Evidence map›Paper›PMID 37711738›Full record

ArticleFrontiers in medicine2023

Head and neck cancer treatment outcome prediction: a comparison between machine learning with conventional radiomics features and deep learning radiomics.

Bao Ngoc Huynh, Aurora Rosvoll Groendahl, Oliver Tomic, Kristian Hovde Liland, Ingerid Skjei Knudtsen, Frank Hoebers, Wouter van Elmpt, Eirik Malinen, Einar Dale, Cecilia Marie Futsaether

Erratum issuedAbstract read
In one paragraph

Article in Frontiers in medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Review
  4. [Contrast-enhanced CT-based habitat radiomics for analyzing the predictive capability for oral squamous cell carcinoma].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026
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  16. Use of Radiomics in Characterizing Tumor Hypoxia.International journal of molecular sciences · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Bao Ngoc HuynhFaculty of Science and Technology, Norwegian University of Life Sciences, Ås, Norway.
Aurora Rosvoll GroendahlFaculty of Science and Technology, Norwegian University of Life Sciences, Ås, Norway.
Oliver TomicFaculty of Science and Technology, Norwegian University of Life Sciences, Ås, Norway.
Kristian Hovde LilandFaculty of Science and Technology, Norwegian University of Life Sciences, Ås, Norway.
Ingerid Skjei KnudtsenDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway.
Frank HoebersDepartment of Radiation Oncology (MAASTRO), Maastricht University Medical Center, Maastricht, Netherlands.
Wouter van ElmptDepartment of Radiation Oncology (MAASTRO), Maastricht University Medical Center, Maastricht, Netherlands.
Eirik MalinenDepartment of Medical Physics, Oslo University Hospital, Oslo, Norway.
Einar DaleDepartment of Oncology, Oslo University Hospital, Oslo, Norway.
Cecilia Marie FutsaetherFaculty of Science and Technology, Norwegian University of Life Sciences, Ås, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Radiomics can provide in-depth characterization of cancers for treatment outcome prediction. Conventional radiomics rely on extraction of image features within a pre-defined image region of interest (ROI) which are typically fed to a classification algorithm for prediction of a clinical endpoint. Deep learning radiomics allows for a simpler workflow where images can be used directly as input to a convolutional neural network (CNN) with or without a pre-defined ROI. Purpose: The purpose of this study was to evaluate (i) conventional radiomics and (ii) deep learning radiomics for predicting overall survival (OS) and disease-free survival (DFS) for patients with head and neck squamous cell carcinoma (HNSCC) using pre-treatment Materials and methods: FDG PET/CT images and clinical data of patients with HNSCC treated with radio(chemo)therapy at Oslo University Hospital (OUS; Results: CNNs trained directly on images achieved the highest performance on external data for both endpoints. Adding both clinical and radiomics features to these image-based models increased performance further. Conventional radiomics including clinical data could achieve competitive performance. However, feature selection on clinical and radiomics data lead to overfitting and poor cross-institutional generalizability. CNNs without tumor and node contours achieved close to on-par performance with CNNs including contours. Conclusion: High performance and cross-institutional generalizability can be achieved by combining clinical data, radiomics features and medical images together with deep learning models. However, deep learning models trained on images without contours can achieve competitive performance and could see potential use as an initial screening tool for high-risk patients.

Indexed as

artificial intelligencedeep learningfeature selectionhead and neck cancerinterpretabilitymachine learningoutcome predictionradiomics

Identifiers

PMID37711738
PMCPMC10498924

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.