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ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2025

Magnetic resonance imaging-based radiomics for predicting infiltration levels of CD68+ tumor-associated macrophages in glioblastomas.

Qing Zhou, Bin Zhang, Caiqiang Xue, Jialiang Ren, Peng Zhang, Xiaoai Ke, Jiangwei Man, Junlin Zhou

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Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

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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

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Qing ZhouDepartment of Radiology, Lanzhou University Second Hospital, Cuiyingmen No.82, Chengguan District, 730030, Lanzhou, Gansu, China.
Bin ZhangDepartment of Radiology, Lanzhou University Second Hospital, Cuiyingmen No.82, Chengguan District, 730030, Lanzhou, Gansu, China.
Caiqiang XueDepartment of Radiology, Lanzhou University Second Hospital, Cuiyingmen No.82, Chengguan District, 730030, Lanzhou, Gansu, China.
Jialiang RenGE Healthcare, Beijing, China.
Peng ZhangSecond Clinical School, Lanzhou University, Lanzhou, Gansu, China.
Xiaoai KeDepartment of Radiology, Lanzhou University Second Hospital, Cuiyingmen No.82, Chengguan District, 730030, Lanzhou, Gansu, China.
Jiangwei ManSecond Clinical School, Lanzhou University, Lanzhou, Gansu, China.
Junlin ZhouDepartment of Radiology, Lanzhou University Second Hospital, Cuiyingmen No.82, Chengguan District, 730030, Lanzhou, Gansu, China. ery_zhoujl@lzu.edu.cn.ORCID 0000-0001-8109-6347

Funding

Cuiying Science and Technology Innovation Program of Lanzhou University Second Hospital CY2023-YB-A03National Natural Science Foundation of China 82071872,82371914Science and Technology Program of Gansu Province 21YF5FA123
6 · The paper itself

Abstract

purposeTumor-associated macrophages (TAMs) are important biomarkers of tumor invasion and prognosis in patients with glioblastoma. We combined the imaging and radiomics features of preoperative MRI to predict CD68+ macrophage infiltration.

methodsClinical, MRI image, and pathology data of 188 patients with glioblastoma were analyzed. Overall, 143 patients were included in the training (n = 101) and validation (n = 42) sets, whereas 45 patients were included in an independent test set. The optimal cut-off value (14.8%) was based on the minimum p-value formed by the Kaplan-Meier survival analysis and log-rank tests which divided patients into groups with high CD68+ TAMs (≥ 14.8%) and low CD68+ TAMs (< 14.8%). Regions of interest and radiomics features extraction were based on contrast-enhanced T1-weighted images (CE-T1WI) and T2WI. Multi-parameter stepwise regression was used to create the clinical, radiomics, and combined models, each evaluated using the receiver operating characteristic curve. Decision curve analysis was used to assess the clinical applicability of the nomogram.

resultsA clinical model based on the minimum apparent diffusion coefficient (ADCmin) revealed an area under the curve (AUC) of 0.768, 0.764, and 0.624 for the training set, validation set, and test set, respectively. The 2D radiomics model, based on two features, revealed an AUC of 0.783, 0.724, and 0.789 for the training, validation, and test sets, respectively. The 3D radiomics model, based on three features, revealed AUCs of 0.823, 0.811, and 0.787 for the training, validation, and test sets, respectively. The combined model, with ADCmin and radiomics features, showed the best performance, with AUCs of 0.865, 0.822, and 0.776 for the training, validation, and test sets, respectively. The calibration curve of the combined model nomogram showed good agreement between the estimated and actual probabilities.

conclusionThe combined model constructed using ADCmin, a quantitative imaging parameter, combined with five key radiomics features can be used to evaluate the extent of CD68+ macrophages before surgery.

Indexed as

Antigens, CDAntigens, Differentiation, MyelomonocyticBrain NeoplasmsGlioblastomaMagnetic Resonance ImagingTumor-Associated MacrophagesAdultAgedCD68 MoleculeFemaleHumansMaleMiddle AgedNeoplasm InvasivenessPrognosisRadiomicsAntigens, CDAntigens, Differentiation, MyelomonocyticCD68 antigen, humanCD68 MoleculeGlioblastomaPrediction modelRadiomicsTumor-associated macrophagesTumor microenvironment

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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.