Evidence map›Paper›PMID 36922449›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2023

Machine learning radiomics to predict the early recurrence of intrahepatic cholangiocarcinoma after curative resection: A multicentre cohort study.

Zhiyuan Bo, Bo Chen, Yi Yang, Fei Yao, Yicheng Mao, Jiangqiao Yao, Jinhuan Yang, Qikuan He, Zhengxiao Zhao, Xintong Shi and 5 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
9.5field-weighted citation impact, top 1% of its field
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  14. Applications of artificial intelligence in biliary tract cancers.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Application of AI on cholangiocarcinoma.Frontiers in oncology · 2024
    Review
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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

15 authors at 3 institutions in 1 country.

Zhiyuan Bo *Department of Hepatobiliary Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Bo Chen *Department of Hepatobiliary Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yi Yang *Department of Epidemiology and Biostatistics, School of Public Health and Management, Wenzhou Medical University, Wenzhou, China.
Fei YaoDepartment of Radiology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yicheng MaoDepartment of Optometry and Ophthalmology College, Wenzhou Medical University, Wenzhou, China.
Jiangqiao YaoDepartment of Hepatobiliary Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Jinhuan YangDepartment of Hepatobiliary Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Qikuan HeDepartment of Hepatobiliary Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Zhengxiao ZhaoDepartment of Oncology, the First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Xintong ShiDepartment of Hepatobiliary Surgery, the Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, China.
Jicai ChenDepartment of General Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Zhengping YuDepartment of Hepatobiliary Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yunjun YangDepartment of Radiology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. yyjunjim@163.com.
Yi WangDepartment of Epidemiology and Biostatistics, School of Public Health and Management, Wenzhou Medical University, Wenzhou, China. wang.yi@wmu.edu.cn.
Gang ChenDepartment of Hepatobiliary Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. chen.gang@wmu.edu.cn.ORCID 0000-0001-6067-6959
Wenzhou Medical University · CNSecond Military Medical University · CNZhejiang Chinese Medical University · CN

Funding

National Natural Science Foundation of China 81703310National Natural Science Foundation of China 81772628National Natural Science Foundation of China 82072685Science and Technology Plan Project of Wenzhou, China Y2020938
6 · The paper itself

Abstract

purposePostoperative early recurrence (ER) leads to a poor prognosis for intrahepatic cholangiocarcinoma (ICC). We aimed to develop machine learning (ML) radiomics models to predict ER in ICC after curative resection.

methodsPatients with ICC undergoing curative surgery from three institutions were retrospectively recruited and assigned to training and external validation cohorts. Preoperative arterial and venous phase contrast-enhanced computed tomography (CECT) images were acquired and segmented. Radiomics features were extracted and ranked through their importance. Univariate and multivariate logistic regression analysis was used to identify clinical characteristics. Various ML algorithms were used to construct radiomics-based models, and the predictive performance was evaluated by receiver operating characteristic curves, calibration curves, and decision curve analysis.

results127 patients were included for analysis: 90 patients in the training set and 37 patients in the validation set. Ninety-two patients (72.4%) experienced recurrence, including 71 patients exhibiting ER. Male sex, microvascular invasion, TNM stage, and serum CA19-9 were identified as independent risk factors for ER, with the corresponding clinical model having a poor predictive performance (AUC of 0.685). Fifty-seven differential radiomics features were identified, and the 10 most important features were utilized for modelling. Seven ML radiomics models were developed with a mean AUC of 0.87 ± 0.02, higher than the clinical model. Furthermore, the clinical-radiomics models showed similar predictive performance to the radiomics models (AUC of 0.87 ± 0.03).

conclusionML radiomics models based on CECT are valuable in predicting ER in ICC.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaBile Ducts, IntrahepaticHumansMachine LearningMaleRetrospective StudiesContrast-enhanced computed tomographyEarly recurrenceIntrahepatic cholangiocarcinomaMachine learningRadiomics

Identifiers

PMID36922449
OpenAlexW4327616863

What Socratic holds

Textmetadata
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 Socratic graph.