Evidence map›Paper›PMID 37958476›Full record

ArticleCancers2023

An Interpretable Radiomics Model Based on Two-Dimensional Shear Wave Elastography for Predicting Symptomatic Post-Hepatectomy Liver Failure in Patients with Hepatocellular Carcinoma.

Xian Zhong, Zohaib Salahuddin, Yi Chen, Henry C Woodruff, Haiyi Long, Jianyun Peng, Xiaoyan Xie, Manxia Lin, Philippe Lambin

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. 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 at 3 institutions in 2 countries.

Xian ZhongDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
Zohaib SalahuddinThe D-Lab, Department of Precision Medicine, GROW-School for Oncology and Reproduction, Maastricht University, 6220 MD Maastricht, The Netherlands.
Yi ChenThe D-Lab, Department of Precision Medicine, GROW-School for Oncology and Reproduction, Maastricht University, 6220 MD Maastricht, The Netherlands.
Henry C WoodruffThe D-Lab, Department of Precision Medicine, GROW-School for Oncology and Reproduction, Maastricht University, 6220 MD Maastricht, The Netherlands.ORCID 0000-0001-7911-5123
Haiyi LongDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
Jianyun PengDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
Xiaoyan XieDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.ORCID 0000-0002-9761-9525
Manxia LinDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
Philippe LambinThe D-Lab, Department of Precision Medicine, GROW-School for Oncology and Reproduction, Maastricht University, 6220 MD Maastricht, The Netherlands.ORCID 0000-0001-7961-0191
Sun Yat-sen University · CNMaastricht University · NLGuizhou University · CN

Funding

ERC advanced grant ERC-ADG-2015 n° 694812 - HypoximmunoEuropean Union's Horizon 2020 research and innovation programme CHAIMELEON n° 952172European Union's Horizon 2020 research and innovation programme EuCanImage n° 952103European Union's Horizon 2020 research and innovation programme ImmunoSABR n° 733008European Union's Horizon 2020 research and innovation programme JTI-IMI2-2020-23-two-stage IMI-OPTIMA n° 101034347European Union's Horizon 2020 research and innovation programme MSCA-ITN-PREDICT n° 766276National Natural Science Foundation of China 81901768National Natural Science Foundation of China 92059201
6 · The paper itself

Abstract

objectiveThe aim of this study was to develop and validate an interpretable radiomics model based on two-dimensional shear wave elastography (2D-SWE) for symptomatic post-hepatectomy liver failure (PHLF) prediction in patients undergoing liver resection for hepatocellular carcinoma (HCC).

methodsA total of 345 consecutive patients were enrolled. A five-fold cross-validation was performed during training, and the models were evaluated in the independent test cohort. A multi-patch radiomics model was established based on the 2D-SWE images for predicting symptomatic PHLF. Clinical features were incorporated into the models to train the clinical-radiomics model. The radiomics model and the clinical-radiomics model were compared with the clinical model comprising clinical variables and other clinical predictive indices, including the model for end-stage liver disease (MELD) score and albumin-bilirubin (ALBI) score. Shapley Additive exPlanations (SHAP) was used for post hoc interpretability of the radiomics model.

resultsThe clinical-radiomics model achieved an AUC of 0.867 (95% CI 0.787-0.947) in the five-fold cross-validation, and this score was higher than that of the clinical model (AUC: 0.809; 95% CI: 0.715-0.902) and the radiomics model (AUC: 0.746; 95% CI: 0.681-0.811). The clinical-radiomics model showed an AUC of 0.822 in the test cohort, higher than that of the clinical model (AUC: 0.684,

conclusionAn interpretable clinical-radiomics model based on 2D-SWE and clinical variables can help in predicting symptomatic PHLF in HCC.

Indexed as

hepatocellular carcinomainterpretabilitypost-hepatectomy liver failureradiomicstwo-dimensional shear wave elastography

Identifiers

PMID37958476
PMCPMC10647503
OpenAlexW4388407942

What OpenQuestion holds

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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.