Evidence map›Paper›PMID 39682195›Full record

ArticleCancers2024

Reliability of Automated RECIST 1.1 and Volumetric RECIST Target Lesion Response Evaluation in Follow-Up CT-A Multi-Center, Multi-Observer Reading Study.

Isabel C Dahm, Manuel Kolb, Sebastian Altmann, Konstantin Nikolaou, Sergios Gatidis, Ahmed E Othman, Alessa Hering, Jan H Moltz, Felix Peisen

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
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

9 authors.

Isabel C DahmDepartment of Diagnostic and Interventional Radiology, Eberhard Karls University, Tuebingen University Hospital, Hoppe-Seyler-Str. 3, 72076 Tuebingen, Germany.ORCID 0009-0001-7218-7498
Manuel KolbDepartment of Radiology, Te Whatu Ora Waikato, Hamilton 3240, New Zealand.
Sebastian AltmannInstitute of Neuroradiology, Johannes Gutenberg University Hospital Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.
Konstantin NikolaouDepartment of Diagnostic and Interventional Radiology, Eberhard Karls University, Tuebingen University Hospital, Hoppe-Seyler-Str. 3, 72076 Tuebingen, Germany.ORCID 0000-0003-2668-7325
Sergios GatidisDepartment of Diagnostic and Interventional Radiology, Eberhard Karls University, Tuebingen University Hospital, Hoppe-Seyler-Str. 3, 72076 Tuebingen, Germany.
Ahmed E OthmanInstitute of Neuroradiology, Johannes Gutenberg University Hospital Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0002-3827-8695
Alessa HeringFraunhofer MEVIS, Max-von-Laue-Str. 2, 28359 Bremen, Germany.ORCID 0000-0002-7602-803X
Jan H MoltzFraunhofer MEVIS, Max-von-Laue-Str. 2, 28359 Bremen, Germany.ORCID 0000-0002-7880-1014
Felix PeisenDepartment of Diagnostic and Interventional Radiology, Eberhard Karls University, Tuebingen University Hospital, Hoppe-Seyler-Str. 3, 72076 Tuebingen, Germany.

Funding

Deutsche Forschungsgemeinschaft 428216905
6 · The paper itself

Abstract

objectivesTo evaluate the performance of a custom-made convolutional neural network (CNN) algorithm for fully automated lesion tracking and segmentation, as well as RECIST 1.1 evaluation, in longitudinal computed tomography (CT) studies compared to a manual Response Evaluation Criteria in Solid Tumors (RECIST 1.1) evaluation performed by three radiologists.

methodsBaseline and follow-up CTs of patients with stage IV melanoma (n = 58) was investigated in a retrospective reading study. Three radiologists performed manual measurements of metastatic lesions. Fully automated segmentations were generated, and diameters and volumes were computed from the segmentation results, with subsequent RECIST 1.1 evaluation. We measured (1) the intra- and inter-reader variability in the manual diameter measurements, (2) the agreement between manual and automated diameter measurements, as well as the resulting RECIST 1.1 categories, and (3) the agreement between the RECIST 1.1 categories derived from automated diameter measurement compared to automated volume measurements.

resultsIn total, 114 target lesions were measured at baseline and follow-up. The intraclass correlation coefficients (ICCs) for the intra- and inter-reader reliability of the diameter measurements were excellent, being >0.90 for all readers. There was moderate to almost perfect agreement when comparing the timepoint response category derived from the mean manual diameter measurements from all three readers with those derived from automated diameter measurements (Cohen's k 0.67-0.76). The agreement between the manual and automated volumetric timepoint responses was substantial (Fleiss' k 0.66-0.68) and that between the automated diameter and volume timepoint responses was substantial to almost perfect (Cohen's k 0.81).

conclusionsThe automated diameter measurement of preselected target lesions in follow-up CT is reliable and can potentially help to accelerate RECIST evaluation.

Indexed as

artificial intelligence and machine learningmelanomaRECIST 1.1

Identifiers

PMID39682195
PMCPMC11640155

What Socratic holds

Textmetadata
LicenceCC BY
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.