Evidence map›Paper›PMID 38526620›Full record

ArticleInsights into imaging2024

Enhancing recurrence risk prediction for bladder cancer using multi-sequence MRI radiomics.

Guoqiang Yang, Jingjing Bai, Min Hao, Lu Zhang, Zhichang Fan, Xiaochun Wang

Open access · goldAbstract read
In one paragraph

Article in Insights into imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 2% 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, 1 synthesis or guideline 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

6 authors at 1 institution in 1 country.

Guoqiang Yang *Department of Radiology, the First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Jingjing Bai *Department of Radiology, the First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Min HaoDepartment of Radiology, the First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Lu ZhangDepartment of Radiology, the First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Zhichang FanDepartment of Radiology, the First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Xiaochun WangDepartment of Radiology, the First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. 2010xiaochun@163.com.ORCID http://orcid.org/0009-0006-9392-0894
Shanxi Medical University · CN

Funding

the China International Medical Foundation of China z-2014-07-2301the Four "Batches" Innovation Project of Invigorating Medical through Science and Technology of Shanxi Province 2023XM011the National Natural Science Foundation of China 81971592
6 · The paper itself

Abstract

objectiveWe aimed to develop a radiomics-clinical nomogram using multi-sequence MRI to predict recurrence-free survival (RFS) in bladder cancer (BCa) patients and assess its superiority over clinical models.

methodsA retrospective cohort of 229 BCa patients with preoperative multi-sequence MRI was divided into a training set (n = 160) and a validation set (n = 69). Radiomics features were extracted from T2-weighted images, diffusion-weighted imaging, apparent diffusion coefficient, and dynamic contrast-enhanced images. Effective features were identified using the least absolute shrinkage and selection operator (LASSO) method. Clinical risk factors were determined via univariate and multivariate Cox analysis, leading to the creation of a radiomics-clinical nomogram. Kaplan-Meier analysis and log-rank tests assessed the relationship between radiomics features and RFS. We calculated the net reclassification improvement (NRI) to evaluate the added value of the radiomics signature and used decision curve analysis (DCA) to assess the nomogram's clinical validity.

resultsRadiomics features significantly correlated with RFS (log-rank p < 0.001) and were independent of clinical factors (p < 0.001). The combined model, incorporating radiomics features and clinical data, demonstrated the best prognostic value, with C-index values of 0.853 in the training set and 0.832 in the validation set. Compared to the clinical model, the radiomics-clinical nomogram exhibited superior calibration and classification (NRI: 0.6768, 95% CI: 0.5549-0.7987, p < 0.001).

conclusionThe radiomics-clinical nomogram, based on multi-sequence MRI, effectively assesses the BCa recurrence risk. It outperforms both the radiomics model and the clinical model in predicting BCa recurrence risk. CRITICAL RELEVANCE STATEMENT: The radiomics-clinical nomogram, utilizing multi-sequence MRI, holds promise for predicting bladder cancer recurrence, enhancing individualized clinical treatment, and performing tumor surveillance. KEY POINTS: • Radiomics plays a vital role in predicting bladder cancer recurrence. • Precise prediction of tumor recurrence risk is crucial for clinical management. • MRI-based radiomics models excel in predicting bladder cancer recurrence.

Indexed as

Bladder cancerMRIPreoperative nomogramRadiomicsRecurrence

Identifiers

PMID38526620
PMCPMC10963691
OpenAlexW4393161408

What OpenQuestion holds

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LicenceCC BY
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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.