Evidence map›Paper›PMID 40305759›Full record

ArticleJCO clinical cancer informatics2025

Development and Validation of an

Zelda Paquier, Jennifer Dhont, Thomas Guiot, Hugo Levillain, Gabriela Critchi, Rita Saude Conde, Francesco Sclafani, Patrick Flamen, Nick Reynaert, Erwin Woff and 1 more

Abstract readValidation Study
In one paragraph

Article in JCO clinical cancer informatics, 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. 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

11 authors.

Zelda PaquierRadiophysics and MRI Physics Laboratory, Université Libre De Bruxelles (ULB), Brussels, Belgium.ORCID 0000-0002-1041-0009
Jennifer DhontRadiophysics and MRI Physics Laboratory, Université Libre De Bruxelles (ULB), Brussels, Belgium.
Thomas GuiotRadiophysics and MRI Physics Laboratory, Université Libre De Bruxelles (ULB), Brussels, Belgium.ORCID 0000-0001-7041-598X
Hugo LevillainRadiophysics and MRI Physics Laboratory, Université Libre De Bruxelles (ULB), Brussels, Belgium.ORCID 0000-0003-3909-625X
Gabriela CritchiRadiophysics and MRI Physics Laboratory, Université Libre De Bruxelles (ULB), Brussels, Belgium.
Rita Saude CondeDepartment of Gastrointestinal Oncology, Institut Jules Bordet, Hôpital Universitaire de Bruxelles (HUB), Université libre de Bruxelles (ULB), Brussels, Belgium.
Francesco SclafaniDepartment of Gastrointestinal Oncology, Institut Jules Bordet, Hôpital Universitaire de Bruxelles (HUB), Université libre de Bruxelles (ULB), Brussels, Belgium.ORCID 0000-0003-0251-2627
Patrick FlamenDepartment of Nuclear Medicine, Institut Jules Bordet, Hôpital Universitaire de Bruxelles (HUB), Université libre de Bruxelles (ULB), Brussels, Belgium.
Nick ReynaertRadiophysics and MRI Physics Laboratory, Université Libre De Bruxelles (ULB), Brussels, Belgium.
Erwin WoffDepartment of Nuclear Medicine, Institut Jules Bordet, Hôpital Universitaire de Bruxelles (HUB), Université libre de Bruxelles (ULB), Brussels, Belgium.ORCID 0000-0001-9290-8929
Alain HendliszDepartment of Gastrointestinal Oncology, Institut Jules Bordet, Hôpital Universitaire de Bruxelles (HUB), Université libre de Bruxelles (ULB), Brussels, Belgium.ORCID 0000-0003-2122-1948

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeManaging chemorefractory metastatic colorectal cancer (mCRC) requires a meticulous equilibrium between the efficacy and toxicity of interventions, a task compounded by the constrained life expectancy of the patient. While existing prognostic tools, such as the Colon Life nomogram, primarily focus on general patient conditions or a single diagnostic modality, they do not fully integrate the potential predictive value of multimodal data. This study aims to develop and validate an Imaging Score, integrating clinical and imaging features derived from whole-body MATERIALS AND

methodsThe development cohort comprises 254 patients from three clinical trials. Nine clinical variables and six imaging variables were assessed. After optimal subset selection through recursive Feature Elimination with cross-validation, a support vector classifier-trained machine learning model generated the Imaging Score. Validation was performed on a real-life patient cohort (n = 74). Model performance was assessed on discrimination (Harrell C-index) and calibration.

resultsFinal prognostic features included whole-body metabolically active tumor volume, Eastern Cooperative Oncology Group performance status, visceral fat density, number of metastatic sites, body mass index, maximum standardized distance, and months since diagnosis. The Imaging Score demonstrated robust discriminative ability in both the development (C-index, 0.797) and validation (C-index, 0.714) sets, outperforming the Colon Life nomogram that tended to overestimate 12-week mortality.

conclusionThe Imaging Score, integrating

Indexed as

Colorectal NeoplasmsFluorodeoxyglucose F18Life ExpectancyPositron Emission Tomography Computed TomographyAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNomogramsPrognosisRadiopharmaceuticalsFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID40305759
PMCPMC12058364

What OpenQuestion holds

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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.