Evidence map›Paper›PMID 37855826›Full record

ArticleNeuro-oncology2024

Added prognostic value of 3D deep learning-derived features from preoperative MRI for adult-type diffuse gliomas.

Jung Oh Lee, Sung Soo Ahn, Kyu Sung Choi, Junhyeok Lee, Joon Jang, Jung Hyun Park, Inpyeong Hwang, Chul-Kee Park, Sung Hye Park, Jin Wook Chung and 1 more

Registry-linked trialOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in Neuro-oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06829147 (Development and Validation of a Deep Learning Model for Diagnosing Lymph Node Metastasis in Nasopharyngeal Carcinoma Using Histologic Whole Slide Images and Time-dependent Magnetic Resonance Images), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.5field-weighted citation impact, top 4% 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.

NCT06829147 recruitingnot on this map

Development and Validation of a Deep Learning Model for Diagnosing Lymph Node Metastasis in Nasopharyngeal Carcinoma Using Histologic Whole Slide Images and Time-dependent Magnetic Resonance Images

TypeobservationalSponsorSun Yat-sen UniversityRan2024 to 2026Enrolled500ConditionsNasopharyngeal Cancinoma (NPC), Lymph Node Metastasis
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 19 citations in OpenAlex.

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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

11 authors at 3 institutions in 1 country.

Jung Oh LeeDepartment of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0003-1962-1520
Sung Soo AhnDepartment of Radiology, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-0503-5558
Kyu Sung ChoiDepartment of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0002-5175-3307
Junhyeok LeeInterdisciplinary Programs in Cancer Biology Major, Seoul National University Graduate School, Seoul, Republic of Korea.
Joon JangDepartment of Biomedical Sciences, Seoul National University, Seoul, Republic of Korea.
Jung Hyun ParkDepartment of Radiology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea.
Inpyeong HwangDepartment of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.
Chul-Kee ParkDepartment of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0002-2350-9876
Sung Hye ParkDepartment of Pathology, Seoul National University Hospital, Seoul, Republic of Korea.
Jin Wook ChungDepartment of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.
Seung Hong ChoiDepartment of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0002-0412-2270
Seoul National University Hospital · KRSeoul National University · KRYonsei University · KR

Funding

SNUH Research Fund 04-2022-0520SPST
6 · The paper itself

Abstract

backgroundTo investigate the prognostic value of spatial features from whole-brain MRI using a three-dimensional (3D) convolutional neural network for adult-type diffuse gliomas.

methodsIn a retrospective, multicenter study, 1925 diffuse glioma patients were enrolled from 5 datasets: SNUH (n = 708), UPenn (n = 425), UCSF (n = 500), TCGA (n = 160), and Severance (n = 132). The SNUH and Severance datasets served as external test sets. Precontrast and postcontrast 3D T1-weighted, T2-weighted, and T2-FLAIR images were processed as multichannel 3D images. A 3D-adapted SE-ResNeXt model was trained to predict overall survival. The prognostic value of the deep learning-based prognostic index (DPI), a spatial feature-derived quantitative score, and established prognostic markers were evaluated using Cox regression. Model evaluation was performed using the concordance index (C-index) and Brier score.

resultsThe MRI-only median DPI survival prediction model achieved C-indices of 0.709 and 0.677 (BS = 0.142 and 0.215) and survival differences (P < 0.001 and P = 0.002; log-rank test) for the SNUH and Severance datasets, respectively. Multivariate Cox analysis revealed DPI as a significant prognostic factor, independent of clinical and molecular genetic variables: hazard ratio = 0.032 and 0.036 (P < 0.001 and P = 0.004) for the SNUH and Severance datasets, respectively. Multimodal prediction models achieved higher C-indices than models using only clinical and molecular genetic variables: 0.783 vs. 0.774, P = 0.001, SNUH; 0.766 vs. 0.748, P = 0.023, Severance.

conclusionsThe global morphologic feature derived from 3D CNN models using whole-brain MRI has independent prognostic value for diffuse gliomas. Combining clinical, molecular genetic, and imaging data yields the best performance.

Indexed as

Brain NeoplasmsDeep LearningGliomaAdultHumansMagnetic Resonance ImagingPrognosisRetrospective StudiesDeep learningGlioblastomaIsocitrate dehydrogenaseMagnetic resonance imagingSurvival analysis

Identifiers

PMID37855826
PMCPMC10912011
OpenAlexW4387764839

What OpenQuestion holds

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Registered trials

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.