Evidence map›Paper›PMID 38902680›Full record

ArticleRespiratory research2024

Radiomics based on HRCT can predict RP-ILD and mortality in anti-MDA5 + dermatomyositis patients: a multi-center retrospective study.

Wenzhang He, Beibei Cui, Zhigang Chu, Xiaoyi Chen, Jing Liu, Xueting Pang, Xuan Huang, Hongkun Yin, Hui Lin, Liqing Peng

Abstract readMulticenter Study
In one paragraph

Article in Respiratory research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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, 2 syntheses or guidelines 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

10 authors.

Wenzhang He *Department of Radiology, West China Hospital, Sichuan University, 37 Guoxue Alley, Chengdu, 610000, China.
Beibei Cui *Department of Rheumatology and Immunology, West China Hospital, Sichuan University, 37 Guoxue Alley, Chengdu, Sichuan, 610000, China.
Zhigang ChuDepartment of Radiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Xiaoyi ChenDepartment of Radiology, West China Hospital, Sichuan University, 37 Guoxue Alley, Chengdu, 610000, China.
Jing LiuDepartment of Radiology, West China Hospital, Sichuan University, 37 Guoxue Alley, Chengdu, 610000, China.
Xueting PangDepartment of Radiology, West China Hospital, Sichuan University, 37 Guoxue Alley, Chengdu, 610000, China.
Xuan HuangBiomedical Big Data Center, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China.
Hongkun YinInstitute of Advanced Research, Infervision Medical Technology, Beijing, China.
Hui Lin *Department of Rheumatology and Immunology, West China Hospital, Sichuan University, 37 Guoxue Alley, Chengdu, Sichuan, 610000, China. lhacd@163.com.
Liqing Peng *Department of Radiology, West China Hospital, Sichuan University, 37 Guoxue Alley, Chengdu, 610000, China. pengliqing@scu.edu.cn.

Funding

Key Research & Development Project of Science and Technology of Sichuan Province No. 2021YFS0142National Natural Science Foundation of China No. 81601462
6 · The paper itself

Abstract

objectivesTo assess the effectiveness of HRCT-based radiomics in predicting rapidly progressive interstitial lung disease (RP-ILD) and mortality in anti-MDA5 positive dermatomyositis-related interstitial lung disease (anti-MDA5 + DM-ILD).

methodsFrom August 2014 to March 2022, 160 patients from Institution 1 were retrospectively and consecutively enrolled and were randomly divided into the training dataset (n = 119) and internal validation dataset (n = 41), while 29 patients from Institution 2 were retrospectively and consecutively enrolled as external validation dataset. We generated four Risk-scores based on radiomics features extracted from four areas of HRCT. A nomogram was established by integrating the selected clinico-radiologic variables and the Risk-score of the most discriminative radiomics model. The RP-ILD prediction performance of the models was evaluated by using the area under the receiver operating characteristic curves, calibration curves, and decision curves. Survival analysis was conducted with Kaplan-Meier curves, Mantel-Haenszel test, and Cox regression.

resultsOver a median follow-up time of 31.6 months (interquartile range: 12.9-49.1 months), 24 patients lost to follow-up and 46 patients lost their lives (27.9%, 46/165). The Risk-score based on bilateral lungs performed best, attaining AUCs of 0.869 and 0.905 in the internal and external validation datasets. The nomogram outperformed clinico-radiologic model and Risk-score with AUCs of 0.882 and 0.916 in the internal and external validation datasets. Patients were classified into low- and high-risk groups with 50:50 based on nomogram. High-risk group patients demonstrated a significantly higher risk of mortality than low-risk group patients in institution 1 (HR = 4.117) and institution 2 cohorts (HR = 7.515).

conclusionFor anti-MDA5 + DM-ILD, the nomogram, mainly based on radiomics, can predict RP-ILD and is an independent predictor of mortality.

Indexed as

DermatomyositisInterferon-Induced Helicase, IFIH1Lung Diseases, InterstitialTomography, X-Ray ComputedAdultAgedAutoantibodiesDisease ProgressionFemaleFollow-Up StudiesHumansMaleMiddle AgedNomogramsPredictive Value of TestsRadiomicsAutoantibodiesIFIH1 protein, humanInterferon-Induced Helicase, IFIH1Computed tomographyDermatomyositisInterstitial lung diseaseRadiomicsSurvival analysis

Identifiers

PMID38902680
PMCPMC11191144

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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.