Evidence map›Paper›PMID 41408570›Full record

SynthesisJournal of translational medicine2025

Deciphering the biological underpinnings behind prognostic MRI-based imaging signatures in breast cancer: a systematic review.

Nianshi Song, Chen Gao, Xinjing Lou, Ziqing Han, Shantian Wan, Yizhen He, Zhen Fang, Yongyu An, Linyu Wu, Changyu Zhou

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Nianshi Song *Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, P.R. China.
Chen Gao *Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, P.R. China.
Xinjing LouDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, P.R. China.
Ziqing HanDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, P.R. China.
Shantian WanDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, P.R. China.
Yizhen HeDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, P.R. China.
Zhen FangDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, P.R. China.
Yongyu AnDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, P.R. China. an1518068842@163.com.
Linyu WuDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, P.R. China. wulinyu@zcmu.edu.cn.
Changyu ZhouDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, P.R. China. tophorizon@zcmu.edu.cn.ORCID 0000-0002-5125-1737

Funding

Medical Science and Technology Project of Zhejiang Province Grant No.2025KY093Zhejiang Provincial Natural Science Foundation of China Grant No.LTGY24H180007
6 · The paper itself

Abstract

objectiveTo explore the biological foundations of MRI-based prognostic imaging signatures (including radiomics and deep learning signatures) in breast cancer, and to assess the methodological quality of existing studies.

methodsThis review identified studies through a comprehensive search of PubMed, Embase, Web of Science Core Collection, and the Cochrane Library through February 25, 2025. Studies on MRI-based prognostic radiomics or deep learning models with elaborated biological relevance were included. The Radiomics Quality Score (RQS), Newcastle-Ottawa Scale (NOS), and Quality Assessment of Prognostic Accuracy Studies (QUAPAS) were employed to appraise the quality of studies. Data extraction included details on study characteristics, specifics of radiomics or deep learning models, and methods leveraged for biological analysis.

resultsSixteen studies published from 2015 to 2025, comprising 61-2279 breast cancer patients, were included. Most studies employed supervised machine learning methods, with a few utilizing unsupervised machine learning methods. The underlying biological correlations mainly focused on genomic, tumor microenvironment-related, and multiomics data. The median RQS was 12.5 (range 5-17), and the mean NOS score was 7.3, reflecting limited methodological rigor. The overall risk of bias (ROB) among the studies was high, according to QUAPAS.

conclusionThe underlying biological associations of prognostic imaging signatures are mainly elucidated through genomic and transcriptomic factors. Further in-depth exploration is essential to facilitate personalized and precise treatment.

Indexed as

Breast NeoplasmsMagnetic Resonance ImagingFemaleHumansPrognosisTumor MicroenvironmentBiological basisBreast neoplasmsDeep learningPrognosisRadiomics

Identifiers

PMID41408570
PMCPMC12709816

What OpenQuestion holds

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LicenceCC BY
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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.