Evidence map›Paper›PMID 39350284›Full record

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

Personalized prediction of immunotherapy response in lung cancer patients using advanced radiomics and deep learning.

Chien-Yi Liao, Yuh-Min Chen, Yu-Te Wu, Heng-Sheng Chao, Hwa-Yen Chiu, Ting-Wei Wang, Jyun-Ru Chen, Tsu-Hui Shiao, Chia-Feng Lu

Abstract read
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 19 papers.

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

19 citing papers in PubMed.

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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

9 authors.

Chien-Yi Liao *Department of Biomedical Imaging and Radiological Sciences, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong Street, Beitou District, Taipei, 112, Taiwan.
Yuh-Min Chen *Department of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Yu-Te WuInstitute of Biophotonics, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Heng-Sheng ChaoDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Hwa-Yen ChiuDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Ting-Wei WangInstitute of Biophotonics, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Jyun-Ru ChenDepartment of Biomedical Imaging and Radiological Sciences, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong Street, Beitou District, Taipei, 112, Taiwan.
Tsu-Hui ShiaoDepartment of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Chia-Feng LuDepartment of Biomedical Imaging and Radiological Sciences, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong Street, Beitou District, Taipei, 112, Taiwan. alvin4016@nycu.edu.tw.

Funding

National Science and Technology Council NSTC 112-2314-B-A49-060Veterans General Hospitals and University System of Taiwan Joint Research Program VGHUST113-G1-2-3
6 · The paper itself

Abstract

backgroundLung cancer (LC) is a leading cause of cancer-related mortality, and immunotherapy (IO) has shown promise in treating advanced-stage LC. However, identifying patients likely to benefit from IO and monitoring treatment response remains challenging. This study aims to develop a predictive model for progression-free survival (PFS) in LC patients with IO based on clinical features and advanced imaging biomarkers. MATERIALS AND

methodsA retrospective analysis was conducted on a cohort of 206 LC patients receiving IO treatment. Pre-treatment computed tomography images were used to extract advanced imaging biomarkers, including intratumoral and peritumoral-vasculature radiomics. Clinical features, including age, gene status, hematology, and staging, were also collected. Key radiomic and clinical features for predicting IO outcomes were identified using a two-step feature selection process, including univariate Cox regression and chi-squared test, followed by sequential forward selection. The DeepSurv model was constructed to predict PFS based on clinical and radiomic features. Model performance was evaluated using the area under the time-dependent receiver operating characteristic curve (AUC) and concordance index (C-index).

resultsCombining radiomics of intratumoral heterogeneity and peritumoral-vasculature with clinical features demonstrated a significant enhancement (p < 0.001) in predicting IO response. The proposed DeepSurv model exhibited a prediction performance with AUCs ranging from 0.76 to 0.80 and a C-index of 0.83. Furthermore, the predicted personalized PFS curves revealed a significant difference (p < 0.05) between patients with favorable and unfavorable prognoses.

conclusionsIntegrating intratumoral and peritumoral-vasculature radiomics with clinical features enabled the development of a predictive model for PFS in LC patients with IO. The proposed model's capability to estimate individualized PFS probability and differentiate the prognosis status held promise to facilitate personalized medicine and improve patient outcomes in LC.

Indexed as

Deep LearningImmunotherapyLung NeoplasmsPrecision MedicineTomography, X-Ray ComputedAgedFemaleHumansMaleMiddle AgedProgression-Free SurvivalRadiomicsRetrospective StudiesComputed tomographyDeep learningLung cancerOutcome predictionRadiomics

Identifiers

PMID39350284
PMCPMC11440728

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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.