Pre-treatment 18F-FDG PET-based radiomics predict survival in resected non-small cell lung cancer.

Aim: To assess the prognostic value of 2-[18F]-fluoro-2-deoxy-d-glucose (FDG) positron-emission tomography (PET)-based radiomics using a machine learning approach in patients with non-small cell lung cancer (NSCLC).Materials and Methods: Ninety-three patients with stage I-III NSCLC who underwent com...

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Publicado en:Clinical Radiology Vol. 74; no. 6; pp. 467 - 474
Autores principales: Ahn, H.K., Lee, H., Kim, S.G., Hyun, S.H.
Formato: Journal Article
Publicado: Elsevier B.V. Jun2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2019
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      pub: Elsevier B.V.
      place: New York, New York
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        NLM30898382
        10.1016/j.crad.2019.02.008
        NLM30898382
        136152332
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        atl: Pre-treatment 18F-FDG PET-based radiomics predict survival in resected non-small cell lung cancer.
      aug:
        au:
          Ahn, H.K.
          Lee, H.
          Kim, S.G.
          Hyun, S.H.
        affil: Division of Hematology and Oncology, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Republic of Korea
      sug:
        subj:
          Image Interpretation, Computer Assisted Methods
          Tomography, Emission-Computed Methods
          Lung Neoplasms
          Fludeoxyglucose F 18
          Carcinoma, Non-Small-Cell Lung
          Lung
          Predictive Value of Tests
          Radiopharmaceuticals
          Survival Analysis
          Middle Age
          Reproducibility of Results
          Female
          Lung Neoplasms Mortality
          Carcinoma, Non-Small-Cell Lung Mortality
          Male
          Scales
          Middle Aged: 45-64 years
          Female
          Male
      ab: Aim: To assess the prognostic value of 2-[18F]-fluoro-2-deoxy-d-glucose (FDG) positron-emission tomography (PET)-based radiomics using a machine learning approach in patients with non-small cell lung cancer (NSCLC).Materials and Methods: Ninety-three patients with stage I-III NSCLC who underwent combined PET/computed tomography (CT) followed by curative resection. A total of 35 unique quantitative radiomic features was extracted from the PET images, which included imaging phenotypes such as pixel intensity, shape, and texture. Radiomic features were ranked based on score according to their correlation with disease recurrence status within a 3-year follow-up. The recurrence risk classification performances of machine learning algorithms (random forest, neural network, naive Bayes, logistic regression, and support vector machine) using the 20 best-ranked features were compared using the areas under the receiver operating characteristic curve (AUC) and validated by the random sampling method.Results: Contrast and busyness texture features from neighbourhood grey-level difference matrix were found to be the two best predictors of disease recurrence. The random forest model obtained the best performance (AUC: 0.956, accuracy: 0.901, F1 score: 0.872, precision: 0.905, recall: 0.842), followed by the neural network model (AUC: 0.871, accuracy: 0.780, F1 score: 0.708, precision: 0.755, recall: 0.666).Conclusion: A PET-based radiomic model was developed and validated for risk classification in NSCLC. The machine learning approach with random forest classifier exhibited good performance in predicting the recurrence risk. Radiomic features may help clinicians to improve the risk stratification for clinical practice.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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