Evidence map›Paper›PMID 41354891›Full record

ArticleNeurosurgical review2025

Integrating diffusion-weighted MRI radiomics features to predict brain invasion of meningiomas.

Zongmeng Wang, Lihong Chen, Ye Li, Dingfu Wei, Yizhu Chen, Xiaodan Chen, Sihui Liu, Yichao Zhang, Tianjin Zhong, Peirong Jiang and 3 more

Abstract read
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Article in Neurosurgical review, 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

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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

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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

13 authors.

Zongmeng Wang *Department of Radiology, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, 350001, China.
Lihong Chen *Department of Radiology, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, 350001, China.
Ye Li *Department of Radiology, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, 350001, China.
Dingfu WeiDepartment of Radiology, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, 350001, China.
Yizhu ChenDepartment of Radiology, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, 350001, China.
Xiaodan ChenSchool of Medical Imaging, Fujian Medical University, Fuzhou, 350004, China.
Sihui LiuDepartment of Radiology, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, 350001, China.
Yichao ZhangDepartment of Radiology, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, 350001, China.
Tianjin ZhongDepartment of Radiology, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, 350001, China.
Peirong JiangDepartment of Radiology, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, 350001, China.
Haixia LiBayer Healthcare Company Limited, Radiology, Guangzhou, China.
Yunjing Xue *Department of Radiology, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, 350001, China. xueyunjing@126.com.
Lin Lin *Department of Radiology, Fujian Medical University Union Hospital, No.29 Xinquan Road, Fuzhou, 350001, China. linlin@fjmu.edu.cn.

Funding

Fujian Provincial Natural Science Foundation of China 2022J011052Fujian Research and Training Grants for Young and Middle-aged Leaders in Healthcare, Excellent Young Scholars Cultivation Project of Fujian Medical University Union Hospital 2022XH035Joint Funds for the Innovation of Science and Technology, Fujian province 2023Y9433Talent Initiation Fund Project of Fujian Medical University Union Hospital 2022XH014
6 · The paper itself

Abstract

Brain invasion is an independent diagnostic criterion for WHO grade 2 meningiomas, and preoperative prediction of brain invasion in meningiomas is crucial for guiding treatment decisions. Therefore, we constructed a radiomics model that integrated structural and diffusion-weighted images to predict brain invasion of meningiomas. Seven hundred and twenty-three consecutive patients with pathologically confirmed meningiomas between 2013 and 2022 were retrospectively studied. Radiomics features of the brain-to-tumor interface region were extracted from structural MRI and DWI-derived apparent diffusion coefficient (ADC) maps. The least absolute shrinkage and selection operator (LASSO) method was utilized to select radiomics features. A linear predictor of brain invasion was constructed using a logistic regression classifier. The model's performance was evaluated using receiver operating characteristic (ROC) curve analysis. Additionally, decision curve analysis (DCA) was performed to evaluate the clinical utility of the established models. A nomogram was developed for a combined model that incorporates clinical features, along with radiomics scores derived from structural images and ADC maps. DeLong test and integrated discrimination improvement (IDI) were used to compare the diagnostic efficiency of different models. Six radiomics features from structural MRI, six radiomics features from ADC, the volume of peritumoral edema, and gender were selected to construct the combined model. This model achieved the highest AUC and sensitivity for predicting brain invasion in both the training (AUC = 0.897, 95%CI: 0.857 to 0.936, sensitivity = 0.911) and test sets (AUC = 0.871, 95%CI: 0.806 to 0.936, sensitivity = 0.895). It outperformed the structural model (AUC = 0.691) and the structural and clinical model (AUC = 0.812). The IDI demonstrated a significant improvement in predictive value when ADC radiomic features were added to the combined model. The incorporation of ADC radiomics into the MRI radiomic model improved the diagnostic performance for identifying brain invasion in meningiomas.

Indexed as

Brain NeoplasmsDiffusion Magnetic Resonance ImagingMeningeal NeoplasmsMeningiomaAdultAgedBrainFemaleHumansMaleMiddle AgedNeoplasm InvasivenessNomogramsRadiomicsRetrospective StudiesBrain invasionDiffusion-weighted MRIMeningiomaRadiomics

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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.