Evidence map›Paper›PMID 39060449›Full record

ArticleNPJ precision oncology2024

Development and interpretation of a multimodal predictive model for prognosis of gastrointestinal stromal tumor.

XianHao Xiao, Xu Han, YeFei Sun, GuoLiang Zheng, Qi Miao, YuLong Zhang, JiaYing Tan, Gang Liu, QianRu He, JianPing Zhou and 3 more

Erratum issuedAbstract read
In one paragraph

Article in NPJ precision oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Machine learning based on preoperative CT for noninvasive prediction of recurrence-free survival in gastrointestinal stromal tumors.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

XianHao Xiao *Department of Gastrointestinal Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Xu Han *Department of Pathology, The First Hospital and the College of Basic Medical Sciences of China Medical University, Shenyang, Liaoning, China.ORCID http://orcid.org/0000-0001-5378-0483
YeFei Sun *Department of Gastrointestinal Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, China.
GuoLiang Zheng *Department of Gastric Surgery, Cancer Hospital of China Medical University; Cancer Hospital of Dalian University of Technology, Liaoning Cancer Hospital & Institute, Shenyang, Liaoning, China.
Qi Miao *Department of Radiology, The First Hospital of China Medical University, Shenyang, Liaoning, China.
YuLong ZhangDepartment of Gastrointestinal Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, China.
JiaYing TanDepartment of Gastrointestinal Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Gang LiuDepartment of Gastrointestinal Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, China.
QianRu HeThe state Key laboratory of Neurology and Oncology Drug Development, Jiangsu Simcere Diagnostics Co.,Ltd, Nanjing, China.
JianPing ZhouDepartment of Gastrointestinal Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, China. zjphama@163.com.ORCID http://orcid.org/0000-0003-2789-7244
ZhiChao ZhengDepartment of Gastric Surgery, Cancer Hospital of China Medical University; Cancer Hospital of Dalian University of Technology, Liaoning Cancer Hospital & Institute, Shenyang, Liaoning, China. drzhengzc@126.com.ORCID http://orcid.org/0000-0002-5634-8853
GuiYang JiangDepartment of Pathology, The College of Basic Medical Sciences and The First Hospital of China Medical University, Shenyang, Liaoning, China. gyjiang@cmu.edu.cn.ORCID http://orcid.org/0009-0005-6784-9855
He SongDepartment of Gastrointestinal Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, China. hsong@cmu.edu.cn.ORCID http://orcid.org/0000-0002-0775-9701

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrointestinal stromal tumor (GIST) is the most common mesenchymal original tumor in gastrointestinal (GI) tract and is considered to have varying malignant potential. With the advancement of computer science, radiomics technology and deep learning had been applied in medical researches. It's vital to construct a more accurate and reliable multimodal predictive model for recurrence-free survival (RFS) aiding for clinical decision-making. A total of 254 patients underwent surgery and pathologically diagnosed with GIST in The First Hospital of China Medical University from 2019 to 2022 were included in the study. Preoperative contrast enhanced computerized tomography (CE-CT) and hematoxylin/eosin (H&E) stained whole slide images (WSI) were acquired for analysis. In the present study, we constructed a sum of 11 models while the multimodal model (average C-index of 0.917 on validation set in 10-fold cross validation) performed the best on external validation cohort with an average C-index of 0.864. The multimodal model also reached statistical significance when validated in the external validation cohort (n = 42) with a p-value of 0.0088 which pertained to the recurrence-free survival (RFS) comparison between the high and low groups using the optimal threshold on the predictive score. We also explored the biological significance of radiomics and pathomics features by visualization and quantitative analysis. In the present study, we constructed a multimodal model predicting RFS of GIST which was prior over unimodal models. We also proposed hypothesis on the correlation between morphology of tumor cell and prognosis.

Identifiers

PMID39060449
PMCPMC11282065

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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.