Evidence map›Paper›PMID 37686480›Full record

ArticleCancers2023

Radiomic Analysis of Intrahepatic Cholangiocarcinoma: Non-Invasive Prediction of Pathology Data: A Multicenter Study to Develop a Clinical-Radiomic Model.

Francesco Fiz, Noemi Rossi, Serena Langella, Andrea Ruzzenente, Matteo Serenari, Francesco Ardito, Alessandro Cucchetti, Teresa Gallo, Giulia Zamboni, Cristina Mosconi and 19 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
6.4field-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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Present and future of liver transplantation for cholangiocellular carcinoma: moving toward personalized multiparametric transplantability patterns.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. BMC cancer · 2025
    Article
  12. Article
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

29 authors at 9 institutions in 1 country.

Francesco FizDepartment of Nuclear Medicine, IRCCS Humanitas Research Hospital, 20089 Milan, Italy.ORCID 0000-0003-3932-1330
Noemi RossiMOX Laboratory, Department of Mathematics, Politecnico di Milano, 20133 Milan, Italy.
Serena LangellaDepartment of Digestive and Hepatobiliary Surgery, Mauriziano Umberto I Hospital, 10128 Turin, Italy.ORCID 0000-0003-2300-0460
Andrea RuzzenenteDivision of General and Hepatobiliary Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, University Hospital G.B. Rossi, 37134 Verona, Italy.
Matteo SerenariGeneral Surgery and Transplant Unit, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, Sant'Orsola-Malpighi Hospital, 40138 Bologna, Italy.
Francesco ArditoHepatobiliary Surgery Unit, A. Gemelli Hospital, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0003-1596-2862
Alessandro CucchettiDepartment of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy.
Teresa GalloDepartment of Radiology, Mauriziano Umberto I Hospital, 10128 Turin, Italy.
Giulia ZamboniDepartment of Radiology, University of Verona, University Hospital G.B. Rossi, 37134 Verona, Italy.ORCID 0000-0002-5059-3305
Cristina MosconiDepartment of Radiology, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, Sant'Orsola-Malpighi Hospital, 40138 Bologna, Italy.
Luca BoldriniDepartment of Radiology, Radiation Oncology and Hematology, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, 00168 Rome, Italy.ORCID 0000-0002-5631-1575
Mariateresa MirarchiDepartment of General Surgery, Morgagni-Pierantoni Hospital, 47121 Forlì, Italy.
Stefano CirilloDepartment of Radiology, Mauriziano Umberto I Hospital, 10128 Turin, Italy.
Mario De BellisDivision of General and Hepatobiliary Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, University Hospital G.B. Rossi, 37134 Verona, Italy.ORCID 0000-0001-7932-5921
Ilaria PecorellaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20072 Milan, Italy.
Nadia RussolilloDepartment of Digestive and Hepatobiliary Surgery, Mauriziano Umberto I Hospital, 10128 Turin, Italy.
Martina BorziDepartment of Radiology, University of Verona, University Hospital G.B. Rossi, 37134 Verona, Italy.
Giulio VaraDepartment of Radiology, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, Sant'Orsola-Malpighi Hospital, 40138 Bologna, Italy.ORCID 0000-0002-9551-4949
Caterina MeleHepatobiliary Surgery Unit, A. Gemelli Hospital, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0002-2003-9434
Giorgio ErcolaniDepartment of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy.ORCID 0000-0003-4334-5167
Felice GiulianteHepatobiliary Surgery Unit, A. Gemelli Hospital, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Matteo RavaioliGeneral Surgery and Transplant Unit, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, Sant'Orsola-Malpighi Hospital, 40138 Bologna, Italy.ORCID 0000-0001-5862-6151
Alfredo GuglielmiDivision of General and Hepatobiliary Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, University Hospital G.B. Rossi, 37134 Verona, Italy.ORCID 0000-0003-1713-4307
Alessandro FerreroDepartment of Digestive and Hepatobiliary Surgery, Mauriziano Umberto I Hospital, 10128 Turin, Italy.
Martina SolliniDepartment of Nuclear Medicine, IRCCS Humanitas Research Hospital, 20089 Milan, Italy.ORCID 0000-0003-2214-6492
Arturo ChitiDepartment of Nuclear Medicine, IRCCS Humanitas Research Hospital, 20089 Milan, Italy.
Guido TorzilliDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20072 Milan, Italy.ORCID 0000-0001-5798-5021
Francesca IevaMOX Laboratory, Department of Mathematics, Politecnico di Milano, 20133 Milan, Italy.ORCID 0000-0003-0165-1983
Luca ViganòDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20072 Milan, Italy.ORCID 0000-0002-4108-4832
Humanitas University · ITUniversity of Verona · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITOspedale G.B. Morgagni - L.Pierantoni · ITUniversità Cattolica del Sacro Cuore · ITAgostino Gemelli University Polyclinic · ITHuman Technopole · ITIRCCS Humanitas Research Hospital · ITPolitecnico di Milano · IT

Funding

Italian Association for Cancer Research #2019-23822
6 · The paper itself

Abstract

Standard imaging cannot assess the pathology details of intrahepatic cholangiocarcinoma (ICC). We investigated whether CT-based radiomics may improve the prediction of tumor characteristics. All consecutive patients undergoing liver resection for ICC (2009-2019) in six high-volume centers were evaluated for inclusion. On the preoperative CT, we segmented the ICC (Tumor-VOI, i.e., volume-of-interest) and a 5-mm parenchyma rim around the tumor (Margin-VOI). We considered two types of pathology data: tumor grading (G) and microvascular invasion (MVI). The predictive models were internally validated. Overall, 244 patients were analyzed: 82 (34%) had G3 tumors and 139 (57%) had MVI. For G3 prediction, the clinical model had an AUC = 0.69 and an Accuracy = 0.68 at internal cross-validation. The addition of radiomic features extracted from the portal phase of CT improved the model performance (Clinical data+Tumor-VOI: AUC = 0.73/Accuracy = 0.72; +Tumor-/Margin-VOI: AUC = 0.77/Accuracy = 0.77). Also for MVI prediction, the addition of portal phase radiomics improved the model performance (Clinical data: AUC = 0.75/Accuracy = 0.70; +Tumor-VOI: AUC = 0.82/Accuracy = 0.73; +Tumor-/Margin-VOI: AUC = 0.82/Accuracy = 0.75). The permutation tests confirmed that a combined clinical-radiomic model outperforms a purely clinical one (

Indexed as

advanced imaging and analysesbiomarkersCT-based radiomicsgradingmass-forming intra-hepatic cholangiocarcinomamicrovascular invasionpathology dataperitumoral tissueprediction of outcomeprognosis

Identifiers

PMID37686480
PMCPMC10486795
OpenAlexW4386067979

What OpenQuestion holds

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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.