Evidence map›Paper›PMID 40569439›Full record

ArticleEuropean radiology2025

Whole-tumor histogram analysis of synthetic MRI for the differentiation of benign and malignant soft-tissue tumors: a preliminary study.

Lei Miao, JiuMing Jiang, JianWei Li, Hui Liu, SiJie Hu, HuanHuan Zhang, LiHua Gong, YuHeng Zhang, SiCong Wang, GuangNan Quan and 2 more

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Article in European radiology, 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

12 authors.

Lei MiaoDepartment of Interventional Therapy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
JiuMing JiangDepartment of Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
JianWei LiDepartment of Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Hui LiuDepartment of Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
SiJie HuDepartment of Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
HuanHuan ZhangDepartment of Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
LiHua GongDepartment of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
YuHeng ZhangDepartment of Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
SiCong WangGE Healthcare China, Daxing district, Beijing, China.
GuangNan QuanGE Healthcare, MR Research China, Beijing, China.
Xiao Li *Department of Interventional Therapy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. simonlixiao@263.net.
Meng Li *Department of Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. lmcams@163.com.ORCID http://orcid.org/0000-0001-7592-2091

Funding

Chinese Academy of Medical Sciences Initiative for Innovative Medicine 2021-12M-1-015The Science and Education Cultivation Fund of the National Cancer and Regional Medical Center of Shanxi Provincial Cancer Hospital TD2023003
6 · The paper itself

Abstract

objectivesTo determine the diagnostic potential of histogram features derived from synthetic magnetic resonance imaging (SyMRI) for the differentiation of benign and malignant soft-tissue tumors (STTs). MATERIALS AND

methodsSeventy-two patients with STTs of the extremities or trunk (29 benign, 43 malignant) were prospectively enrolled. Quantitative histogram features, extracted from T1, T2, and proton density (PD) images, were obtained by delineating the three-dimensional volume of interest (VOI). Patients were divided into a benign group and a malignant group according to their pathological results. Logistic regression was used to construct diagnostic models. Receiver operating characteristic (ROC) analysis was performed to assess diagnostic performance.

resultsSeveral histogram features derived from SyMRI, such as PD_Energy, T1_Skewness, and T2_Kurtosis, were significantly elevated in patients with malignant STTs (p < 0.05). All the models constructed on the basis of SyMRI histogram features performed comparably to or better than the Clinical_Model (a model based on conventional MRI features). The Combined_Model (a model integrating histogram features from the PD, T1, and T2 maps) has the highest AUC (0.946).

conclusionWhole-tumor histogram analysis via SyMRI can distinguish benign from malignant STTs well. The Combined model, incorporating features from the PD, T1, and T2 models, is effective. Future efforts should focus on external validation across multiple institutions and prospective prognostic validation studies. KEY POINTS: Question Differentiating between benign and malignant STTs is crucial for effective treatment, but current imaging methods struggle to reliably distinguish these tumor types. Findings Whole-tumor histogram analysis using SyMRI identified significant differences in quantitative features between benign and malignant STTs with high diagnostic accuracy. Clinical relevance This non-invasive imaging approach enhances diagnostic precision, reducing the need for biopsies and assisting clinicians in developing tailored treatment strategies for soft-tissue tumor patients.

Indexed as

Image Interpretation, Computer-AssistedMagnetic Resonance ImagingSoft Tissue NeoplasmsAdolescentAdultAgedDiagnosis, DifferentialFemaleHumansMaleMiddle AgedProspective StudiesROC CurveYoung AdultDiagnosisSoft tissue tumours/neoplasmsSynthetic magnetic resonance imaging

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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.