Evidence map›Paper›PMID 38854729›Full record

ArticleFrontiers in oncology2024

Nomogram based on dual-energy CT-derived extracellular volume fraction for the prediction of microsatellite instability status in gastric cancer.

Wenjun Hu, Ying Zhao, Hongying Ji, Anliang Chen, Qihao Xu, Yijun Liu, Ziming Zhang, Ailian Liu

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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 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

8 authors.

Wenjun HuDepartment of Radiology, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Ying ZhaoDepartment of Radiology, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Hongying JiDepartment of Pathology, The First Affiliated Hospital, Dalian Medical University, Dalian, Liaoning, China.
Anliang ChenDepartment of Radiology, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Qihao XuDepartment of Radiology, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Yijun LiuDepartment of Radiology, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Ziming ZhangCollege of Medical Imaging, Dalian Medical University, Dalian, Liaoning, China.
Ailian LiuDepartment of Radiology, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To develop and validate a nomogram based on extracellular volume (ECV) fraction derived from dual-energy CT (DECT) for preoperatively predicting microsatellite instability (MSI) status in gastric cancer (GC). Materials and methods: A total of 123 patients with GCs who underwent contrast-enhanced abdominal DECT scans were retrospectively enrolled. Patients were divided into MSI (n=41) and microsatellite stability (MSS, n=82) groups according to postoperative immunohistochemistry staining, then randomly assigned to the training (n=86) and validation cohorts (n=37). We extracted clinicopathological characteristics, CT imaging features, iodine concentrations (ICs), and normalized IC values against the aorta (nICs) in three enhanced phases. The ECV fraction derived from the iodine density map at the equilibrium phase was calculated. Univariate and multivariable logistic regression analyses were used to identify independent risk predictors for MSI status. Then, a nomogram was established, and its performance was evaluated by ROC analysis and Delong test. Its calibration performance and clinical utility were assessed by calibration curve and decision curve analysis, respectively. Results: The ECV fraction, tumor location, and Borrmann type were independent predictors of MSI status (all Conclusions: The nomogram based on DECT-derived ECV fraction has the potential as a noninvasive biomarker to predict MSI status in GC patients.

Indexed as

dual-energy CTextracellular volume fractiongastric cancermicrosatellite instabilitynomogram

Identifiers

PMID38854729
PMCPMC11156999

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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.