Evidence map›Paper›PMID 36686755›Full record

ArticleFrontiers in oncology2022

Deep learning radiomic analysis of DCE-MRI combined with clinical characteristics predicts pathological complete response to neoadjuvant chemotherapy in breast cancer.

Yuting Li, Yaheng Fan, Dinghua Xu, Yan Li, Zhangnan Zhong, Haoyu Pan, Bingsheng Huang, Xiaotong Xie, Yang Yang, Bihua Liu

Open access · goldAbstract read
In one paragraph

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 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 1% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

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  13. Application of Machine Learning to Breast MR Imaging.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
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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 at 5 institutions in 1 country.

Yuting LiThe First Clinical Medical College, Guangdong Medical University, Zhanjiang, China.
Yaheng FanMedical Artificial Intelligence Lab, School of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, China.
Dinghua XuDepartment of Radiology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Yan LiDepartment of Radiology, Dongguan People's Hospital, Dongguan, China.
Zhangnan ZhongMedical Artificial Intelligence Lab, School of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, China.
Haoyu PanMedical Artificial Intelligence Lab, School of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, China.
Bingsheng HuangMedical Artificial Intelligence Lab, School of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, China.
Xiaotong XieDepartment of Minimally Invasive Interventional Radiology, Guangzhou Panyu Central Hospital, Guangzhou, China.
Yang YangDepartment of Radiology, Suining Central Hospital, Suining, China.
Bihua LiuThe First Clinical Medical College, Guangdong Medical University, Zhanjiang, China.
Shenzhen University Health Science Center · CNGuangdong Medical College · CNDongguan People’s Hospital · CNPanyu District Central Hospital · CNSuizhou Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The aim of this study was to develop and validate a deep learning-based radiomic (DLR) model combined with clinical characteristics for predicting pathological complete response (pCR) to neoadjuvant chemotherapy (NAC) in breast cancer. For early prediction of pCR, the DLR model was based on pre-treatment and early treatment dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) data. Materials and methods: This retrospective study included 95 women (mean age, 48.1 years; range, 29-77 years) who underwent DCE-MRI before (pre-treatment) and after two or three cycles of NAC (early treatment) from 2018 to 2021. The patients in this study were randomly divided into a training cohort (n=67) and a validation cohort (n=28) at a ratio of 7:3. Deep learning and handcrafted features were extracted from pre- and early treatment DCE-MRI contoured lesions. These features contribute to the construction of radiomic signature RS1 and RS2 representing information from different periods. Mutual information and least absolute shrinkage and selection operator regression were used for feature selection. A combined model was then developed based on the DCE-MRI features and clinical characteristics. The performance of the models was assessed using the area under the receiver operating characteristic curve (AUC) and compared using the DeLong test. Results: The overall pCR rate was 25.3% (24/95). One radiomic feature and three deep learning features in RS1, five radiomic features and 11 deep learning features in RS2, and five clinical characteristics remained in the feature selection. The performance of the DLR model combining pre- and early treatment information (AUC=0.900) was better than that of RS1 (AUC=0.644, P=0.068) and slightly higher that of RS2 (AUC=0.888, P=0.604) in the validation cohort. The combined model including pre- and early treatment information and clinical characteristics showed the best ability with an AUC of 0.925 in the validation cohort. Conclusion: The combined model integrating pre-treatment, early treatment DCE-MRI data, and clinical characteristics showed good performance in predicting pCR to NAC in patients with breast cancer. Early treatment DCE-MRI and clinical characteristics may play an important role in evaluating the outcomes of NAC by predicting pCR.

Indexed as

breast cancerdeep learningdynamic contrast-enhanced magnetic resonance imagingpathological complete responseradiomics

Identifiers

PMID36686755
PMCPMC9850142
OpenAlexW4313562095

What OpenQuestion holds

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LicenceCC BY
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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.