Evidence map›Paper›PMID 37389608›Full record

ArticleEuropean radiology2023

A CT-based deep learning radiomics nomogram outperforms the existing prognostic models for outcome prediction in clear cell renal cell carcinoma: a multicenter study.

Pei Nie, Guangjie Yang, Yanmei Wang, Yuchao Xu, Lei Yan, Mingxin Zhang, Lianzi Zhao, Ning Wang, Xia Zhao, Xianjun Li and 7 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

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

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

  1. Pooled it
  2. Ultrasound-MRI Fusion Deep Learning Radiomics Nomogram: Refining Prognostic Stratification for Triple-Negative Breast Cancer Treated With Neoadjuvant Chemotherapy.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
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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

17 authors.

Pei NieDepartment of Radiology, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
Guangjie YangDepartment of Nuclear Medicine, the Affiliated Hospital of Qingdao University, No. 59, Haier Road, Qingdao, 266061, Shandong, China.
Yanmei WangGE Healthcare, Shanghai, China.
Yuchao XuSchool of Nuclear Science and Technology, University of South China, Hengyang, Hunan, China.
Lei YanDepartment of Nuclear Medicine, the Affiliated Hospital of Qingdao University, No. 59, Haier Road, Qingdao, 266061, Shandong, China.
Mingxin ZhangDepartment of Urology, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
Lianzi ZhaoDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Ning WangDepartment of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 Jingwu Road, Jinan, 250000, Shandong, China.
Xia ZhaoDepartment of Radiology, the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Xianjun LiDepartment of Nuclear Medicine, Weifang People's Hospital, Weifang, Shandong, China.
Nan ChengDepartment of Medical Imaging, the Affiliated Hospital of Jining Medical College, Jining, Shandong, China.
Yicong WangDepartment of Nuclear Medicine, Binzhou Medical University Hospital, Binzhou, Shandong, China.
Chengcheng ChenDepartment of Radiology, Rizhao People's Hospital, Rizhao, Shandong, China.
Nan WangDepartment of Nuclear Medicine, Yantai Yuhuangding Hospital, Yantai, Shandong, China.
Shaofeng DuanGE Healthcare, Shanghai, China.
Ximing WangDepartment of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 Jingwu Road, Jinan, 250000, Shandong, China. wxming369@163.com.
Zhenguang WangDepartment of Nuclear Medicine, the Affiliated Hospital of Qingdao University, No. 59, Haier Road, Qingdao, 266061, Shandong, China. wangzhenguang@qdu.edu.cn.ORCID http://orcid.org/0000-0003-1365-1198

Funding

National Natural Science Foundation of China 81871354National Natural Science Foundation of China 82271993Postdoctoral Science Foundation of China 2021M701811
6 · The paper itself

Abstract

objectivesTo develop and validate a CT-based deep learning radiomics nomogram (DLRN) for outcome prediction in clear cell renal cell carcinoma (ccRCC), and its performance was compared with the Stage, Size, Grade, and Necrosis (SSIGN) score, the University of California, Los Angeles, Integrated Staging System (UISS), the Memorial Sloan-Kettering Cancer Center (MSKCC), and the International Metastatic Renal Cell Database Consortium (IMDC).

methodsA multicenter of 799 localized (training/ test cohort, 558/241) and 45 metastatic ccRCC patients were studied. A DLRN was developed for predicting recurrence-free survival (RFS) in localized ccRCC patients, and another DLRN was developed for predicting overall survival (OS) in metastatic ccRCC patients. The performance of the two DLRNs was compared with that of the SSIGN, UISS, MSKCC, and IMDC. Model performance was assessed with Kaplan-Meier curves, time-dependent area under the curve (time-AUC), Harrell's concordance index (C-index), and decision curve analysis (DCA).

resultsIn the test cohort, the DLRN achieved higher time-AUCs (0.921, 0.911, and 0.900 for 1, 3, and 5 years, respectively), C-index (0.883), and net benefit than SSIGN and UISS in predicting RFS for localized ccRCC patients. The DLRN provided higher time-AUCs (0.594, 0.649, and 0.754 for 1, 3, and 5 years, respectively) than MSKCC and IMDC in predicting OS for metastatic ccRCC patients.

conclusionsThe DLRN can accurately predict outcomes and outperformed the existing prognostic models in ccRCC patients. CLINICAL RELEVANCE STATEMENT: This deep learning radiomics nomogram may facilitate individualized treatment, surveillance, and adjuvant trial design for patients with clear cell renal cell carcinoma. KEY POINTS: • SSIGN, UISS, MSKCC, and IMDC may be insufficient for outcome prediction in ccRCC patients. • Radiomics and deep learning allow for the characterization of tumor heterogeneity. • The CT-based deep learning radiomics nomogram outperforms the existing prognostic models in ccRCC outcome prediction.

Indexed as

Carcinoma, Renal CellDeep LearningKidney NeoplasmsHumansNeoplasm StagingNomogramsPrognosisRetrospective StudiesTomography, X-Ray ComputedClear cell renal cell carcinomaDeep learningPrognosisRadiomicsTomography, X-ray computed

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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.