Evidence map›Paper›PMID 38992169›Full record

ArticleInsights into imaging2024

Radiomics predict the WHO/ISUP nuclear grade and survival in clear cell renal cell carcinoma.

Xiaoxia Li, Jinglai Lin, Hongliang Qi, Chenchen Dai, Yi Guo, Dengqiang Lin, Jianjun Zhou

Abstract read
In one paragraph

Article in Insights into imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 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

7 authors.

Xiaoxia Li *Department of Radiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, 361015, China.
Jinglai Lin *Department of Urology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, 361015, China.
Hongliang Qi *Department of Clinical Engineering, Southern Medical University, Nanfang Hospital, Guangzhou, 510515, China.
Chenchen DaiDepartment of Radiology, Zhongshan Hospital, Fudan University, No 180, Fenglin Road, Xuhui District, Shanghai, 200032, China.
Yi GuoDepartment of Radiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, 361015, China.
Dengqiang LinDepartment of Urology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, 361015, China. 153365650@qq.com.ORCID http://orcid.org/0000-0002-6732-6043
Jianjun ZhouDepartment of Radiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, 361015, China. zhoujianjunzs@126.com.

Funding

the Scientific Research Project of Fujian for Youth 2020QNB061
6 · The paper itself

Abstract

objectivesThis study aimed to assess the predictive value of radiomics derived from intratumoral and peritumoral regions and to develop a radiomics nomogram to predict preoperative nuclear grade and overall survival (OS) in patients with clear cell renal cell carcinoma (ccRCC).

methodsThe study included 395 patients with ccRCC from our institution. The patients in Center A (anonymous) institution were randomly divided into a training cohort (n = 284) and an internal validation cohort (n = 71). An external validation cohort comprising 40 patients from Center B also was included. Computed tomography (CT) radiomics features were extracted from the internal area of the tumor (IAT) and IAT combined peritumoral areas of the tumor at 3 mm (PAT 3 mm) and 5 mm (PAT 5 mm). Independent predictors from both clinical and radiomics scores (Radscore) were used to construct a radiomics nomogram. Kaplan-Meier analysis with a log-rank test was performed to evaluate the correlation between factors and OS.

resultsThe PAT 5-mm radiomics model (RM) exhibited exceptional predictive capability for grading, achieving an area under the curves of 0.80, 0.80, and 0.90 in the training, internal validation, and external validation cohorts. The nomogram and RM gained from the PAT 5-mm region were more clinically useful than the clinical model. The association between OS and predicted nuclear grade derived from the PAT 5-mm Radscore and the nomogram-predicted score was statistically significant (p < 0.05).

conclusionThe CT-based radiomics and nomograms showed valuable predictive capabilities for the World Health Organization/International Society of Urological Pathology grade and OS in patients with ccRCC. CRITICAL RELEVANCE STATEMENT: The intratumoral and peritumoral radiomics are feasible and promising to predict nuclear grade and overall survival in patients with clear cell renal cell carcinoma, which can contribute to the development of personalized preoperative treatment strategies. KEY POINTS: The multi-regional radiomics features are associated with clear cell renal cell carcinoma (ccRCC) grading and prognosis. The combination of intratumoral and peritumoral 5 mm regional features demonstrated superior predictive performance for grading. The nomogram and radiomics models have a broad range of clinical applications.

Indexed as

Overall survivalRadiomicsRenal cell carcinomaWHO/ISUP grade

Identifiers

PMID38992169
PMCPMC11239644

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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.