Evidence map›Paper›PMID 37925653›Full record

ArticleAnnals of surgical oncology2024

Deep Learning Radiomics Nomogram Based on Enhanced CT to Predict the Response of Metastatic Lymph Nodes to Neoadjuvant Chemotherapy in Locally Advanced Gastric Cancer.

Hao Zhong, Tongyu Wang, Mingyu Hou, Xiaodong Liu, Yulong Tian, Shougen Cao, Zequn Li, Zhenlong Han, Gan Liu, Yuqi Sun and 7 more

Abstract read
PubMed Publisher
In one paragraph

Article in Annals of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
5.7field-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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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  8. Clinical-radiomic prognostic model integrating staging before and after neoadjuvant chemotherapy in gastric cancer: a multicenter retrospective study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
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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

17 authors at 1 institution in 1 country.

Hao ZhongDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Tongyu WangDepartment of Radiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Mingyu HouDepartment of Pathology, Qingdao University Affiliated Qingdao Women and Children's Hospital, Qingdao, Shandong, People's Republic of China.
Xiaodong LiuDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Yulong TianDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Shougen CaoDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Zequn LiDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Zhenlong HanDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Gan LiuDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Yuqi SunDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Cheng MengDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Yujun LiDepartment of Pathology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Yanxia JiangDepartment of Pathology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Qinglian JiDepartment of Radiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Dapeng HaoDepartment of Radiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Zimin LiuDepartment of Pathology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China.
Yanbing ZhouDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, People's Republic of China. zhouyanbing@qduhospital.cn.ORCID http://orcid.org/0000-0002-3683-1565
Qingdao University · CN

Funding

Natural Science Foundation of Shandong Province No. ZR2021MH001
6 · The paper itself

Abstract

backgroundWe aimed to construct and validate a deep learning (DL) radiomics nomogram using baseline and restage enhanced computed tomography (CT) images and clinical characteristics to predict the response of metastatic lymph nodes to neoadjuvant chemotherapy (NACT) in locally advanced gastric cancer (LAGC).

methodsWe prospectively enrolled 112 patients with LAGC who received NACT from January 2021 to August 2022. After applying the inclusion and exclusion criteria, 98 patients were randomized 7:3 to the training cohort (n = 68) and validation cohort (n = 30). We established and compared three radiomics signatures based on three phases of CT images before and after NACT, namely radiomics-baseline, radiomics-delta, and radiomics-restage. Then, we developed a clinical model, DL model, and a nomogram to predict the response of LAGC after NACT. We evaluated the predictive accuracy and clinical validity of each model using the receiver operating characteristic curve and decision curve analysis, respectively.

resultsThe radiomics-delta signature was the best predictor among the three radiomics signatures. So, we developed and validated a DL delta radiomics nomogram (DLDRN). In the validation cohort, the DLDRN produced an area under the receiver operating curve of 0.94 (95% confidence interval, 0.82-0.96) and demonstrated adequate differentiation of good response to NACT. Furthermore, the DLDRN significantly outperformed the clinical model and DL model (p < 0.001). The clinical utility of the DLDRN was confirmed through decision curve analysis.

conclusionsIn patients with LAGC, the DLDRN effectively predicted a therapeutic response in metastatic lymph nodes, which could provide valuable information for individualized treatment.

Indexed as

Deep LearningNeoplasms, Second PrimaryStomach NeoplasmsHumansLymph NodesNeoadjuvant TherapyNomogramsRetrospective StudiesTomography, X-Ray ComputedDeep learningGastric cancerNeoadjuvant chemotherapyRadiomics nomogramTherapeutic response

Identifiers

PMID37925653
OpenAlexW4388379879

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.