Evidence map›Paper›PMID 37335422›Full record

ArticleLa Radiologia medica2023

MRI radiomics-based machine learning for classification of deep-seated lipoma and atypical lipomatous tumor of the extremities.

Salvatore Gitto, Matteo Interlenghi, Renato Cuocolo, Christian Salvatore, Vincenzo Giannetta, Julietta Badalyan, Enrico Gallazzi, Maria Silvia Spinelli, Mauro Gallazzi, Francesca Serpi and 13 more

Open access · hybridAbstract read
In one paragraph

Article in La Radiologia medica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.7field-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.

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

21 citing papers in PubMed, 26 citations in OpenAlex.

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  8. Insights into radiomics: a comprehensive review for beginners.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 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

23 authors at 9 institutions in 1 country.

Salvatore GittoIRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Matteo InterlenghiDeepTrace Technologies, Milan, Italy.
Renato CuocoloDepartment of Medicine, Surgery and Dentistry, University of Salerno, Baronissi, Italy.
Christian SalvatoreDeepTrace Technologies, Milan, Italy.
Vincenzo GiannettaDiagnostic and Interventional Radiology Department, IRCCS Ospedale San Raffaele-Turro, Università Vita-Salute San Raffaele, Milan, Italy.
Julietta BadalyanScuola di Specializzazione in Statistica Sanitaria e Biometria, Università Degli Studi Di Milano, Milan, Italy.
Enrico GallazziUOC Patologia Vertebrale e Scoliosi, ASST Gaetano Pini - CTO, Milan, Italy.
Maria Silvia SpinelliUOC Ortopedia Oncologica, ASST Gaetano Pini - CTO, Milan, Italy.
Mauro GallazziUOC Radiodiagnostica, ASST Gaetano Pini - CTO, Milan, Italy.
Francesca SerpiDipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy.
Carmelo MessinaIRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Domenico AlbanoIRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Alessio AnnovazziNuclear Medicine Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Vincenzo AnelliRadiology and Diagnostic Imaging Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Jacopo BaldiOncological Orthopaedics Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Alberto AliprandiIstituti Clinici Zucchi, Monza, Italy.
Elisabetta ArmiraglioUOC Anatomia Patologica, ASST Gaetano Pini - CTO Milan, Milan, Italy.
Antonina ParafioritiUOC Anatomia Patologica, ASST Gaetano Pini - CTO Milan, Milan, Italy.
Primo Andrea DaolioUOC Ortopedia Oncologica, ASST Gaetano Pini - CTO, Milan, Italy.
Alessandro LuzzatiIRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Roberto BiaginiOncological Orthopaedics Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Isabella CastiglioniDepartment of Physics, Università degli Studi di Milano-Bicocca, Milan, Italy.
Luca Maria SconfienzaIRCCS Istituto Ortopedico Galeazzi, Milan, Italy. io@lucasconfienza.it.ORCID http://orcid.org/0000-0003-0759-8431
Istituto Ortopedico Gaetano Pini · ITUniversity of Milan · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Ortopedico Galeazzi · ITInstitute of Molecular Bioimaging and Physiology · ITIstituti Clinici Scientifici Maugeri · ITIstituto Universitario di Studi Superiori di Pavia · ITUniversity of Salerno · ITVita-Salute San Raffaele University · IT

Funding

Fondazione AIRC per la Ricerca sul Cancro Investigator GrantInternational Skeletal Society Early Career Grant
6 · The paper itself

Abstract

purposeTo determine diagnostic performance of MRI radiomics-based machine learning for classification of deep-seated lipoma and atypical lipomatous tumor (ALT) of the extremities. MATERIAL AND

methodsThis retrospective study was performed at three tertiary sarcoma centers and included 150 patients with surgically treated and histology-proven lesions. The training-validation cohort consisted of 114 patients from centers 1 and 2 (n = 64 lipoma, n = 50 ALT). The external test cohort consisted of 36 patients from center 3 (n = 24 lipoma, n = 12 ALT). 3D segmentation was manually performed on T1- and T2-weighted MRI. After extraction and selection of radiomic features, three machine learning classifiers were trained and validated using nested fivefold cross-validation. The best-performing classifier according to previous analysis was evaluated and compared to an experienced musculoskeletal radiologist in the external test cohort.

resultsEight features passed feature selection and were incorporated into the machine learning models. After training and validation (74% ROC-AUC), the best-performing classifier (Random Forest) showed 92% sensitivity and 33% specificity in the external test cohort with no statistical difference compared to the radiologist (p = 0.474).

conclusionMRI radiomics-based machine learning may classify deep-seated lipoma and ALT of the extremities with high sensitivity and negative predictive value, thus potentially serving as a non-invasive screening tool to reduce unnecessary referral to tertiary tumor centers.

Indexed as

LipomaLiposarcomaExtremitiesHumansMachine LearningMagnetic Resonance ImagingRetrospective StudiesArtificial intelligenceLipomaLiposarcomaMachine learningRadiomicsSoft-tissueTumor

Identifiers

PMID37335422
PMCPMC10338387
OpenAlexW4381189631

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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.