Evidence map›Paper›PMID 38819668›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2024

Quantitative evaluation of lesion response heterogeneity for superior prognostication of clinical outcome.

Ojaswita Lokre, Timothy G Perk, Amy J Weisman, Rajkumar Munian Govindan, Song Chen, Meijie Chen, Jens Eickhoff, Glenn Liu, Robert Jeraj

Abstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

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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.

Ojaswita LokreAIQ Solutions, 8000 Excelsior Dr Suite 400, Madison, WI, 53717, United States of America. ojaswita.lokre@aiq-solutions.com.ORCID 0009-0005-9816-1906
Timothy G PerkAIQ Solutions, 8000 Excelsior Dr Suite 400, Madison, WI, 53717, United States of America.
Amy J WeismanAIQ Solutions, 8000 Excelsior Dr Suite 400, Madison, WI, 53717, United States of America.
Rajkumar Munian GovindanAIQ Solutions, 8000 Excelsior Dr Suite 400, Madison, WI, 53717, United States of America.
Song ChenDepartment of Nuclear Medicine, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Meijie ChenDepartment of Nuclear Medicine, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Jens EickhoffDepartment of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States of America.
Glenn LiuAIQ Solutions, 8000 Excelsior Dr Suite 400, Madison, WI, 53717, United States of America.
Robert JerajAIQ Solutions, 8000 Excelsior Dr Suite 400, Madison, WI, 53717, United States of America.

Funding

University of Wisconsin Prostate SPOREP50CA269011 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI DAVID F. JARRARD, DOUGLAS G. MCNEEL · 2023 to 2026
$10.6M
NCI NIH HHS P50 CA269011
6 · The paper itself

Abstract

purposeStandardized reporting of treatment response in oncology patients has traditionally relied on methods like RECIST, PERCIST and Deauville score. These endpoints assess only a few lesions, potentially overlooking the response heterogeneity of all disease. This study hypothesizes that comprehensive spatial-temporal evaluation of all individual lesions is necessary for superior prognostication of clinical outcome.

methods[

resultsMultivariable CoxPH models demonstrated superior prognostic power when trained with features quantifying response heterogeneity in all individual lesion-ROI in DLBCL (C-index = 0.84, p < 0.001) and NSCLC (C-index = 0.71, p < 0.001). Prognostic power significantly deteriorated (p < 0.001) when using subsets of lesion-ROI (C-index = 0.78 and 0.67 for DLBCL and NSCLC, respectively) or excluding response heterogeneity (C-index = 0.67 and 0.70). RECIST, PERCIST, and Deauville score could not significantly associate with OS (C-index < 0.65 and p > 0.1), performing significantly worse than the multivariable models (p < 0.001).

conclusionsQuantitative evaluation of response heterogeneity of all individual lesions is necessary for the superior prognostication of clinical outcome.

Indexed as

Carcinoma, Non-Small-Cell LungFluorodeoxyglucose F18Lung NeoplasmsLymphoma, Large B-Cell, DiffusePositron Emission Tomography Computed TomographyAdultAgedFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesTreatment OutcomeFluorodeoxyglucose F18Clinical imagingComputational methodsFDG PET/CTLung cancerLymphomaPrognostication of clinical outcomeTumor heterogeneity

Identifiers

PMID38819668
PMCPMC11445285

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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.