Evidence map›Paper›PMID 39243024›Full record

ArticleJournal of translational medicine2024

MRI radiomics and biological correlations for predicting axillary lymph node burden in early-stage breast cancer.

Minping Hong, Sijia Fan, Zeyan Xu, Zhen Fang, Keng Ling, Penghao Lai, Chaokang Han, Zhonghua Chen, Jie Hou, Yanting Liang and 5 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

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  12. Nomogram for reducing unnecessary biopsies of breast lesions based on MRI and clinical features: a multi-center retrospective cohort study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
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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

15 authors.

Minping Hong *Department of Radiology, Zhejiang Chinese Medical University Affiliated Jiaxing TCM Hospital, Jiaxing, China.
Sijia Fan *Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China.
Zeyan Xu *Department of Radiology, The Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Yunnan, China.
Zhen Fang *Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China.
Keng LingDepartment of Clinical Laboratory, Jiaxing Maternity and Children Health Care Hospital, Jiaxing, China.
Penghao LaiDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China.
Chaokang HanDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China.
Zhonghua ChenDepartment of Radiology, Haining Hospital, The First Affiliated Hospital of Zhejiang University, Haining, China.
Jie HouDepartment of Radiology, Zhejiang Provincial People's Hospital, Hangzhou, China.
Yanting LiangDepartment of Radiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Changyu ZhouDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China.
Junyan WangDepartment of Radiology, Zhejiang Chinese Medical University Affiliated Jiaxing TCM Hospital, Jiaxing, China.
Xiaobo ChenDepartment of Radiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China. chenxb@gdph.org.cn.
Yanqi HuangDepartment of Radiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China. huangyanqi@gdph.org.cn.
Maosheng XuDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China. xums166@zcmu.edu.cn.ORCID 0000-0002-2396-1600

Funding

Medical Science and Technology Project of Zhejiang Province 2023KY338Medical Science and Technology Project of Zhejiang Province 2024KY1200Medical Science and Technology Project of Zhejiang Province 2024KY454Science and Technology Bureau of Jiaxing City 2023AD31065Science and Technology Bureau of Jiaxing City 2024AY100126Science Fund for Distinguished Young Scholars of Guangdong Province 2023A1515030251Zhejiang Provincial Outstanding Youth Science Foundation LTGY24H180007Zhejiang Traditional Chinese Medicine Administration 2024ZL1058Zhejiang Traditional Chinese Medicine Administration 2024ZL475
6 · The paper itself

Abstract

BACKGROUND AND

aimsPreoperative prediction of axillary lymph node (ALN) burden in patients with early-stage breast cancer is pivotal for individualised treatment. This study aimed to develop a MRI radiomics model for evaluating the ALN burden in early-stage breast cancer and to provide biological interpretability to predictions by integrating radiogenomic data.

methodsThis study retrospectively analyzed 1211 patients with early-stage breast cancer from four centers, supplemented by data from The Cancer Imaging Archive (TCIA) and Duke University (DUKE). MRI radiomic features were extracted from dynamic contrast-enhanced MRI images and an ALN burden-related radscore was constructed by the backpropagation neural network algorithm. Clinical and combined models were developed, integrating ALN-related clinical variables and radscore. The Kaplan-Meier curve and log-rank test were used to assess the prognostic differences between the predicted high- and low-ALN burden groups in both Center I and DUKE cohorts. Gene set enrichment and immune infiltration analyses based on transcriptomic TCIA and TCIA Breast Cancer dataset were used to investigate the biological significance of the ALN-related radscore.

resultsThe MRI radiomics model demonstrated an area under the curve of 0.781-0.809 in three validation cohorts. The predicted high-risk population demonstrated a poorer prognosis (log-rank P < .05 in both cohorts). Radiogenomic analysis revealed migration pathway upregulation and cell differentiation pathway downregulation in the high radscore groups. Immune infiltration analysis confirmed the ability of radiological features to reflect the heterogeneity of the tumor microenvironment.

conclusionsThe MRI radiomics model effectively predicted the ALN burden and prognosis of early-stage breast cancer. Moreover, radiogenomic analysis revealed key cellular and immune patterns associated with the radscore.

Indexed as

AxillaBreast NeoplasmsLymph NodesMagnetic Resonance ImagingNeoplasm StagingAdultAgedFemaleHumansKaplan-Meier EstimateLymphatic MetastasisMiddle AgedPrognosisRadiomicsRetrospective StudiesAxillary lymph nodeBreast cancerGenomicsMagnetic resonance imagingRadiomic

Identifiers

PMID39243024
PMCPMC11378375

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.