Evidence map›Paper›PMID 39542725›Full record

ArticleAJNR. American journal of neuroradiology2025

Development and Evaluation of Automated Artificial Intelligence-Based Brain Tumor Response Assessment in Patients with Glioblastoma.

Jikai Zhang, Dominic LaBella, Dylan Zhang, Jessica L Houk, Jeffrey D Rudie, Haotian Zou, Pranav Warman, Maciej A Mazurowski, Evan Calabrese

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Review
  3. 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

9 authors.

Jikai ZhangFrom the Departments of Electrical and Computer Engineering (J.Z., M.A.M.), Duke University, Durham, North Carolina.ORCID 0000-0003-2247-0639
Dominic LaBellaDepartments of Radiation Oncology (D.L.), Duke University Medical Center, Durham, North Carolina.
Dylan ZhangDepartments of Radiology (D.Z., J.L.H., M.A.M., E.C.), Duke University Medical Center, Durham, North Carolina.ORCID 0000-0001-6160-2329
Jessica L HoukDepartments of Radiology (D.Z., J.L.H., M.A.M., E.C.), Duke University Medical Center, Durham, North Carolina.ORCID 0000-0001-5070-2076
Jeffrey D RudieDepartment of Radiology (J.D.R.), University of California San Diego, San Diego, California.ORCID 0000-0001-8609-8421
Haotian ZouDepartment of Biostatistics and Bioinformatics (H.Z., M.A.M.), Duke University School of Medicine, Durham, North Carolina.
Pranav WarmanDuke University School of Medicine(P.W.), Durham, North Carolina.
Maciej A MazurowskiFrom the Departments of Electrical and Computer Engineering (J.Z., M.A.M.), Duke University, Durham, North Carolina.
Evan CalabreseDuke Center for Artificial Intelligence in Radiology (J.Z., E.C.), Duke University Medical Center, Durham, North Carolina evan.calabrese@duke.edu.ORCID 0000-0002-1464-0354

Funding

Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
NIGMS NIH HHS T32 GM145449
6 · The paper itself

Abstract

This project aimed to develop and evaluate an automated, AI-based, volumetric brain tumor MRI response assessment algorithm on a large cohort of patients treated at a high-volume brain tumor center. We retrospectively analyzed data from 634 patients treated for glioblastoma at a single brain tumor center over a 5-year period (2017-2021). The mean age was 56 ± 13 years. 372/634 (59%) patients were male, and 262/634 (41%) patients were female. Study data consisted of 3,403 brain MRI exams and corresponding standardized, radiologist-based brain tumor response assessments (BT-RADS). An artificial intelligence (AI)-based brain tumor response assessment (AI-VTRA) algorithm was developed using automated, volumetric tumor segmentation. AI-VTRA results were evaluated for agreement with radiologist-based response assessments and ability to stratify patients by overall survival. Metrics were computed to assess the agreement using BT-RADS as the ground-truth, fixed-time point survival analysis was conducted to evaluate the survival stratification, and associated P-values were calculated. For all BT-RADS categories, AI-VTRA showed moderate agreement with radiologist response assessments (F1 = 0.587-0.755). Kaplan-Meier survival analysis revealed statistically worse overall fixed time point survival for patients assessed as image worsening equivalent to RANO progression by human alone compared to by AI alone (log-rank

Indexed as

Artificial IntelligenceBrain NeoplasmsGlioblastomaImage Interpretation, Computer-AssistedMagnetic Resonance ImagingAdultAgedAlgorithmsFemaleHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID39542725
PMCPMC12091993

What OpenQuestion holds

Textmetadata
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.