Evidence map›Paper›PMID 39937273›Full record

SynthesisEuropean radiology2025

Radiomics for differentiating radiation-induced brain injury from recurrence in gliomas: systematic review, meta-analysis, and methodological quality evaluation using METRICS and RQS.

Burak Kocak, Ismail Mese, Ece Ates Kus

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Imaging in Neuro-oncology.Seminars in neurology · 2025
    Review
  7. Article
  8. 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

3 authors.

Burak KocakDepartment of Radiology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey. drburakkocak@gmail.com.ORCID http://orcid.org/0000-0002-7307-396X
Ismail MeseDepartment of Radiology, Uskudar State Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-4429-6996
Ece Ates KusInstitute of Neuroradiology, Klinikum Lippe, Lemgo, Germany.ORCID http://orcid.org/0000-0002-8175-4052

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo systematically evaluate glioma radiomics literature on differentiating between radiation-induced brain injury and tumor recurrence.

methodsLiterature was searched on PubMed and Web of Science (end date: May 7, 2024). Quality of eligible papers was assessed using METhodological RadiomICs Score (METRICS) and Radiomics Quality Score (RQS). Reliability of quality scoring tools were analyzed. Meta-analysis, meta-regression, and subgroup analysis were performed.

resultsTwenty-seven papers were included in the qualitative assessment. Mean average METRICS score and RQS percentage score across three readers was 57% (SD, 14%) and 16% (SD, 12%), respectively. Score-wise inter-rater agreement for METRICS ranged from poor to excellent, while RQS demonstrated moderate to excellent agreement. Item-wise agreement was moderate for both tools. Meta-analysis of 11 eligible studies yielded an estimated area under the receiver operating characteristic curve of 0.832 (95% CI, 0.757-0.908), with significant heterogeneity (I

conclusionWhile a good performance was noted for radiomics, results should be interpreted cautiously due to heterogeneity, publication bias, and quality issues thoroughly examined in this study. KEY POINTS: Question Radiomic literature on distinguishing radiation-induced brain injury from glioma recurrence lacks systematic reviews and meta-analyses that assess methodological quality using radiomics-specific tools. Findings While the results are encouraging, there was substantial heterogeneity, publication bias toward positive findings, and notable concerns regarding methodological quality. Clinical relevance Meta-analysis results need cautious interpretation due to significant problems detected during the analysis (e.g., suboptimal quality, heterogeneity, bias), which may help explain why radiomics has not yet been translated into clinical practice.

Indexed as

Brain InjuriesBrain NeoplasmsGliomaNeoplasm Recurrence, LocalRadiation InjuriesDiagnosis, DifferentialHumansRadiomicsReproducibility of ResultsArtificial intelligenceDeep learningGliomaMachine learningRadiomics

Identifiers

PMID39937273
PMCPMC12226684

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.