Evidence map›Paper›PMID 39858104›Full record

ArticleCancers2025

Computed Tomography-Image-Based Glioma Grading Using Radiomics and Machine Learning: A Proof-of-Principle Study.

Melike Bilgin, Sabriye Sennur Bilgin, Burak Han Akkurt, Walter Heindel, Manoj Mannil, Manfred Musigmann

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Melike BilginClinic for Radiology, University of Münster and University Hospital Münster, Albert-Schweitzer-Campus 1, DE-48149 Muenster, Germany.ORCID 0000-0002-4587-9261
Sabriye Sennur BilginClinic for Radiology, University of Münster and University Hospital Münster, Albert-Schweitzer-Campus 1, DE-48149 Muenster, Germany.
Burak Han AkkurtClinic for Radiology, University of Münster and University Hospital Münster, Albert-Schweitzer-Campus 1, DE-48149 Muenster, Germany.ORCID 0000-0002-9305-2824
Walter HeindelClinic for Radiology, University of Münster and University Hospital Münster, Albert-Schweitzer-Campus 1, DE-48149 Muenster, Germany.
Manoj MannilClinic for Radiology, University of Münster and University Hospital Münster, Albert-Schweitzer-Campus 1, DE-48149 Muenster, Germany.ORCID 0000-0001-9335-9546
Manfred MusigmannClinic for Radiology, University of Münster and University Hospital Münster, Albert-Schweitzer-Campus 1, DE-48149 Muenster, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesIn recent years, numerous studies have been published on determining the WHO grade of central nervous system (CNS) tumors using machine learning algorithms. These studies are usually based on magnetic resonance imaging (MRI) and sometimes also on positron emission tomography (PET) images. To date, however, there are virtually no corresponding studies based on routinely generated computed tomography (CT) images. The aim of our proof-of-concept study is to investigate whether machine learning-based tumor diagnosis is also possible using CT images.

methodsWe investigate the differentiability of histologically confirmed low-grade and high-grade gliomas. Three conventional machine learning algorithms and a neural net are tested. In addition, we analyze which of the common imaging methods (MRI or CT) appears to be best suited for the diagnostic question under investigation when machine learning algorithms are used. For this purpose, we compare our results based on CT images with numerous studies based on MRI scans.

resultsOur best-performing model includes six features and is obtained using univariate analysis for feature preselection and a Naive Bayes approach for model construction. Using independent test data, this model yields a mean AUC of 0.903, a mean accuracy of 0.839, a mean sensitivity of 0.807 and a mean specificity of 0.864.

conclusionsOur results demonstrate that low-grade and high-grade gliomas can be differentiated with high accuracy using machine learning algorithms, not only based on the usual MRI scans, but also based on CT images. In the future, such CT-image-based models can help to further accelerate brain tumor diagnostics and to reduce the number of necessary biopsies.

Indexed as

artificial intelligenceCTglioma gradingmachine learningneuroimagingradiomics

Identifiers

PMID39858104
PMCPMC11763433

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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.