Evidence map›Paper›PMID 39190175›Full record

ReviewCanadian Urological Association journal = Journal de l'Association des urologues du Canada2024

Artificial intelligence for predicting response to neoadjuvant chemotherapy for bladder cancer A comprehensive systematic review and meta-analysis.

Caio Vinícius Suartz, Lucas Motta Martinez, Maurício Dener Cordeiro, Hunter Ausley Flores, Sarah Kodama, Leonardo Cardili, José Maurício Mota, Fernando Morbeck Almeida Coelho, José de Bessa Junior, Cristina Pires Camargo and 5 more

Abstract readReview
In one paragraph

Review in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
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

15 authors.

Caio Vinícius SuartzDivision of Urology, Institute of Cancer of São Paulo, University of São Paulo, São Paulo, Brazil.
Lucas Motta MartinezDivision of Urology, Institute of Cancer of São Paulo, University of São Paulo, São Paulo, Brazil.
Maurício Dener CordeiroDivision of Urology, Institute of Cancer of São Paulo, University of São Paulo, São Paulo, Brazil.
Hunter Ausley FloresDepartment of Urology, University of Colorado, Aurora, CO, United States.
Sarah KodamaVirginia Commonwealth University School of Medicine, Richmond, VA, United States.
Leonardo CardiliDivision of Urology, Institute of Cancer of São Paulo, University of São Paulo, São Paulo, Brazil.
José Maurício MotaDivision of Oncology, Institute of Cancer of São Paulo, University of São Paulo, São Paulo, Brazil.
Fernando Morbeck Almeida CoelhoDepartment of Radiology, University of São Paulo, São Paulo, Brazil.
José de Bessa JuniorState University of Feira de Santana, Feira de Santana, Bahia, Brazil.
Cristina Pires CamargoMicrosurgery and Plastic Surgery Laboratory, School of Medicine, University of São Paulo, São Paulo, Brazil.
Jeremy Yuen-Chun TeohDepartment of Surgery, S.H. Ho Urology Centre, Chinese University of Hong Kong, Hong Kong, China.
Shahrokh F ShariatDepartment of Urology, Weill Cornell Medical College, New York, NY, United States.
Paul TorenCHU de Québec-Université Laval, Quebec City, QC, Canada.
William Carlos NahasDivision of Urology, Institute of Cancer of São Paulo, University of São Paulo, São Paulo, Brazil.
Leopoldo Alves Ribeiro-FilhoDivision of Urology, Institute of Cancer of São Paulo, University of São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeoadjuvant cisplatin-based combination chemotherapy (NAC) followed by radical cystectomy is the standard of care for cisplatin-fit patients harboring muscle-invasive bladder cancer (MIBC). Prediction of response to NAC is essential for clinical decision-making regarding alternatives in case of non-response, and bladder-sparing in case of complete response. This research aimed to assess the performance of machine learning in predicting therapeutic response following NAC treatment in patients with MIBC.

methodsA systematic review adhering to the PRISMA guidelines was conducted until July 2023. The study integrated articles relating to artificial intelligence and NAC response in MIBC from various databases. The quality of articles was evaluated using the Quality Assessment Tool for Diagnostic Accuracy Studies 2 (QUADAS-2). A meta-analysis was subsequently performed on selected studies to determine the sensitivity and specificity of machine learning algorithms in predicting NAC response.

resultsOf 655 articles identified, 12 studies comprising 1523 patients were included, and four studies were eligible for meta-analysis. The sensitivity and specificity of the studies were 0.62 (95% confidence interval [CI] 0.50-0.72) and 0.82 (95% CI 0.72-0.89), respectively, with a heterogeneity score (I

conclusionsMachine-learning algorithms, especially those using computed tomography, genetic, and pathologic data, demonstrate significant potential for predicting NAC response in MIBC. Standardization of methodologic data analysis and response criteria are needed as validation studies.

Identifiers

PMID39190175
PMCPMC11404678

What OpenQuestion holds

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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.