Evidence map›Paper›PMID 37929878›Full record

ArticleCancer medicine2023

Reasoning and causal inference regarding surgical options for patients with low-grade gliomas using machine learning: A SEER-based study.

Enzhao Zhu, Weizhong Shi, Zhihao Chen, Jiayi Wang, Pu Ai, Xiao Wang, Min Zhu, Ziqin Xu, Lingxiao Xu, Xueyi Sun and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Determining individual suitability for neoadjuvant systemic therapy in breast cancer patients through deep learning.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
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

13 authors at 5 institutions in 3 countries.

Enzhao ZhuSchool of Medicine, Tongji University, Shanghai, China.
Weizhong ShiShanghai Hospital Development Center, Shanghai, China.
Zhihao ChenSchool of Business, East China University of Science and Technology, Shanghai, China.
Jiayi WangSchool of Medicine, Tongji University, Shanghai, China.
Pu AiSchool of Medicine, Tongji University, Shanghai, China.
Xiao WangSchool of Medicine, Tongji University, Shanghai, China.
Min ZhuDepartment of Computer Science and Technology, School of Electronics and Information Engineering, Tongji University, Shanghai, China.
Ziqin XuDepartment of Industrial Engineering and Operations Research, Columbia University, New York, New York, USA.
Lingxiao XuSchool of Medicine, Tongji University, Shanghai, China.
Xueyi SunSchool of Ocean and Earth Science, Tongji University, Shanghai, China.
Jingyu LiuSchool of Ocean and Earth Science, Tongji University, Shanghai, China.
Xuetong XuCollege of Civil Engineering, Tongji University, Shanghai, China.
Dan ShanRegenerative Medicine Institute, School of Medicine, National University of Ireland, Galway, Ireland.ORCID 0000-0002-2762-6770
Tongji University · CNColumbia University · USEast China University of Science and Technology · CNOllscoil na Gaillimhe – University of Galway · IEShanghai Hospital Development Center · CN

Funding

Health Research Board (HRB) SS-2023-054
6 · The paper itself

Abstract

backgroundDue to the heterogeneity of low-grade gliomas (LGGs), the lack of randomized control trials, and strong clinical evidence, the effect of the extent of resection (EOR) is currently controversial.

aimTo determine the best choice between subtotal resection (STR) and gross-total resection (GTR) for individual patients and to identify features that are potentially relevant to treatment heterogeneity.

methodsPatients were enrolled from the SEER database. We used a novel DL approach to make treatment recommendations for patients with LGG. We also made causal inference of the average treatment effect (ATE) of GTR compared with STR.

resultsThe patients were divided into the Consis. and In-consis. groups based on whether their actual treatment and model recommendations were consistent. Better brain cancer-specific survival (BCSS) outcomes in the Consis. group was observed. Overall, we also identified two subgroups that showed strong heterogeneity in response to GTR. By interpreting the models, we identified numerous variables that may be related to treatment heterogeneity.

conclusionsThis is the first study to infer the individual treatment effect, make treatment recommendation, and guide surgical options through deep learning approach in LGG research. Through causal inference, we found that heterogeneous responses to STR and GTR exist in patients with LGG. Visualization of the model yielded several factors that contribute to treatment heterogeneity, which are worthy of further discussion.

Indexed as

Brain NeoplasmsGliomaBrainHumansMachine LearningNeurosurgical ProceduresTreatment Outcomecausal inferencedeep learninggross-total resectionlow-grade gliomassub-total resection

Identifiers

PMID37929878
PMCPMC10709720
OpenAlexW4388412545

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.