Evidence map›Paper›PMID 42420890›Full record

ArticleBMC medical imaging2026

Qi Jiang, Silu Cui, Panpan Luan, Faquan Ji, Yuxiao Hu

Abstract read
In one paragraph

Article in BMC medical imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Qi Jiang *Department of PET/CT Center, Jiangsu Cancer Hospital and Jiangsu Institute of Cancer Research and The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China.
Silu Cui *Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China.
Panpan LuanJiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China.
Faquan JiJiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China.
Yuxiao HuDepartment of PET/CT Center, Jiangsu Cancer Hospital and Jiangsu Institute of Cancer Research and The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China. hyx_0102@yeah.net.

Funding

[key project of Jiangsu Commission of Health] under Grant number K2023021[talents program of Jiangsu Cancer Hospital] under Grant number YC201801
6 · The paper itself

Abstract

backgroundIn the R-CHOP era, the IPI score has reduced efficacy in identifying high-risk diffuse large B-cell lymphoma (DLBCL) patients. Precise prognostic biomarkers and scoring systems are urgently needed to achieve refined stratification of this high-risk population. This study aimed to clarify the combined prognostic significance of

methodsThis study included 210 real-world patients with newly diagnosed DLBCL treated with R-CHOP. Radiomic parameters including maximum standardized uptake value (SUVmax), total metabolic tumor volume (TMTV), total lesion glycolysis (TLG), and maximum lesion diameter (Dmax) were extracted from

resultsMultivariate analysis identified MTV, Dmax and DEL status as independent predictors of progression-free survival (PFS) and overall survival (OS), leading to the development of the MDE prognostic model. Five-fold cross-validation confirmed significant PFS/OS risk stratification across all training and validation cohorts (all P < 0.05). MDE was a significant independent PFS predictor (P < 0.0001), outperforming the IPI (P = 0.205). The MDE model showed superior predictive performance over IPI: for PFS, mean AIC (536.564 vs. 575.546) and C-index (0.778 vs. 0.677); for OS, mean AIC (424.227 vs. 445.86) and C-index (0.775 vs. 0.724). Its AUC (0.797) was significantly higher than IPI (0.700, all P < 0.05) per DeLong's test, bootstrap method and Venkatraman's permutation test. Compared with IPI high-risk patients (5-year PFS: 34.6%, OS: 32.6%), MDE identified a higher-risk subgroup (5-year PFS: 22.4%, OS: 29.7%) and improved discriminatory capacity across IPI subgroups (all P < 0.05).

conclusionsThe MDE scoring system integrates baseline

trial registrationThe research protocol of this study was approved by the Ethics Committee of Jiangsu Cancer Hospital (Approval KY-2025-095, approval date: 16 July 2025). CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Lymphoma, Large B-Cell, DiffusePositron Emission Tomography Computed TomographyAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDoxorubicinFemaleFluorodeoxyglucose F18HumansMaleMiddle AgedPrednisonePrognosisRadiomicsCyclophosphamideDoxorubicinFluorodeoxyglucose F18PrednisoneRadiopharmaceuticalsR-CHOP protocolRituximabVincristine18F-FDG PET/CTDiffuse large B-cell lymphomaDouble-expressor lymphomaPrognosisTotal metabolic tumour volume

Identifiers

PMID42420890
PMCPMC13491722

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.