Evidence map›Paper›PMID 37195452›Full record

ArticleClinical neuroradiology2023

Radiomics Signatures of Carotid Plaque on Computed Tomography Angiography : An Approach to Identify Symptomatic Plaques.

Jinglong Shi, Yu Sun, Jie Hou, Xiaogang Li, Jitao Fan, Libo Zhang, Rongrong Zhang, Hongrui You, Zhenguo Wang, Anxiaonan Zhang and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical neuroradiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.3field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

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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

14 authors at 4 institutions in 1 country.

Jinglong ShiJinzhou Medical University General Hospital of Northern Theater, Command Postgraduate Training Base, Shenyang, China.
Yu SunDepartment of Radiology, General Hospital of Northern Theater Command, 83 Wenhua Road, 110016, Shenyang, Liaoning Province, China.
Jie HouDepartment of Radiology, General Hospital of Northern Theater Command, 83 Wenhua Road, 110016, Shenyang, Liaoning Province, China.
Xiaogang LiDepartment of Radiology, General Hospital of Northern Theater Command, 83 Wenhua Road, 110016, Shenyang, Liaoning Province, China.
Jitao FanBeijing Deepwise & League of PHD Technology Co. Ltd, Beijing, China.
Libo ZhangDepartment of Radiology, General Hospital of Northern Theater Command, 83 Wenhua Road, 110016, Shenyang, Liaoning Province, China.
Rongrong ZhangDepartment of Radiology, General Hospital of Northern Theater Command, 83 Wenhua Road, 110016, Shenyang, Liaoning Province, China.
Hongrui YouDepartment of Radiology, General Hospital of Northern Theater Command, 83 Wenhua Road, 110016, Shenyang, Liaoning Province, China.
Zhenguo WangDepartment of Radiology, General Hospital of Northern Theater Command, 83 Wenhua Road, 110016, Shenyang, Liaoning Province, China.
Anxiaonan ZhangDepartment of Radiology, General Hospital of Northern Theater Command, 83 Wenhua Road, 110016, Shenyang, Liaoning Province, China.
Jianhua ZhangDepartment of Radiology, General Hospital of Northern Theater Command, 83 Wenhua Road, 110016, Shenyang, Liaoning Province, China.
Qiuyue JinDepartment of Radiology, General Hospital of Northern Theater Command, 83 Wenhua Road, 110016, Shenyang, Liaoning Province, China.
Lianlian ZhaoDepartment of Radiology, General Hospital of Northern Theater Command, 83 Wenhua Road, 110016, Shenyang, Liaoning Province, China.
Benqiang YangDepartment of Radiology, General Hospital of Northern Theater Command, 83 Wenhua Road, 110016, Shenyang, Liaoning Province, China. bqyang888@sina.com.ORCID http://orcid.org/0000-0001-8609-3655
General Hospital of Shenyang Military Region · CNCenter for High Pressure Science & Technology Advanced Research · CNJinzhou Medical University · CNLiaoning University · CN

Funding

Key Research and Development Project of Liaoning Province of China 2020JH2/10300119Liaoning Provincial "Selecting the Best Candidates by Opening Competition Mechanism" Science and Technology Program 2022JH1/10400004
6 · The paper itself

Abstract

purposeTo develop and validate a combined model incorporating conventional clinical and imaging characteristics and radiomics signatures based on head and neck computed tomography angiography (CTA) to assess plaque vulnerability.

methodsWe retrospectively analyzed 167 patients with carotid atherosclerosis who underwent head and neck CTA and brain magnetic resonance imaging (MRI) within 1 month. Clinical risk factors and conventional plaque characteristics were evaluated, and radiomic features were extracted from the carotid plaques. The conventional, radiomics and combined models were developed using fivefold cross-validation. Model performance was evaluated using receiver operating characteristic (ROC), calibration, and decision curve analyses.

resultsPatients were divided into symptomatic (n = 70) and asymptomatic (n = 97) groups based on MRI results. Homocysteine (odds ratio, OR 1.057; 95% confidence interval, CI 1.001-1.116), plaque ulceration (OR 6.106; 95% CI 1.933-19.287), and carotid rim sign (OR 3.285; 95% CI 1.203-8.969) were independently associated with symptomatic status and were used to construct the conventional model and s radiomic features were retained to establish the radiomics model. Radiomics scores incorporated with conventional characteristics were used to establish the combined model. The area under the ROC curve (AUC) of the combined model was 0.832, which outperformed the conventional (AUC = 0.767) and radiomics (AUC = 0.797) models. Calibration and decision curves analysis showed that the combined model was clinically useful.

conclusionRadiomics signatures of carotid plaque on CTA can well predict plaque vulnerability, which may provide additional value to identify high-risk patients and improve outcomes.

Indexed as

Carotid Artery DiseasesComputed Tomography AngiographyAngiographyHumansRetrospective StudiesTomography, X-Ray ComputedCarotid atherosclerosisMachine learningNomogramPlaque vulnerabilityStroke

Identifiers

PMID37195452
PMCPMC10654187
OpenAlexW4376871851

What OpenQuestion holds

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LicenceCC BY
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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.