基于瘤内和瘤周磁共振成像的放射组学用于预测上皮性卵巢癌的盆腔外腹膜转移。

IF 4.1 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Xinyi Wang, Mingxiang Wei, Ying Chen, Jianye Jia, Yu Zhang, Yao Dai, Cai Qin, Genji Bai, Shuangqing Chen
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引用次数: 0

摘要

研究目的研究从T2加权核磁共振成像中提取的瘤内和瘤周放射组学数据,用于术前预测上皮性卵巢癌(EOC)患者盆腔腹膜外转移(EPM)的潜力:在这项回顾性研究中,来自四个中心的 488 名患者被纳入研究,并被分为训练组(245 人)、内部测试组(105 人)和外部测试组(138 人)。根据从相应区域提取的放射组学特征构建了瘤内和瘤周模型。通过特征级融合建立了瘤内和瘤周综合模型。通过将该组合模型与特定的独立临床预测指标整合,建立了一个集合模型。通过十倍交叉验证以及内部和外部测试,对这些模型的稳健性和普适性进行了评估。模型性能通过接收者工作特征曲线下面积(AUC)进行评估。对模型的解释采用了夏普利相加解释法:结果:集合模型在十倍交叉验证中表现优异,平均 AUC 最高,为 0.844 ± 0.063。在内部测试集上,瘤周模型和集合模型的表现明显优于瘤内模型(AUC = 0.786 和 0.832 vs. 0.652,p = 0.007 和 p 结论:瘤周放射组学能为肿瘤的诊断提供更多的信息:与瘤内放射组学相比,瘤周放射组学能提供更多关于EPM的信息。基于核磁共振成像的集合模型有可能在术前预测 EOC 患者的 EPM:基于核磁共振成像的瘤内和瘤周放射组学信息与临床特征相结合,是预测EPM的一种很有前景的无创方法,可指导EOC患者的术前临床决策:要点:瘤周放射组学可为上皮性卵巢癌的盆腔腹膜外转移提供有价值的信息。集合模型在预测盆腔腹膜外转移方面表现令人满意。结合瘤内和瘤周磁共振成像放射组学有助于上皮性卵巢癌的临床决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intratumoral and peritumoral MRI-based radiomics for predicting extrapelvic peritoneal metastasis in epithelial ovarian cancer.

Objectives: To investigate the potential of intratumoral and peritumoral radiomics derived from T2-weighted MRI to preoperatively predict extrapelvic peritoneal metastasis (EPM) in patients with epithelial ovarian cancer (EOC).

Methods: In this retrospective study, 488 patients from four centers were enrolled and divided into training (n = 245), internal test (n = 105), and external test (n = 138) sets. Intratumoral and peritumoral models were constructed based on radiomics features extracted from the corresponding regions. A combined intratumoral and peritumoral model was developed via a feature-level fusion. An ensemble model was created by integrating this combined model with specific independent clinical predictors. The robustness and generalizability of these models were assessed using tenfold cross-validation and both internal and external testing. Model performance was evaluated by the area under the receiver operating characteristic curve (AUC). The Shapley Additive Explanation method was employed for model interpretation.

Results: The ensemble model showed superior performance across the tenfold cross-validation, with the highest mean AUC of 0.844 ± 0.063. On the internal test set, the peritumoral and ensemble models significantly outperformed the intratumoral model (AUC = 0.786 and 0.832 vs. 0.652, p = 0.007 and p < 0.001, respectively). On the external test set, the AUC of the ensemble model significantly exceeded those of the intratumoral and peritumoral models (0.843 vs. 0.750 and 0.789, p = 0.008 and 0.047, respectively).

Conclusion: Peritumoral radiomics provide more informative insights about EPM than intratumoral radiomics. The ensemble model based on MRI has the potential to preoperatively predict EPM in EOC patients.

Critical relevance statement: Integrating both intratumoral and peritumoral radiomics information based on MRI with clinical characteristics is a promising noninvasive method to predict EPM to guide preoperative clinical decision-making for EOC patients.

Key points: Peritumoral radiomics can provide valuable information about extrapelvic peritoneal metastasis in epithelial ovarian cancer. The ensemble model demonstrated satisfactory performance in predicting extrapelvic peritoneal metastasis. Combining intratumoral and peritumoral MRI radiomics contributes to clinical decision-making in epithelial ovarian cancer.

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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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