Evidence map›Paper›PMID 41025076›Full record

ArticleWorld journal of gastroenterology2025

Predicting pathological complete response to chemoradiotherapy using artificial intelligence-based magnetic resonance imaging radiomics in esophageal squamous cell carcinoma.

Atsushi Hirata, Koichi Hayano, Toru Tochigi, Yoshihiro Kurata, Tadashi Shiraishi, Nobufumi Sekino, Akira Nakano, Yasunori Matsumoto, Takeshi Toyozumi, Masaya Uesato and 1 more

Abstract read
In one paragraph

Article in World journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. 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.

Atsushi HirataDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba 260-8677, Japan.
Koichi HayanoDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba 260-8677, Japan. hayatin1973@yahoo.co.jp.
Toru TochigiDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba 260-8677, Japan.
Yoshihiro KurataDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba 260-8677, Japan.
Tadashi ShiraishiDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba 260-8677, Japan.
Nobufumi SekinoDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba 260-8677, Japan.
Akira NakanoDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba 260-8677, Japan.
Yasunori MatsumotoDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba 260-8677, Japan.
Takeshi ToyozumiDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba 260-8677, Japan.
Masaya UesatoDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba 260-8677, Japan.
Gaku OhiraDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba 260-8677, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvanced esophageal squamous cell carcinoma (ESCC) has an extremely poor prognosis. Preoperative chemoradiotherapy (CRT) can significantly prolong survival, especially in those who achieve pathological complete response (pCR). However, the pretherapeutic prediction of pCR remains challenging.

aimTo predict pCR and survival in ESCC patients undergoing CRT using an artificial intelligence (AI)-based diffusion-weighted magnetic resonance imaging (DWI-MRI) radiomics model.

methodsWe retrospectively analyzed 70 patients with ESCC who underwent curative surgery following CRT. For each patient, pre-treatment tumors were semi-automatically segmented in three dimensions from DWI-MRI images (

resultspCR was achieved in 15 patients (21.4%). Apparent diffusion coefficient skewness demonstrated the highest predictive performance [area under the curve (AUC) = 0.77]. Gray-level co-occurrence matrix (GLCM) entropy (

conclusionAI-based radiomics analysis of DWI-MRI images in ESCC has the potential to accurately predict the effect of CRT before treatment and contribute to constructing optimal treatment strategies.

Indexed as

Artificial IntelligenceCarcinoma, Squamous CellChemoradiotherapyDiffusion Magnetic Resonance ImagingEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaAdultAgedEsophagectomyFemaleHumansMachine LearningMaleMiddle AgedNeoadjuvant TherapyPredictive Value of TestsChemoradiation therapyDiffusion weighted imagingEsophageal cancerMachine learningRadiomics

Identifiers

PMID41025076
PMCPMC12476672

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Registered trials

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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.