Evidence map›Paper›PMID 38407804›Full record

ArticleAbdominal radiology (New York)2024

MRI-based radiomics for preoperative prediction of recurrence and metastasis in rectal cancer.

Xiuzhen Yao, Xiandi Zhu, Shuitang Deng, Sizheng Zhu, Guoqun Mao, Jinwen Hu, Wenjie Xu, Sikai Wu, Weiqun Ao

Abstract read
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In one paragraph

Article in Abdominal radiology (New York), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
6.1field-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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 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

9 authors at 4 institutions in 1 country.

Xiuzhen YaoDepartment of Ultrasound, Putuo People's Hospital, School of Medicine, Tongji University, Shanghai, China.
Xiandi ZhuDepartment of Radiology, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang, China.
Shuitang DengDepartment of Radiology, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang, China.
Sizheng ZhuComputer Center, University of Shanghai for Science and Technology, Shanghai, China.
Guoqun MaoDepartment of Radiology, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang, China.
Jinwen HuDepartment of Radiology, Putuo People's Hospital, School of Medicine, Tongji University, Shanghai, China.
Wenjie XuZhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Sikai WuZhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Weiqun AoDepartment of Radiology, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang, China. 78123858@qq.com.
Tongde Hospital of Zhejiang Province · CNTongji University · CNZhejiang Chinese Medical University · CNUniversity of Shanghai for Science and Technology · CN

Funding

Medical Science and Technology Project of Zhejiang Province 2019RC028Medical Science and Technology Project of Zhejiang Province 2022KY122Medical Science and Technology Project of Zhejiang Province 2024KY052Zhejiang Traditional Chinese Medicine Administration 2024ZL040
6 · The paper itself

Abstract

objectivesTo explore the value of multi-parametric MRI (mp-MRI) radiomic model for preoperative prediction of recurrence and/or metastasis (RM) as well as survival benefits in patients with rectal cancer.

methodsA retrospective analysis of 234 patients from two centers with histologically confirmed rectal adenocarcinoma was conducted. All patients were divided into three groups: training, internal validation (in-vad) and external validation (ex-vad) sets. In the training set, radiomic features were extracted from T2WI, DWI, and contrast enhancement T1WI (CE-T1) sequence. Radiomic signature (RS) score was then calculated for feature screening to construct a rad-score model. Subsequently, preoperative clinical features with statistical significance were selected to construct a clinical model. Independent predictors from clinical and RS related to RM were selected to build the combined model and nomogram.

resultsAfter feature extraction, 26 features were selected to construct the rad-score model. RS (OR = 0.007, p < 0.01), MR-detected T stage (mrT) (OR = 2.92, p = 0.03) and MR-detected circumferential resection margin (mrCRM) (OR = 4.70, p = 0.01) were identified as independent predictors of RM. Then, clinical model and combined model were constructed. ROC curve showed that the AUC, accuracy, sensitivity and specificity of the combined model were higher than that of the other two models in three sets. Kaplan-Meier curves showed that poorer disease-free survival (DFS) time was observed for patients in pT3-4 stages with low RS score (p < 0.001), similar results were also found in pCRM-positive patients (p < 0.05).

conclusionThe mp-MRI radiomics model can be served as a noninvasive and accurate predictors of RM in rectal cancer that may support clinical decision-making.

Indexed as

Multiparametric Magnetic Resonance ImagingRectal NeoplasmsHumansMagnetic Resonance ImagingRadiomicsRetrospective StudiesMagnetic resonance imagingRadiomicsRadiomic signatureRectal cancerRecurrence and/or metastasis

Identifiers

PMID38407804
OpenAlexW4392159696

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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.