Evidence map›Paper›PMID 37256330›Full record

ArticleAbdominal radiology (New York)2023

Ultrasound-based radiomics analysis in the assessment of renal fibrosis in patients with chronic kidney disease.

Ziman Chen, Michael Tin Cheung Ying, Yingli Wang, Jiaxin Chen, Chaoqun Wu, Xinyang Han, Zhongzhen Su

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Article in Abdominal radiology (New York), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

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3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

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4 · The record

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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

7 authors at 4 institutions in 2 countries.

Ziman ChenDepartment of Ultrasound, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Michael Tin Cheung YingDepartment of Health Technology and Informatics, Hong Kong Polytechnic University, Kowloon, Hong Kong. michael.ying@polyu.edu.hk.
Yingli WangUltrasound Department, EDAN Instruments, Inc., Shenzhen, China.
Jiaxin ChenDepartment of Ultrasound, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Chaoqun WuDepartment of Ultrasound, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Xinyang HanDepartment of Health Technology and Informatics, Hong Kong Polytechnic University, Kowloon, Hong Kong.
Zhongzhen SuDepartment of Ultrasound, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China. suzhzh3@mail.sysu.edu.cn.
Sun Yat-sen University · CNHong Kong Polytechnic University · HKEdan (China) · CNFifth Affiliated Hospital of Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAssessment of renal fibrosis non-invasively in chronic kidney disease (CKD) patients is still a clinical challenge. In this study, we aimed to establish a radiomics model integrating radiomics features derived from ultrasound (US) images with clinical characteristics for the assessment of renal fibrosis severity in CKD patients.

methodsA total of 160 patients with CKD who underwent kidney biopsy and renal US examination were prospectively enrolled. Patients were classified into the mild or moderate-severe fibrosis group based on pathology results. Radiomics features were extracted from the US images, and a radiomics signature was constructed using the maximum relevance minimum redundancy (mRMR) and least absolute shrinkage and selection operator (LASSO) regression algorithms. Multivariable logistic regression was employed to construct the radiomics model, which incorporated the radiomics signature and the selected clinical variables. The established model was evaluated for discrimination, calibration, and clinical utility in the derivation cohort and internal cross-validation (CV) analysis, respectively.

resultsThe radiomics signature, consisting of nine identified fibrosis-related features, achieved moderate discriminatory ability with an area under the receiver operating characteristic curve (AUC) of 0.72 (95% confidence interval (CI) 0.64-0.79). By combining the radiomics signature with significant clinical risk factors, the radiomics model showed satisfactory discrimination performance, yielding an AUC of 0.85 (95% CI 0.79-0.91) in the derivation cohort and a mean AUC of 0.84 (95% CI 0.77-0.92) in the internal CV analysis. It also demonstrated fine accuracy via the calibration curve. Furthermore, the decision curve analysis indicated that the model was clinically useful.

conclusionThe proposed radiomics model showed favorable performance in determining the individualized risk of moderate-severe renal fibrosis in patients with CKD, which may facilitate more effective clinical decision-making.

Indexed as

Renal Insufficiency, ChronicFibrosisHumansKidneyRisk FactorsUltrasonographyChronic kidney diseaseRadiomicsRenal fibrosisUltrasound

Identifiers

PMID37256330
OpenAlexW4378782839

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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.