Evidence map›Paper›PMID 38002072›Full record

ArticleBiomedicines2023

A Radiotherapy Dose Map-Guided Deep Learning Method for Predicting Pathological Complete Response in Esophageal Cancer Patients after Neoadjuvant Chemoradiotherapy Followed by Surgery.

Wing-Keen Yap, Ing-Tsung Hsiao, Wing-Lake Yap, Tsung-You Tsai, Yi-An Lu, Chan-Keng Yang, Meng-Ting Peng, En-Lin Su, Shih-Chun Cheng

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
5.1field-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.

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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

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  4. Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
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  13. Multi-class brain tumor MRI segmentation and classification using deep learning and machine learning approaches.Cancer imaging : the official publication of the International Cancer Imaging Society · 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

9 authors at 3 institutions in 1 country.

Wing-Keen YapDepartment of Radiation Oncology, Proton and Radiation Therapy Center, Chang Gung Memorial Hospital-Linkou Medical Center, 5 Fu-Shin Street, Kwei-Shan, Taoyuan 333, Taiwan.ORCID 0000-0001-9302-1377
Ing-Tsung HsiaoDepartment of Medical Imaging and Radiological Sciences, Healthy Aging Research Center, Chang Gung University, Taoyuan 333, Taiwan.
Wing-Lake YapDepartment of Post Baccalaureate Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
Tsung-You TsaiDepartment of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital-Linkou Medical Center, 5 Fu-Shin Street, Kwei-Shan, Taoyuan 333, Taiwan.
Yi-An LuDepartment of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital-Linkou Medical Center, 5 Fu-Shin Street, Kwei-Shan, Taoyuan 333, Taiwan.
Chan-Keng YangDivision of Hematology and Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou Branch, Chang Gung University College of Medicine, Taoyuan 333, Taiwan.
Meng-Ting PengDivision of Hematology and Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou Branch, Chang Gung University College of Medicine, Taoyuan 333, Taiwan.
En-Lin SuDepartment of School of Medicine, National Yang Ming Chiao Tung University, Taipei 112, Taiwan.
Shih-Chun ChengTaiwan AI Labs, Taipei 103, Taiwan.ORCID 0000-0001-5096-1561
Kaohsiung Medical University · TWChang Gung University · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Esophageal cancer is a deadly disease, and neoadjuvant chemoradiotherapy can improve patient survival, particularly for patients achieving a pathological complete response (ypCR). However, existing imaging methods struggle to accurately predict ypCR. This study explores computer-aided detection methods, considering both imaging data and radiotherapy dose variations to enhance prediction accuracy. It involved patients with node-positive esophageal squamous cell carcinoma undergoing neoadjuvant chemoradiotherapy and surgery, with data collected from 2014 to 2017, randomly split into five subsets for 5-fold cross-validation. The algorithm DCRNet, an advanced version of OCRNet, integrates RT dose distribution into dose contextual representations (DCR), combining dose and pixel representation with ten soft regions. Among the 80 enrolled patients (mean age 55.68 years, primarily male, with stage III disease and middle-part lesions), the ypCR rate was 28.75%, showing no significant demographic or disease differences between the ypCR and non-ypCR groups. Among the three summarization methods, the maximum value across the CTV method produced the best results with an AUC of 0.928. The HRNetV2p model with DCR performed the best among the four backbone models tested, with an AUC of 0.928 (95% CI, 0.884-0.972) based on 5-fold cross-validation, showing significant improvement compared to other models. This underscores DCR-equipped models' superior AUC outcomes. The study highlights the potential of dose-guided deep learning in ypCR prediction, necessitating larger, multicenter studies to validate the results.

Indexed as

artificial intelligencedeep learningdosiomicsesophageal cancerneoadjuvant chemoradiotherapypathological complete responseradiomicsradiotherapy treatment planning

Identifiers

PMID38002072
PMCPMC10669191
OpenAlexW4388731598

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.