Post-radiotherapy stage III/IV non-small cell lung cancer radiomics research: a systematic review and comparison of CLEAR and RQS frameworks

BACKGROUND

Lung cancer, the second most common cancer, presents persistently dismal prognoses. Radiomics, a promising field, aims to provide novel imaging biomarkers to improve outcomes. However, clinical translation faces reproducibility challenges, despite efforts to address them with quality scoring tools.

OBJECTIVE

This study had two objectives: 1) identify radiomics biomarkers in post-radiotherapy stage III/IV nonsmall cell lung cancer (NSCLC) patients, 2) evaluate research quality using the CLEAR (CheckList_for_EvaluAtion_of_Radiomics_research), RQS (Radiomics_Quality_Score) frameworks, and formulate an amalgamated CLEAR-RQS tool to enhance scientific rigor.

MATERIALS AND METHODS

A systematic literature review (Jun-Aug 2023, MEDLINE/PubMed/SCOPUS) was conducted concerning stage III/IV NSCLC, radiotherapy, and radiomic features (RF). Extracted data included study design particulars, such as sample size, radiotherapy/CT technique, selected RFs, and endpoints. CLEAR and RQS were merged into a CLEAR-RQS checklist. Three readers appraised articles utilizing CLEAR, RQS, and CLEAR-RQS metrics.

RESULTS

Out of 871 articles, 11 met the inclusion/exclusion criteria. The Median cohort size was 91 (range: 10-337) with 9 studies being single-center. No common RF were identified. The merged CLEAR-RQS checklist comprised 61 items. Most unreported items were within CLEAR's "methods" and "open-source," and within RQS's "phantom-calibration," "registry-enrolled prospective-trial-design," and "cost-effective-analysis" sections. No study scored above 50% on RQS. Median CLEAR scores were 55.74% (32.33/58 points), and for RQS, 17.59% (6.3/36 points). CLEAR-RQS article ranking fell between CLEAR and RQS and aligned with CLEAR.

CONCLUSION

Radiomics research in post-radiotherapy stage III/IV NSCLC exhibits variability and frequently low-quality reporting. The formulated CLEAR-RQS checklist may facilitate education and holds promise for enhancing radiomics research quality.

CLINICAL RELEVANCE STATEMENT

Current radiomics research in the field of stage III/IV postradiotherapy NSCLC is heterogenous, lacking reproducibility, with no identified imaging biomarker. Radiomics research quality assessment tools may enhance scientific rigor and thereby facilitate radiomics translation into clinical practice.

KEY POINTS

There is heterogenous and low radiomics research quality in postradiotherapy stage III/IV nonsmall cell lung cancer. Barriers to reproducibility are small cohort size, nonvalidated studies, missing technical parameters, and lack of data, code, and model sharing. CLEAR (CheckList_for_EvaluAtion_of_Radiomics_research), RQS (Radiomics_Quality_Score), and the amalgamated CLEAR-RQS tool are useful frameworks for assessing radiomics research quality and may provide a valuable resource for educational purposes in the field of radiomics.

RECENT DEVELOPMENTS IN COMPUTERISED ANALYSIS OF THERMOLUMINESCENCE GLOW CURVES: SOFTWARE CODES, MECHANISMS AND DOSIMETRIC APPLICATIONS

The computerised deconvolution of thermoluminescence glow curves into component glow peaks is discussed in detail with special emphasis on advances of the subject post 2013. A plethora of computer codes have been developed using models based on first-order kinetics, second-orders kinetics, interactive traps and continuous distributions of activation energies. The glow curves of several materials are displayed and discussed along with new and improved dosimetric applications:precision effects of heating rate, heavy charged particles, mixed field α/ϒ dosimetry, fading and dose-response linearity. Finally recommendations are made for future efforts.

Plant Metabolic Network 15: A resource of genome-wide metabolism databases for 126 plants and algae

To understand and engineer plant metabolism, we need a comprehensive and accurate annotation of all metabolic information across plant species. As a step towards this goal, we generated genome-scale metabolic pathway databases of 126 algal and plant genomes, ranging from model organisms to crops to medicinal plants (https://plantcyc.org). Of these, 104 have not been reported before. We systematically evaluated the quality of the databases, which revealed that our semi-automated validation pipeline dramatically improves the quality. We then compared the metabolic content across the 126 organisms using multiple correspondence analysis and found that Brassicaceae, Poaceae, and Chlorophyta appeared as metabolically distinct groups. To demonstrate the utility of this resource, we used recently published sorghum transcriptomics data to discover previously unreported trends of metabolism underlying drought tolerance. We also used single-cell transcriptomics data from the Arabidopsis root to infer cell type-specific metabolic pathways. This work shows the quality and quantity of our resource and demonstrates its wide-ranging utility in integrating metabolism with other areas of plant biology.

Diagnostic Benefit of MRI for Exclusion of Ligamentous Injury in Patients with Lateral Atlantodental Interval Asymmetry at Initial Trauma CT

Background Cervical spine CT is regularly performed to exclude cervical spine injury during the initial evaluation of trauma patients. Patients with asymmetry of the lateral atlantodental interval (LADI) often undergo subsequent MRI to rule out ligamentous injuries. The clinical relevance of an asymmetric LADI and the benefit of additional MRI remain unclear. Purpose To evaluate the diagnostic benefit of additional MRI in patients with blunt trauma who have asymmetry of the LADI and no other cervical injuries. Materials and Methods Patients who underwent cervical spine CT during initial trauma evaluation between March 2017 and August 2019 were retrospectively evaluated. Those who underwent subsequent MRI because of LADI asymmetry of 1 mm or greater with no other signs of cervical injury were identified and reevaluated by two readers blinded to clinical data and initial study reports regarding possible ligamentous injuries. Results Among 1553 patients, 146 (9%) had LADI asymmetry of 1 mm or greater. Of these, 46 patients (mean age ± standard deviation, 39 years ± 22; 28 men; median LADI asymmetry, 2.4 mm [interquartile range, 1.8-3.1 mm]) underwent supplementary MRI with no other signs of cervical injury at initial CT. Ten of the 46 patients (22%) showed cervical tenderness at clinical examination, and 36 patients (78%) were asymptomatic. In two of the 46 patients (4%), MRI revealed alar ligament injury; both of these patients showed LADI asymmetry greater than 3 mm, along with cervical tenderness at clinical examination, and underwent treatment for ligamentous injury. In 13 of the 46 patients (28%), signal intensity alterations of alar ligaments without signs of rupture were observed. Four of these 13 patients (31%) were subsequently treated for ligamentous injury despite being asymptomatic. Conclusion Subsequent MRI following CT of the cervical spine in trauma patients with lateral atlantodental interval asymmetry may have diagnostic benefit only in symptomatic patients. In asymptomatic patients without proven cervical injuries, subsequent MRI showed no diagnostic benefit and may even lead to overtreatment. © RSNA, 2021 Online supplemental material is available for this article.

Genome-enabled discovery of anthraquinone biosynthesis in Senna tora

Senna tora is a widely used medicinal plant. Its health benefits have been attributed to the large quantity of anthraquinones, but how they are made in plants remains a mystery. To identify the genes responsible for plant anthraquinone biosynthesis, we reveal the genome sequence of S. tora at the chromosome level with 526 Mb (96%) assembled into 13 chromosomes. Comparison among related plant species shows that a chalcone synthase-like (CHS-L) gene family has lineage-specifically and rapidly expanded in S. tora. Combining genomics, transcriptomics, metabolomics, and biochemistry, we identify a CHS-L gene contributing to the biosynthesis of anthraquinones. The S. tora reference genome will accelerate the discovery of biologically active anthraquinone biosynthesis pathways in medicinal plants.

Genome-enabled discovery of anthraquinone biosynthesis in Senna tora

Senna tora is a widely used medicinal plant. Its health benefits have been attributed to the large quantity of anthraquinones, but how they are made in plants remains a mystery. To identify the genes responsible for plant anthraquinone biosynthesis, we reveal the genome sequence of S. tora at the chromosome level with 526 Mb (96%) assembled into 13 chromosomes. Comparison among related plant species shows that a chalcone synthase-like (CHS-L) gene family has lineage-specifically and rapidly expanded in S. tora. Combining genomics, transcriptomics, metabolomics, and biochemistry, we identify a CHS-L gene contributing to the biosynthesis of anthraquinones. The S. tora reference genome will accelerate the discovery of biologically active anthraquinone biosynthesis pathways in medicinal plants.

MANIPULATION OF THE DOSE-RESPONSE OF COMPOSITE GLOW PEAK 5 IN THE THERMOLUMINESCENCE OF LiF:Mg,Ti (TLD-100) VIA OPTICAL EXCITATION POST-IRRADIATION: POTENTIAL FOR IMPROVED DOSE-RESPONSE LINEARITY BEYOND 1 Gy

Many dosimetric applications and especially those involved in clinical dosimetry are hampered by the supralinearity of TLD-100 which begins at a level of dose of 1 Gy. This research investigates the effect of optical excitation following irradiation on the dose-response. It is expected that this will lead to a more linear dose-response, however, irrespective of the hoped-for linearity, the theoretical/kinetic simulations of the effect of optical excitation will further enhance our understanding of the thermoluminescence mechanisms, especially the role of spatially correlated trapping and luminescent centers. In the following, the various stages carried out in these investigations are discussed and preliminary results presented.

Ionisation Chamber for Measurement of Pulsed Photon Radiation Fields

The use of pulsed photon radiation in medical, industrial and security sectors has vastly increased during the recent years. The length of pulse from different X-ray flash generators that are commonly used as either portable, battery-operated or fixed systems can be as low as a few femtoseconds. However, the majority of radiation protection instruments, especially various active electronic dosemeters, have limitations when operated in pulsed fields. This study presents measurements that were performed using the dose-integration mode of the RI-02 and Ram Ion survey metres, which are based on ventilated ionisation chamber, when exposed to different pulsed X-ray sources. An intercomparison between the results that were obtained with the survey metres and those that were obtained with thermoluminescence dosemeter, reference passive dosemeter, show good agreement (deviation lies within 10%).

Time evolution of a Gaussian class of quasi-distribution functions under quadratic Hamiltonian

A Lie algebraic method for propagation of the Wigner quasi-distribution function (QDF) under quadratic Hamiltonian was presented by Zoubi and Ben-Aryeh. We show that the same method can be used in order to propagate a rather general class of QDFs, which we call the "Gaussian class." This class contains as special cases the well-known Wigner, Husimi, Glauber, and Kirkwood-Rihaczek QDFs. We present some examples of the calculation of the time evolution of those functions.

[An outpatient education program for patients and partners after implantation of implantable cardioverter defibrillators (ICD)]

BACKGROUND

The implantation of an implantable cardioverter defibrillator (ICD) is commonly followed by a physical and psychological process of adaptation to the new situation. Psychological support is often not provided and patients are left alone with questions and their needs. Because of the emerging sense of support group programs have proven to be apt for clearing up questions and addressing personal concerns. In the present study a psychoeducational program is presented and evaluated in detail.

MATERIAL AND METHODS

A total of 308 patients with ICDs as well as their partners participated in a 2 day psychoeducational program. Of the patients 100 as well as their partners were asked to complete questionnaires concerning anxiety and depression (HADS) as well as their satisfaction with the program. The program consists of five modules: a warm up and getting to know each other; medical and technical information concerning the ICD, psychoeducation concerning the topics anxiety and avoidance, relaxation and an experience report of a patient who has had an ICD for many years.

RESULTS

The evaluation results of 72 participants are present. All patients would definitively recommend participation in the program to other patients with an ICD without restrictions. The satisfaction with the five different modules of the intervention was very high. The depression as well as the anxious symptomatology in the HADS decreased significantly in the 1 year follow-up but did not exceed the cut-off point of 8. The anxiety and depression symptoms of the partners decreased significantly and exceeded the cut-off point of 8 in the follow-up.

Effect of cyanophage infection on CO2 photoassimilation in Plectonema boryanum

Cyanophage infection effects a rapid and complete cessation of CO(2) photoassimilation in Plectonema cells. From the amount of infected cells lysed, it was established that this phenomenon cannot be ascribed to lysis of the host cells either from within or from without. The possibility that the effect is due to nitrogen starvation, induced secondarily by cyanophage multiplication, was ruled out when it was found that nitrogen supplementation did not influence the inhibition. It is suggested that the arrest of CO(2) photoassimilation is an integral part of the cyanophage infection cycle in P. boryanum. This idea is supported by the nondependence of the cyanophage-induced inhibition on the input multiplicity, by the light requirement for the inhibition, and by the fact that infected Plectonema cells with inhibited CO(2) photo-assimilation support normal multiplication of the cyanophage. The pattern of light requirement for this viral inhibition further supports this suggestion.