Evidence map›Paper›PMID 39543155›Full record

ArticleScientific reports2024

AI tool for predicting MGMT methylation in glioblastoma for clinical decision support in resource limited settings.

Felipe Cicci Farinha Restini, Tarraf Torfeh, Souha Aouadi, Rabih Hammoud, Noora Al-Hammadi, Maria Thereza Mansur Starling, Cecília Felix Penido Mendes Sousa, Anselmo Mancini, Leticia Hernandes Brito, Fernanda Hayashida Yoshimoto and 9 more

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Diagnostic Accuracy of Artificial Intelligence for Predicting MGMT Promoter Methylation in Glioblastoma Using MR Imaging: A Systematic Review.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2026
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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

19 authors.

Felipe Cicci Farinha RestiniDepartment of Radiation Oncology, Hospital Sírio-Libanês, Rua Batataes, 523, Jardim Paulista, Distrito Federal, São Paulo, Brasília, 01423-010, Brazil. restinifelipe@gmail.com.
Tarraf TorfehDepartment of Radiation Oncology, National Center for Cancer Care and Research, Doha, Qatar.
Souha AouadiDepartment of Radiation Oncology, National Center for Cancer Care and Research, Doha, Qatar.
Rabih HammoudDepartment of Radiation Oncology, National Center for Cancer Care and Research, Doha, Qatar.
Noora Al-HammadiDepartment of Radiation Oncology, National Center for Cancer Care and Research, Doha, Qatar.
Maria Thereza Mansur StarlingLondon Health Sciences Centre, London, ON, Canada.
Cecília Felix Penido Mendes SousaJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Anselmo ManciniDepartment of Radiation Oncology, Hospital Sírio-Libanês, São Paulo, Brazil.
Leticia Hernandes BritoDepartment of Radiation Oncology, Hospital Sírio-Libanês, São Paulo, Brazil.
Fernanda Hayashida YoshimotoDepartment of Radiation Oncology, Hospital Sírio-Libanês, São Paulo, Brazil.
Nildevande Firmino Lima-JúniorDepartment of Oncology, Hospital Sírio-Libanês, São Paulo, Brazil.
Marcello Moro QueirozDepartment of Oncology, Hospital Sírio-Libanês, São Paulo, Brazil.
Ula Lindoso PassosDepartment of Radiology, Hospital Sírio-Libanês, São Paulo, Brazil.
Camila Trolez AmancioDepartment of Radiology, Hospital Sírio-Libanês, São Paulo, Brazil.
Jorge Tomio TakahashiDepartment of Radiology, Hospital Sírio-Libanês, São Paulo, Brazil.
Daniel De Souza DelgadoDepartment of Radiology, Hospital Sírio-Libanês, São Paulo, Brazil.
Samir Abdallah HannaDepartment of Radiation Oncology, Hospital Sírio-Libanês, São Paulo, Brazil.
Gustavo Nader MartaDepartment of Radiation Oncology, Hospital Sírio-Libanês, São Paulo, Brazil.
Wellington Furtado Pimenta Neves-JuniorDepartment of Radiation Oncology, Hospital Sírio-Libanês, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glioblastoma is an aggressive brain cancer with a poor prognosis. The O6-methylguanine-DNA methyltransferase (MGMT) gene methylation status is crucial for treatment stratification, yet economic constraints often limit access. This study aims to develop an artificial intelligence (AI) framework for predicting MGMT methylation. Diagnostic magnetic resonance (MR) images in public repositories were used for training. The algorithm created was validated in data from a single institution. All images were segmented according to widely used guidelines for radiotherapy planning and combined with clinical evaluations from neuroradiology experts. Radiomic features and clinical impressions were extracted, tabulated, and used for modeling. Feature selection methods were used to identify relevant phenotypes. A total of 100 patients were used for training and 46 for validation. A total of 343 features were extracted. Eight feature selection methods produced seven independent predictive frameworks. The top-performing ML model was a model post-Least Absolute Shrinkage and Selection Operator (LASSO) feature selection reaching accuracy (ACC) of 0.82, an area under the curve (AUC) of 0.81, a recall of 0.75, and a precision of 0.75. This study demonstrates that integrating clinical and radiotherapy-derived AI-driven phenotypes can predict MGMT methylation. The framework addresses constraints that limit molecular diagnosis access.

Indexed as

Artificial IntelligenceBrain NeoplasmsDNA MethylationDNA Modification MethylasesDNA Repair EnzymesGlioblastomaTumor Suppressor ProteinsAdultAgedAlgorithmsDecision Support Systems, ClinicalFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedDNA Modification MethylasesDNA Repair EnzymesMGMT protein, humanTumor Suppressor Proteins

Identifiers

PMID39543155
PMCPMC11564566

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.