Evidence map›Paper›PMID 37692549›Full record

ArticleEuropean journal of radiology open2023

Multisequence MRI-based radiomics nomogram for early prediction of osimertinib resistance in patients with non-small cell lung cancer brain metastases.

Xinna Lv, Ye Li, Xiaoyue Xu, Ziwei Zheng, Fang Li, Kun Fang, Yue Wang, Bing Wang, Dailun Hou

Open access · goldAbstract read
In one paragraph

Article in European journal of radiology open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Machine learning models for predicting response to epidermal growth factor receptor tyrosine kinase inhibitors in non-small cell lung cancer brain metastases: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
  2. 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

9 authors at 2 institutions in 1 country.

Xinna LvDepartment of Radiology, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China.
Ye LiDepartment of Radiology, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China.
Xiaoyue XuDepartment of Radiology, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China.
Ziwei ZhengDepartment of Radiology, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China.
Fang LiDepartment of Radiology, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China.
Kun FangDepartment of Radiology, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China.
Yue WangDepartment of Radiology, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China.
Bing WangDepartment of Radiology, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing 101149, China.
Dailun HouDepartment of Radiology, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China.
Capital Medical University · CNBeijing Chest Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Osimertinib resistance is a major problem in the course of targeted therapy for non-small cell lung cancer (NSCLC) patients. To develop and validate a multisequence MRI-based radiomics nomogram for early prediction of osimertinib resistance in NSCLC with brain metastases (BM). Methods: Pretreatment brain MRI of 251 NSCLC patients proven with BM were retrospectively enrolled from two centers (training cohort: 196 patients; testing cohort: 55 patients). According to the gene test result of osimertinib resistance, patients were labeled as resistance and non-resistance groups (training cohort: 65 versus 131 patients; testing cohort: 25 versus 30 patients). Radiomics features were extracted from T2WI, T2 fluid-attenuated inversion recovery (T2-FLAIR), diffusion weighted imaging (DWI) and contrast-enhanced T1-weighted imaging (T1-CE) sequences separately and radiomics score (rad-score) were built from the four sequences. Then a multisequence MRI-based nomogram was developed and the predictive ability was evaluated by ROC curves and calibration curves. Results: The rad-scores of the four sequences has significant differences between resistance and non-resistance groups in both training and testing cohorts. The nomogram achieved the highest predictive ability with area under the curve (AUC) of 0.989 (95 % confidence interval, 0.976-1.000) and 0.923 (95 % confidence interval, 0.851-0.995) in the training and testing cohort respectively. The calibration curves showed excellent concordance between the predicted and actual probability of osimertinib resistance using the radiomics nomogram. Conclusions: The multisequence MRI-based radiomics nomogram can be used as a noninvasive auxiliary tool to identify candidates who were resistant to osimertinib, which could guide clinical therapy for NSCLC patients with BM.

Indexed as

Brain metastasesEGFRMagnetic resonance imagingOsimertinibRadiomics

Identifiers

PMID37692549
PMCPMC10485591
OpenAlexW4386435018

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.