Evidence map›Paper›PMID 36032350›Full record

ArticleTherapeutic advances in medical oncology2022

Investigation of the added value of CT-based radiomics in predicting the development of brain metastases in patients with radically treated stage III NSCLC.

Simon A Keek, Esma Kayan, Avishek Chatterjee, José S A Belderbos, Gerben Bootsma, Ben van den Borne, Anne-Marie C Dingemans, Hester A Gietema, Harry J M Groen, Judith Herder and 11 more

Abstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

21 authors.

Simon A KeekThe D-Lab, Department of Precision Medicine, GROW - School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Esma KayanThe D-Lab, Department of Precision Medicine, GROW - School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Avishek ChatterjeeThe D-Lab, Department of Precision Medicine, GROW - School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
José S A BelderbosDepartment of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Gerben BootsmaDepartment of Pulmonary Diseases, Zuyderland Hospital, Heerlen, The Netherlands.
Ben van den BorneDepartment of Pulmonary Diseases, Catharina Hospital, Eindhoven, The Netherlands.
Anne-Marie C DingemansDepartment of Pulmonary Diseases, Erasmus MC, Rotterdam, The Netherlands.
Hester A GietemaDepartment of Radiology and Nuclear Medicine, GROW - School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Harry J M GroenDepartment of Pulmonary Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Judith HerderDepartment of Pulmonary Diseases, Meander Medical Center, Amersfoort, The Netherlands.
Cordula PitzDepartment of Pulmonary Diseases, Laurentius Hospital, Roermond, The Netherlands.
John PraagDepartment of Radiotherapy, Erasmus MC, Rotterdam, The Netherlands.
Dirk De RuysscherDepartment of Radiation Oncology (Maastro), GROW - School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Janna SchoenmaekersDepartment of Pulmonary Diseases, GROW - School for Oncology and Reproduction, Maastricht University Medical Center+, Maastricht, The Netherlands.
Hans J M SmitDepartment of Pulmonary Diseases, Rijnstate, Arnhem, The Netherlands.
Jos StigtDepartment of Pulmonary Diseases, Isala Hospital, Zwolle, The Netherlands.
Marcel WestenendDepartment of Pulmonary Diseases, VieCuri, Venlo, The Netherlands.
Haiyan ZengDepartment of Radiation Oncology (Maastro), GROW - School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Henry C WoodruffThe D-Lab, Department of Precision Medicine, GROW - School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Philippe LambinThe D-Lab, Department of Precision Medicine, GROW - School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Lizza HendriksDepartment of Pulmonary Diseases, GROW - School for Oncology and Reproduction, Maastricht University Medical Centre+, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Despite radical intent therapy for patients with stage III non-small-cell lung cancer (NSCLC), cumulative incidence of brain metastases (BM) reaches 30%. Current risk stratification methods fail to accurately identify these patients. As radiomics features have been shown to have predictive value, this study aims to develop a model combining clinical risk factors with radiomics features for BM development in patients with radically treated stage III NSCLC. Methods: Retrospective analysis of two prospective multicentre studies. Inclusion criteria: adequately staged [ Results: In total, 219 patients were eligible for analysis. Median FU was 59.4 months for the training cohort and 67.3 months for the validation cohort; 21 (15%) and 17 (22%) patients developed BM in the training and validation cohort, respectively. Two relevant clinical features (age and adenocarcinoma histology) and four relevant radiomics features were identified as predictive. The clinical model yielded the highest AUC value of 0.71 (95% CI: 0.58-0.84), better than radiomics or a combination of clinical parameters and radiomics (both an AUC of 0.62, 95% CIs of 0.47-076 and 0.48-0.76, respectively). Conclusion: CT-based radiomics features of primary NSCLC in the current setup could not improve on a model based on clinical predictors (age and adenocarcinoma histology) of BM development in radically treated stage III NSCLC patients.

Indexed as

CTmetastatic brain tumoursnon-small-cell lung cancerpredictive biomarkertumour biology

Identifiers

PMID36032350
PMCPMC9403451

What Socratic holds

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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 Socratic graph.