC of 0.872 (95%CI: 0.835-0.909). Calibration curve showed good agreement and DCA together with CIC confirmed the clinical benefits of the radiomic nomogram. Conclusion: The radiomic nomogram holds the potential for accurate and noninvasive identification of PCa in patients with PI-RADS ≤3 lesions and PSA of 4-10 ng/mL, which could reduce unnecessary biopsy.

Indexed as

machine learningmagnetic resonance imagingPI-RADSprostate cancerradiomics

Identifiers

PMID36582803
PMCPMC9793773

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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.