Evidence map›Paper›PMID 36618894›Full record

ArticleEClinicalMedicine2023

CT-based radiomics signature of visceral adipose tissue for prediction of disease progression in patients with Crohn's disease: A multicentre cohort study.

Xuehua Li, Naiwen Zhang, Cicong Hu, Yuqin Lin, Jiaqiang Li, Zhoulei Li, Enming Cui, Li Shi, Xiaozhao Zhuang, Jianpeng Li and 15 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06858553 (A Prospective, Multi-center Study to Characterize Intestinal Fibrosis in Patients With Crohn's Disease), which is not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
5.6field-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.

NCT06858553 recruitingnot on this mapstarted 2025, after this paper: background citation

A Prospective, Multi-center Study to Characterize Intestinal Fibrosis in Patients With Crohn's Disease (CD) Using MR Enterography (MRE)-Based Artificial Intelligence

Typeobservational_patient_registrySponsorMinhu ChenRan2025 to 2027Enrolled234ConditionsCrohn Disease (CD)
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 43 citations in OpenAlex.

  1. Birth seasonality and height in patients with schizophrenia: a multi-institutional cohort study.European archives of psychiatry and clinical neuroscience · 2026
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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

25 authors at 9 institutions in 1 country.

Xuehua LiDepartment of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan II Road, Guangzhou 510080, People's Republic of China.
Naiwen ZhangMedical AI Lab, School of Biomedical Engineering, Medical School, Shenzhen University, Shenzhen 518000, People's Republic of China.
Cicong HuDepartment of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan II Road, Guangzhou 510080, People's Republic of China.
Yuqin LinDepartment of Radiology, The First Affiliated Hospital of Shantou University Medical College, 57 Changping Road, Shantou, Guangdong 515000, People's Republic of China.
Jiaqiang LiDepartment of Radiology, The First People's Hospital of Foshan City, No.81, Lingnan Dadao North, Foshan City, Guangdong Province 528000, People's Republic of China.
Zhoulei LiDepartment of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan II Road, Guangzhou 510080, People's Republic of China.
Enming CuiDepartment of Radiology, Jiangmen Central Hospital, Guangdong Medical University, 23 Beijie Haibang Street, Jiangmen 529030, People's Republic of China.
Li ShiDepartment of Radiology, The Third Affiliated Hospital of Guangzhou Medical University, 63 Duobao Road, Guangzhou 510150, People's Republic of China.
Xiaozhao ZhuangDepartment of Radiology, Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University), No.19 Xiuhua Road, Xiuying District, Haikou, Hainan 570311, People's Republic of China.
Jianpeng LiDepartment of Radiology, Affiliated Dongguan People's Hospital, Southern Medical University, No. 78 Wandao Road, Gongguan 523000, People's Republic of China.
Jiahang LuMedical Imaging Department, The First Affiliated Hospital, Kunming Medical University, Xi Chang Road 295th, Kunming 650000, People's Republic of China.
Yangdi WangDepartment of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan II Road, Guangzhou 510080, People's Republic of China.
Renyi LiuDepartment of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan II Road, Guangzhou 510080, People's Republic of China.
Chenglang YuanMedical AI Lab, School of Biomedical Engineering, Medical School, Shenzhen University, Shenzhen 518000, People's Republic of China.
Haiwei LinMedical AI Lab, School of Biomedical Engineering, Medical School, Shenzhen University, Shenzhen 518000, People's Republic of China.
Jinshen HeDepartment of Gastroenterology, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan II Road, Guangzhou 510080, People's Republic of China.
Dongping KeDepartment of Radiology, The First Affiliated Hospital of Shantou University Medical College, 57 Changping Road, Shantou, Guangdong 515000, People's Republic of China.
Shanshan TangDepartment of Radiology, The First People's Hospital of Foshan City, No.81, Lingnan Dadao North, Foshan City, Guangdong Province 528000, People's Republic of China.
Yujian ZouDepartment of Radiology, Affiliated Dongguan People's Hospital, Southern Medical University, No. 78 Wandao Road, Gongguan 523000, People's Republic of China.
Bo HeMedical Imaging Department, The First Affiliated Hospital, Kunming Medical University, Xi Chang Road 295th, Kunming 650000, People's Republic of China.
Canhui SunDepartment of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan II Road, Guangzhou 510080, People's Republic of China.
Minhu ChenDepartment of Gastroenterology, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan II Road, Guangzhou 510080, People's Republic of China.
Bingsheng HuangMedical AI Lab, School of Biomedical Engineering, Medical School, Shenzhen University, Shenzhen 518000, People's Republic of China.
Ren MaoDepartment of Gastroenterology, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan II Road, Guangzhou 510080, People's Republic of China.
Shi-Ting FengDepartment of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan II Road, Guangzhou 510080, People's Republic of China.
Sun Yat-sen University · CNShenZhen People’s Hospital · CNFirst People's Hospital of Foshan · CNKunming Medical University · CNShantou University · CNDongguan People’s Hospital · CNHainan General Hospital · CNJiangmen Central Hospital · CNThird Affiliated Hospital of Guangzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Visceral adipose tissue (VAT) is involved in the pathogenesis of Crohn's disease (CD). However, data describing its effects on CD progression remain scarce. We developed and validated a VAT-radiomics model (RM) using computed tomography (CT) images to predict disease progression in patients with CD and compared it with a subcutaneous adipose tissue (SAT)-RM. Methods: This retrospective study included 256 patients with CD (training, n = 156; test, n = 100) who underwent baseline CT examinations from June 19, 2015 to June 14, 2020 at three tertiary referral centres (The First Affiliated Hospital of Sun Yat-Sen University, The First Affiliated Hospital of Shantou University Medical College, and The First People's Hospital of Foshan City) in China. Disease progression referred to the development of penetrating or stricturing diseases or the requirement for CD-related surgeries during follow-up. A total of 1130 radiomics features were extracted from VAT on CT in the training cohort, and a machine-learning-based VAT-RM was developed to predict disease progression using selected reproducible features and validated in an external test cohort. Using the same modeling methodology, a SAT-RM was developed and compared with the VAT-RM. Findings: The VAT-RM exhibited satisfactory performance for predicting disease progression in total test cohort (the area under the ROC curve [AUC] = 0.850, 95% confidence Interval [CI] 0.764-0.913, Interpretation: Our results suggest that VAT is an important determinant of disease progression in patients with CD. Our VAT-RM allows the accurate identification of high-risk patients prone to disease progression and offers notable advantages over SAT-RM. Funding: This study was supported by the National Natural Science Foundation of China, Guangdong Basic and Applied Basic Research Foundation, Shenzhen-Hong Kong Institute of Brain Science-Shenzhen Fundamental Research Institutions, Nature Science Foundation of Shenzhen, and Young S&T Talent Training Program of Guangdong Provincial Association for S&T. Translation: For the Chinese translation of the abstract see Supplementary Materials section.

Indexed as

AUC, Area under the ROC curveBMI, Body mass indexCD, Crohn's diseaseCI, Confidence intervalComputed tomography enterographyCrohn's diseaseCRP, C-reactive proteinCT, Computed tomographyDCA, Decision curve analysisICC, Intraclass correlation coefficientsLASSO, Least absolute shrinkage and selection operatorLOOCV, Leave-one-out cross-validationMRI, Magnetic resonance imagingRadiomicsRM, Radiomics modelROC, Receiver operating characteristicSAT, Subcutaneous adipose tissueSVM, Support vector machineVAT, Visceral adipose tissueVisceral adipose tissueVOI, Volume of interest

Identifiers

PMID36618894
PMCPMC9816914
OpenAlexW4313357317

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Registered trials

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.