Evidence map›Paper›PMID 37711840›Full record

ArticleQuantitative imaging in medicine and surgery2023

Computed tomography angiography-based radiomics model to identify high-risk carotid plaques.

Chao Chen, Wei Tang, Yong Chen, Wenhan Xu, Ningjun Yu, Chao Liu, Zenghui Li, Zhao Tang, Xiaoming Zhang

Abstract read
In one paragraph

Article in Quantitative imaging in medicine and surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

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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

9 authors.

Chao Chen *Medical Imaging Key Laboratory of Sichuan Province and Department of Radiology, Affiliated Hospital, North Sichuan Medical College, Nanchong, China.
Wei Tang *Medical Imaging Key Laboratory of Sichuan Province and Department of Radiology, Affiliated Hospital, North Sichuan Medical College, Nanchong, China.
Yong ChenDepartment of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Wenhan XuMedical Imaging Key Laboratory of Sichuan Province and Department of Radiology, Affiliated Hospital, North Sichuan Medical College, Nanchong, China.
Ningjun YuMedical Imaging Key Laboratory of Sichuan Province and Department of Radiology, Affiliated Hospital, North Sichuan Medical College, Nanchong, China.
Chao LiuMedical Imaging Key Laboratory of Sichuan Province and Department of Radiology, Affiliated Hospital, North Sichuan Medical College, Nanchong, China.
Zenghui LiMedical Imaging Key Laboratory of Sichuan Province and Department of Radiology, Affiliated Hospital, North Sichuan Medical College, Nanchong, China.
Zhao TangMedical Imaging Key Laboratory of Sichuan Province and Department of Radiology, Affiliated Hospital, North Sichuan Medical College, Nanchong, China.
Xiaoming ZhangMedical Imaging Key Laboratory of Sichuan Province and Department of Radiology, Affiliated Hospital, North Sichuan Medical College, Nanchong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Extracranial atherosclerosis is one of the major causes of stroke. Carotid computed tomography angiography (CTA) is a widely used imaging modality that allows detailed assessments of plaque characteristics. This study aimed to develop and test radiomics models of carotid plaques and perivascular adipose tissue (PVAT) to distinguish symptomatic from asymptomatic plaques and compare the diagnostic value between radiomics models and traditional CTA model. Methods: A total of 144 patients with carotid plaques were divided into symptomatic and asymptomatic groups. The traditional CTA model was built by the traditional radiological features of carotid plaques measured on CTA images which were screened by univariate analysis and multivariable logistic regression. We extracted and screened radiomics features from carotid plaques and PVAT. Then, a support vector machine was used for building plaque and PVAT radiomics models, as well as a combined model using traditional CTA features and radiomics features. The diagnostic value between radiomics models and traditional CTA model was compared in identifying symptomatic carotid plaques by Delong method. Results: The area under curve (AUC) values of traditional CTA model were 0.624 and 0.624 for the training and validation groups, respectively. The plaque radiomics model and PVAT radiomics model achieved AUC values of 0.766, 0.740 and 0.759, 0.618 in the two groups, respectively. Meanwhile, the combined model of plaque and PVAT radiomics features and traditional CTA features had AUC values of 0.883 and 0.840 for the training and validation groups, respectively, and the receiver operating characteristic curves of combined model were significantly better than those of traditional CTA model in the training group (P<0.001) and validation group (P=0.029). Conclusions: The combined model of the radiomics features of carotid plaques and PVAT and the traditional CTA features significantly contributes to identifying high-risk carotid plaques compared with traditional CTA model.

Indexed as

carotid plaquescomputed tomography angiography (CTA)ischemic strokeperivascular adipose tissue (PVAT)Radiomics

Identifiers

PMID37711840
PMCPMC10498225

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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.