Evidence map›Paper›PMID 38549937›Full record

ArticleFrontiers in oncology2024

Multimodal data integration for predicting progression risk in castration-resistant prostate cancer using deep learning: a multicenter retrospective study.

Chuan Zhou, Yun-Feng Zhang, Sheng Guo, Yu-Qian Huang, Xiao-Ni Qiao, Rong Wang, Lian-Ping Zhao, De-Hui Chang, Li-Ming Zhao, Ming-Xu Da and 1 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline 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

11 authors.

Chuan Zhou *The First Clinical Medical College of Lanzhou University, Lanzhou, China.
Yun-Feng Zhang *The First Clinical Medical College of Gansu University of Chinese Medicine, Lanzhou, China.
Sheng GuoThe First Clinical Medical College of Gansu University of Chinese Medicine, Lanzhou, China.
Yu-Qian HuangDepartment of Center of Medical Cosmetology, Chengdu Second People's Hospital, Chengdu, China.
Xiao-Ni QiaoDepartment of Urology, The 940 Hospital of Joint Logistics Support Force of Chinese PLA, Lanzhou, China.
Rong WangThe First Clinical Medical College of Lanzhou University, Lanzhou, China.
Lian-Ping ZhaoThe First Clinical Medical College of Gansu University of Chinese Medicine, Lanzhou, China.
De-Hui ChangThe First Clinical Medical College of Gansu University of Chinese Medicine, Lanzhou, China.
Li-Ming ZhaoDepartment of Urology, Second People's Hospital of Gansu Province, Lanzhou, China.
Ming-Xu DaThe First Clinical Medical College of Lanzhou University, Lanzhou, China.
Feng-Hai ZhouThe First Clinical Medical College of Lanzhou University, Lanzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Patients with advanced prostate cancer (PCa) often develop castration-resistant PCa (CRPC) with poor prognosis. Prognostic information obtained from multiparametric magnetic resonance imaging (mpMRI) and histopathology specimens can be effectively utilized through artificial intelligence (AI) techniques. The objective of this study is to construct an AI-based CRPC progress prediction model by integrating multimodal data. Methods and materials: Data from 399 patients diagnosed with PCa at three medical centers between January 2018 and January 2021 were collected retrospectively. We delineated regions of interest (ROIs) from 3 MRI sequences viz, T2WI, DWI, and ADC and utilized a cropping tool to extract the largest section of each ROI. We selected representative pathological hematoxylin and eosin (H&E) slides for deep-learning model training. A joint combined model nomogram was constructed. ROC curves and calibration curves were plotted to assess the predictive performance and goodness of fit of the model. We generated decision curve analysis (DCA) curves and Kaplan-Meier (KM) survival curves to evaluate the clinical net benefit of the model and its association with progression-free survival (PFS). Results: The AUC of the machine learning (ML) model was 0.755. The best deep learning (DL) model for radiomics and pathomics was the ResNet-50 model, with an AUC of 0.768 and 0.752, respectively. The nomogram graph showed that DL model contributed the most, and the AUC for the combined model was 0.86. The calibration curves and DCA indicate that the combined model had a good calibration ability and net clinical benefit. The KM curve indicated that the model integrating multimodal data can guide patient prognosis and management strategies. Conclusion: The integration of multimodal data effectively improves the prediction of risk for the progression of PCa to CRPC.

Indexed as

castration-resistant prostate cancerdeep learningmulti-modalpathomicsradiomics

Identifiers

PMID38549937
PMCPMC10972942

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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.