Evidence map›Paper›PMID 39080806›Full record

ArticleCancer imaging : the official publication of the International Cancer Imaging Society2024

Development and validation of a machine learning-based

Huaiqing Zhi, Yilan Xiang, Chenbin Chen, Weiteng Zhang, Jie Lin, Zekan Gao, Qingzheng Shen, Jiancan Shao, Xinxin Yang, Yunjun Yang and 7 more

Abstract readValidation Study
In one paragraph

Article in Cancer imaging : the official publication of the International Cancer Imaging Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Predictive significance ofFrontiers in oncology · 2025
    Article
  6. Article
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

17 authors.

Huaiqing Zhi *Department of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Yilan Xiang *Department of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Chenbin Chen *Department of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Weiteng ZhangDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Jie LinDepartment of PET/CT, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Zekan GaoDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Qingzheng ShenDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Jiancan ShaoDepartment of General Surgery, The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Xinxin YangDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Yunjun YangDepartment of PET/CT, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Xiaodong ChenDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Jingwei ZhengDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Mingdong LuDepartment of General Surgery, The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Bujian PanDepartment of General Surgery, The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Qiantong DongDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China. dongqt2021@wmu.edu.cn.
Xian ShenDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China. shenxian@wmu.edu.cn.
Chunxue MaDepartment of Gastrointestinal Surgery Nursing Unit, Ward 443, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China. mcx207@163.com.

Funding

China University-Industry Research and Innovation Fund - Huatong Guokang Medical Research Special Project 2023HT091the Fund of the Society of Parenteral and Enteral Nutrition of Chinese Medical Association Z-2017-24-2211the National Natural Science Foundation of China 32070151the Project of Zhejiang Provincial Health Technology Y2022KY207the Special Fund of Zhejiang Upper Gastrointestinal Tumor Diagnosis and Treatment Technology Research Center jbzx-202006Zhejiang Provincial Health Department Medical Support Discipline-Nutrition 11-ZC24
6 · The paper itself

Abstract

backgroundSurvival prognosis of patients with gastric cancer (GC) often influences physicians' choice of their follow-up treatment. This study aimed to develop a positron emission tomography (PET)-based radiomics model combined with clinical tumor-node-metastasis (TNM) staging to predict overall survival (OS) in patients with GC.

methodsWe reviewed the clinical information of a total of 327 patients with pathological confirmation of GC undergoing 18 F-fluorodeoxyglucose (18 F-FDG) PET scans. The patients were randomly classified into training (n = 229) and validation (n = 98) cohorts. We extracted 171 PET radiomics features from the PET images and determined the PET radiomics scores (RS) using the least absolute shrinkage and selection operator (LASSO) and random survival forest (RSF). A radiomics model, including PET RS and clinical TNM staging, was constructed to predict the OS of patients with GC. This model was evaluated for discrimination, calibration, and clinical usefulness.

resultsOn multivariate COX regression analysis, the difference between age, carcinoembryonic antigen (CEA), clinical TNM, and PET RS in GC patients was statistically significant (p < 0.05). A radiomics model was developed based on the results of COX regression. The model had the Harrell's concordance index (C-index) of 0.817 in the training cohort and 0.707 in the validation cohort and performed better than a single clinical model and a model with clinical features combined with clinical TNM staging. Further analyses showed higher PET RS in patients who were older (p < 0.001) and those who had elevated CEA (p < 0.001) and higher clinical TNM (p < 0.001). At different clinical TNM stages, a higher PET RS was associated with a worse survival prognosis.

conclusionsRadiomics models based on PET RS, clinical TNM, and clinical features may provide new tools for predicting OS in patients with GC.

Indexed as

Fluorodeoxyglucose F18Machine LearningPositron Emission Tomography Computed TomographyRadiomicsRadiopharmaceuticalsStomach NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedNeoplasm StagingPrognosisRetrospective StudiesFluorodeoxyglucose F18RadiopharmaceuticalsClinical tumor-node-metastasisGastric cancerMachine learningPositron emission tomographyRadiomics

Identifiers

PMID39080806
PMCPMC11290137

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Registered trials

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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.