Evidence map›Paper›PMID 42260809›Full record

Observational studyMedicine2026

A CT-based radiomics model for noninvasive prediction of MMP9 expression and prognostic evaluation in renal cell carcinoma.

Sijia Sun, Jin Zhang

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2026. 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. 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

2 authors.

Sijia SunDepartment of Postgraduate Work, Xi'an Medical University, Xi'an, Shaanxi Province, China.
Jin ZhangDepartment of Traditional Chinese Medicine, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China.ORCID 0000-0001-8820-2173

Funding

The therapeutic effect and molecular mechanism of the Liusizi Decoction on cachexia and muscle atrophy in gastric cancer through AMPKα2-mediated glucose metabolism reprogramming S2025-JC-YB-1694
6 · The paper itself

Abstract

Renal cell carcinoma (RCC) represents one of the most common malignant tumors of the urinary system, characterized by high heterogeneity and aggressiveness. Studies indicate that matrix metalloproteinase-9 (MMP9) plays a critical role in the invasion, metastasis, and prognosis of RCC, and is recognized as a potential molecular biomarker and therapeutic target. This study aims to develop a radiomics-based prediction model for noninvasive identification of MMP9 expression levels in RCC patients and to assess its clinical relevance in patient prognosis. This retrospective study utilized enhanced computed tomography images and clinical data from The Cancer Genome Atlas database. We manually delineated volumes of interest, extracted radiomic features, and performed standardization procedures. Key features were selected using minimum redundancy maximum relevance and recursive feature elimination algorithms, followed by the construction of a radiomics model for predicting MMP9 expression through the gradient boosting machine algorithm. Survival analysis was performed using Kaplan-Meier curves and Cox proportional hazards regression models. Furthermore, immune cell infiltration analysis and enrichment analysis were employed to explore the underlying biological mechanisms associated with MMP9. MMP9 demonstrated independent prognostic value in RCC patients (hazard ratio = 1.447). The radiomics model incorporating 3 features, constructed using multiple machine learning algorithms, exhibited favorable predictive performance for MMP9 expression levels (area under the curve = 0.865). The radiomics score mapping MMP9 expression levels served as an independent risk predictor for RCC patients (hazard ratio = 2.287, 95% confidence interval = 1.025-5.103, P = .043). Furthermore, MMP9 correlates with pathways such as immune response regulation signals, carbon metabolism, and PI3K-Akt, as well as immune cell infiltration, including M2-type macrophages and regulatory T cells. MMP9 serves as an independent prognostic factor in RCC. The enhanced computed tomography radiomics model composed of 3 features can noninvasively predict MMP9 expression levels in RCC patients.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsMatrix Metalloproteinase 9RadiomicsTomography, X-Ray ComputedAgedAlgorithmsBiomarkers, TumorFemaleHumansKaplan-Meier EstimateMachine LearningMaleMiddle AgedPrognosisProportional Hazards ModelsBiomarkers, TumorMatrix Metalloproteinase 9MMP9 protein, humanCTMMP9radiomicsrenal cell carcinomatumor microenvironment

Identifiers

PMID42260809
PMCPMC13246022

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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.