Using optimized CT type to predict histological classifications of thymic epithelial tumors: a radiomics integrated analysis.

IF 4.1 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Zhengping Zhang, Kede Mi, Zhaojun Wang, Xiaoyan Yang, Shuping Meng, Xingcang Tian, Yanzhu Han, Yuling Qu, Li Zhu, Juan Chen
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引用次数: 0

Abstract

Objective: To develop and externally validate an integrated model that utilizes optimized radiomics features from non-contrast-enhanced CT (NE-CT) or contrast-enhanced CT (CE-CT), along with morphological features and clinical risk factors, to predict histological classifications of thymic epithelial tumors (TETs).

Methods: A total of 182 patients with TET, classified as the low-risk group and the high-risk group based on histology, were divided into a training cohort (N = 122, center 1) and an external validation cohort (N = 60, center 2). Radiomics features were extracted from different CT types, followed by feature selection, including consistency, correlation, and importance tests, to generate Rad-scores for both NE-CT and CE-CT. The integrated model was developed by combining the optimal Rad-score, morphological features, and clinical risk factors using multivariate logistic regression. Model performance was assessed by the area under the receiver operating characteristic curve (AUC) and compared by Delong test. A nomogram was used to visually present the integrated model.

Results: A total of 851 radiomics features were extracted, with NE-CT and CE-CT Rad-scores consisting of four and five features, respectively. The AUCs of the CE-CT Rad-score were higher than those of the NE-CT Rad-score in both the training cohort (0.783 vs 0.749) and the external validation cohort (0.775 vs 0.723, p = 0.361). The integrated model, combining five morphological features and the CE-CT Rad-score, achieved AUCs of 0.814 and 0.802 in the training and external validation cohorts, respectively.

Conclusion: The integrated model, incorporating radiomics features from CE-CT and morphological features, can help to identify the histological classifications of TETs.

Critical relevance statement: This study developed an integrated model based on radiomics features from contrast-enhanced CT and morphological features, demonstrating that the integrated model has impressive predictive capability in distinguishing histological classifications of thymic epithelial tumors through external validation.

Key points: Radiomics features extracted from CT more effectively represented thymic epithelial tumor (TET) heterogeneity than morphological features. The radiomics model using contrast-enhanced CT outperformed that using non-contrast-enhanced CT in identifying histological classifications of TET. The integrated model, combining radiomics and morphological features, exhibited the highest performance in predicting TET histological classifications.

利用优化的CT分型预测胸腺上皮肿瘤的组织学分类:放射组学综合分析。
目的:开发并外部验证一个集成模型,该模型利用优化的非增强CT (NE-CT)或增强CT (CE-CT)放射组学特征,以及形态学特征和临床危险因素,预测胸腺上皮肿瘤(TETs)的组织学分类。方法:将182例TET患者根据组织学分为低危组和高危组,分为训练组(N = 122,中心1)和外部验证组(N = 60,中心2)。提取不同CT类型的放射组学特征,进行特征选择,包括一致性、相关性和重要性检验,生成NE-CT和CE-CT的rad评分。采用多变量logistic回归,将最佳rad评分、形态学特征和临床危险因素结合起来,建立综合模型。采用受试者工作特征曲线下面积(AUC)评价模型性能,采用德龙检验进行比较。采用nomogram来直观地表示集成模型。结果:共提取了851个放射组学特征,NE-CT和CE-CT的rad评分分别由4个和5个特征组成。训练组(0.783 vs 0.749)和外部验证组(0.775 vs 0.723, p = 0.361) CE-CT rad评分的auc均高于NE-CT rad评分。结合5个形态学特征和CE-CT rad评分的综合模型在训练组和外部验证组的auc分别为0.814和0.802。结论:结合CE-CT放射组学特征和形态学特征的综合模型有助于识别tet的组织学分类。关键相关性声明:本研究建立了一个基于增强CT放射组学特征和形态学特征的集成模型,通过外部验证表明该集成模型在区分胸腺上皮肿瘤的组织学分类方面具有令人印象深刻的预测能力。重点:从CT中提取的放射组学特征比形态学特征更能有效地反映胸腺上皮肿瘤(TET)的异质性。对比增强CT放射组学模型在鉴别TET的组织学分类方面优于非对比增强CT。结合放射组学和形态学特征的综合模型在预测TET组织学分类方面表现出最高的性能。
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来源期刊
Insights into Imaging
Insights into Imaging Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
7.30
自引率
4.30%
发文量
182
审稿时长
13 weeks
期刊介绍: Insights into Imaging (I³) is a peer-reviewed open access journal published under the brand SpringerOpen. All content published in the journal is freely available online to anyone, anywhere! I³ continuously updates scientific knowledge and progress in best-practice standards in radiology through the publication of original articles and state-of-the-art reviews and opinions, along with recommendations and statements from the leading radiological societies in Europe. Founded by the European Society of Radiology (ESR), I³ creates a platform for educational material, guidelines and recommendations, and a forum for topics of controversy. A balanced combination of review articles, original papers, short communications from European radiological congresses and information on society matters makes I³ an indispensable source for current information in this field. I³ is owned by the ESR, however authors retain copyright to their article according to the Creative Commons Attribution License (see Copyright and License Agreement). All articles can be read, redistributed and reused for free, as long as the author of the original work is cited properly. The open access fees (article-processing charges) for this journal are kindly sponsored by ESR for all Members. The journal went open access in 2012, which means that all articles published since then are freely available online.
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