Evidence map›Paper›PMID 37002910›Full record

ArticleJournal of applied clinical medical physics2023

Investigation of the combination of intratumoral and peritumoral radiomic signatures for predicting epidermal growth factor receptor mutation in lung adenocarcinoma.

Yusuke Kawazoe, Takehiro Shiinoki, Koya Fujimoto, Yuki Yuasa, Tsunahiko Hirano, Kazuto Matsunaga, Hidekazu Tanaka

Abstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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3 · Its place in the literature

Who cites it

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

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yusuke KawazoeDepartment of Radiation Oncology, Graduate School of Medicine, Yamaguchi University, Ube, Japan.
Takehiro ShiinokiDepartment of Radiation Oncology, Graduate School of Medicine, Yamaguchi University, Ube, Japan.ORCID https://orcid.org/0000-0002-0246-8489
Koya FujimotoDepartment of Radiation Oncology, Graduate School of Medicine, Yamaguchi University, Ube, Japan.
Yuki YuasaDepartment of Radiation Oncology, Graduate School of Medicine, Yamaguchi University, Ube, Japan.
Tsunahiko HiranoDepartment of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube, Japan.
Kazuto MatsunagaDepartment of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Ube, Japan.
Hidekazu TanakaDepartment of Radiation Oncology, Graduate School of Medicine, Yamaguchi University, Ube, Japan.

Funding

Japan Society for the Promotion of Science (JSPS) KAKENHI 22K07667Takeda Science Foundation
6 · The paper itself

Abstract

purposeWe investigated optimal peritumoral size and constructed predictive models for epidermal growth factor receptor (EGFR) mutation.

methodsA total of 164 patients with lung adenocarcinoma were retrospectively analyzed. Radiomic signatures for the intratumoral region and combinations of intratumoral and peritumoral regions (3, 5, and 7 mm) from computed tomography images were extracted using analysis of variance and least absolute shrinkage. The optimal peritumoral region was determined by radiomics score (rad-score). Intratumoral radiomic signatures with clinical features (IRS) were used to construct predictive models for EGFR mutation. Combinations of intratumoral and 3, 5, or 7 mm-peritumoral signatures with clinical features (IPRS3, IPRS5, and IPRS7, respectively) were also used to construct predictive models. Support vector machine (SVM), logistic regression (LR), and LightGBM models with five-fold cross-validation were constructed, and the receiver operating characteristics were evaluated. Area under the curve (AUC) of the training and test cohorts values were calculated. Brier scores (BS) and decision curve analysis (DCA) were used to evaluate the predictive models.

resultsThe AUC values of the SVM, LR, and LightGBM models derived from IRS were 0.783 (95% confidence interval: 0.602-0.956), 0.789 (0.654-0.927), and 0.735 (0.613-0.958) for training, and 0.791 (0.641-0.920), 0.781 (0.538-0.930), and 0.734 (0.538-0.930) for test cohort, respectively. Rad-score confirmed that the 3 mm-peritumoral size was optimal (IPRS3), and AUCs values of SVM, LR, and lightGBM models derived from IPRS3 were 0.831 (0.666-0.984), 0.804 (0.622-0.908), and 0.769 (0.628-0.921) for training and 0.765 (0.644-0.921), 0.783 (0.583-0.921), and 0.796 (0.583-0.949) for test cohort, respectively. The BS and DCA of the LR and LightGBM models derived from IPRS3 were better than those from IRS.

conclusionAccordingly, the combination of intratumoral and 3 mm-peritumoral radiomic signatures may be helpful for predicting EGFR mutations.

Indexed as

Adenocarcinoma of LungLung NeoplasmsErbB ReceptorsHumansMutationRetrospective StudiesErbB ReceptorsEGFR mutationmachine learningradiomic feature

Identifiers

PMID37002910
PMCPMC10243334

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