Evidence map›Paper›PMID 38843483›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Automated Lugano Metabolic Response Assessment in

Skander Jemaa, Souhila Ounadjela, Xiaoyong Wang, Tarec C El-Galaly, Lale Kostakoglu, Andrea Knapp, Grace Ku, Lisa Musick, Denis Sahin, Michael C Wei and 4 more

3 registry-linked trialsAbstract readMulticenter Study
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT01287741 phase3terminatednot on this map

A Phase III, Multicenter, Open-Label Randomized Trial Comparing the Efficacy of GA101 (RO5072759) in Combination With CHOP (G-CHOP) Versus Rituximab and CHOP (R-CHOP) in Previously Untreated Patients With CD20-Positive Diffuse Large B-Cell Lymphoma (DLBCL)

TypeinterventionalSponsorHoffmann-La RocheRan2011 to 2018Enrolled1,418ConditionsDiffuse Large B-Cell LymphomaArmsRituximab, Obinutuzumab, Cyclophosphamide, Doxorubicin, Vincristine
NCT02257567 phase1 / phase2completednot on this map

A Phase IB/II Study Evaluating The Safety, Tolerability and Anti-Tumor Activity of Polatuzumab Vedotin in Combination With Rituximab (R) or Obinutuzumab (G) Plus Bendamustine (B) in Relapsed or Refractory Follicular or Diffuse Large B-Cell Lymphoma

TypeinterventionalSponsorHoffmann-La RocheRan2014 to 2021Enrolled331ConditionsLymphomaArmsBendamustine, Obinutuzumab, Polatuzumab vedotin (Liquid), Rituximab, Polatuzumab vedotin (Lyophilized)
NCT02500407 phase1 / phase2completednot on this map

An Open-Label, Multicenter, Phase I/II Trial Evaluating the Safety, Efficacy, and Pharmacokinetics of Escalating Doses of Mosunetuzumab (BTCT4465A) as a Single Agent and Combined With Atezolizumab in Patients With Relapsed or Refractory B-Cell Non-Hodgkin's Lymphoma and Chronic Lymphocytic Leukemia

TypeinterventionalSponsorGenentech, Inc.Ran2015 to 2025Enrolled713ConditionsLymphocytic Leukemia, Chronic, Lymphoma, Non HodgkinArmsBTCT4465A (Mosunetuzumab) IV, Atezolizumab, BTCT4465A (Mosunetuzumab) SC
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. coPERCIST: AI-assisted PET-CT response assessment.European journal of nuclear medicine and molecular imaging · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Clinical scoring systems, molecular subtypes and baseline [Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Review
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

14 authors.

Skander JemaaGenentech, Inc, South San Francisco, CA.ORCID 0009-0009-3627-7670
Souhila OunadjelaGenentech, Inc, South San Francisco, CA.
Xiaoyong WangGenentech, Inc, South San Francisco, CA.
Tarec C El-GalalyDepartment of Hematology, Aalborg University Hospital, Aalborg, Denmark.
Lale KostakogluDepartment of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA.ORCID 0000-0001-5478-8161
Andrea KnappF Hoffmann-La Roche, Basel, Switzerland.
Grace KuGenentech, Inc, South San Francisco, CA.ORCID 0000-0001-7808-1769
Lisa MusickGenentech, Inc, South San Francisco, CA.
Denis SahinF Hoffmann-La Roche, Basel, Switzerland.
Michael C WeiGenentech, Inc, South San Francisco, CA.
Shen YinGenentech, Inc, South San Francisco, CA.
Thomas BengtssonDepartment of Statistics, University of California, Berkeley, CA.
Alex De CrespignyGenentech, Inc, South San Francisco, CA.
Richard A D CaranoGenentech, Inc, South San Francisco, CA.ORCID 0000-0002-6799-4367

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeArtificial intelligence can reduce the time used by physicians on radiological assessments. For

methodsHere, we present a deep learning-based algorithm for fully automated treatment response assessments according to the Lugano 2014 classification. The proposed four-stage method, trained on a multicountry clinical trial (ClinicalTrials.gov identifier: NCT01287741) and tested in three independent multicenter and multicountry test sets on different non-Hodgkin lymphoma subtypes and different lines of treatment (ClinicalTrials.gov identifiers NCT02257567, NCT02500407; 20% holdout in ClinicalTrials.gov identifier NCT01287741), outputs the detected lesions at baseline and follow-up to enable focused radiologist review.

resultsThe method's response assessment achieved high agreement with the adjudicated radiologic responses (eg, agreement for overall response assessment of 93%, 87%, and 85% in ClinicalTrials.gov identifiers NCT01287741, NCT02500407, and NCT02257567, respectively) similar to inter-radiologist agreement and was strongly prognostic of outcomes with a trend toward higher accuracy for death risk than adjudicated radiologic responses (hazard ratio for end of treatment by-model CMR of 0.123, 0.054, and 0.205 in ClinicalTrials.gov identifiers NCT01287741, NCT02500407, and NCT02257567, compared with, respectively, 0.226, 0.292, and 0.272 for CMR by the adjudicated responses). Furthermore, a radiologist review of the algorithm's assessments was conducted. The radiologist median review time was 1.38 minutes/assessment, and no statistically significant differences were observed in the level of agreement of the radiologist with the model's response compared with the level of agreement of the radiologist with the adjudicated responses.

conclusionThese results suggest that the proposed method can be incorporated into radiologic response assessment workflows in cancer imaging for significant time savings and with performance similar to trained medical experts.

Indexed as

Deep LearningFluorodeoxyglucose F18Lymphoma, Non-HodgkinFemaleHumansMalePositron-Emission TomographyRadiopharmaceuticalsFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID38843483
PMCPMC11361360

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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.