Evidence map›Paper›PMID 39186132›Full record

ArticleInsights into imaging2024

Delta-radiomics features of ADC maps as early predictors of treatment response in lung cancer.

Christian M Heidt, Jonas R Bohn, Róbert Stollmayer, Oyunbileg von Stackelberg, Stephan Rheinheimer, Farastuk Bozorgmehr, Karsten Senghas, Kai Schlamp, Oliver Weinheimer, Frederik L Giesel and 3 more

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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Multi-center diffusion-weighted MRI validation for 0.35T MR-Linac.Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. 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

13 authors.

Christian M HeidtDiagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany. christian.heidt@med.uni-heidelberg.de.ORCID http://orcid.org/0009-0007-5597-7555
Jonas R BohnTranslational Lung Research Center (TLRC), Member of the German Center for Lung Research (DZL), Heidelberg, Germany.
Róbert StollmayerDiagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany.
Oyunbileg von StackelbergDiagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany.
Stephan RheinheimerDiagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany.
Farastuk BozorgmehrTranslational Lung Research Center (TLRC), Member of the German Center for Lung Research (DZL), Heidelberg, Germany.
Karsten SenghasDiagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany.
Kai SchlampDiagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University Hospital Heidelberg, Heidelberg, Germany.
Oliver WeinheimerDiagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany.
Frederik L GieselDepartment of Nuclear Medicine, Medical Faculty, Heinrich-Heine-University, University Hospital Düsseldorf, Düsseldorf, Germany.
Hans-Ulrich KauczorDiagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany.
Claus Peter HeußelDiagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany.
Gudula HeußelTranslational Lung Research Center (TLRC), Member of the German Center for Lung Research (DZL), Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInvestigate the feasibility of detecting early treatment-induced tumor tissue changes in patients with advanced lung adenocarcinoma using diffusion-weighted MRI-derived radiomics features.

methodsThis prospective observational study included 144 patients receiving either tyrosine kinase inhibitors (TKI, n = 64) or platinum-based chemotherapy (PBC, n = 80) for the treatment of pulmonary adenocarcinoma. Patients underwent diffusion-weighted MRI the day prior to therapy (baseline, all patients), as well as either + 1 (PBC) or + 7 and + 14 (TKI) days after treatment initiation. One hundred ninety-seven radiomics features were extracted from manually delineated tumor volumes. Feature changes over time were analyzed for correlation with treatment response (TR) according to CT-derived RECIST after 2 months and progression-free survival (PFS).

resultsOut of 14 selected delta-radiomics features, 6 showed significant correlations with PFS or TR. Most significant correlations were found after 14 days. Features quantifying ROI heterogeneity, such as short-run emphasis (p = 0.04

conclusionTwo weeks after initiation of treatment, diffusion MRI of lung adenocarcinoma reveals quantifiable tissue-level insights that correlate well with future treatment (non-)response. Diffusion MRI-derived radiomics thus shows promise as an early, radiation-free decision-support to predict efficacy and potentially alter the treatment course early. CRITICAL RELEVANCE STATEMENT: Delta-Radiomics texture features derived from diffusion-weighted MRI of lung adenocarcinoma, acquired as early as 2 weeks after initiation of treatment, are significantly correlated with RECIST TR and PFS as obtained through later morphological imaging. KEY POINTS: Morphological imaging takes time to detect TR in lung cancer, diffusion-weighted MRI might identify response earlier. Several radiomics features are significantly correlated with TR and PFS. Radiomics of diffusion-weighted MRI may facilitate patient stratification and management.

Indexed as

Diffusion-weighted MRILung cancerNon-small cell lung cancerRadiomicsTyrosine kinase inhibitors

Identifiers

PMID39186132
PMCPMC11347553

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.