A radiogenomics signature for predicting the clinical outcome of bladder urothelial carcinoma.

Objectives: To determine the integrative value of contrast-enhanced computed tomography (CECT), transcriptomics data and clinicopathological data for predicting the survival of bladder urothelial carcinoma (BLCA) patients.Methods: RNA sequencing data, radiomics features and clinical parameters of 62...

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Publicado en:European Radiology Vol. 30; no. 1; pp. 547 - 558
Autores principales: Lin, Peng, Wen, Dong-yue, Chen, Ling, Li, Xin, Li, Sheng-hua, Yan, Hai-biao, He, Rong-quan, Chen, Gang, He, Yun, Yang, Hong
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Jan2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: A radiogenomics signature for predicting the clinical outcome of bladder urothelial carcinoma.
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        au:
          Lin, Peng
          Wen, Dong-yue
          Chen, Ling
          Li, Xin
          Li, Sheng-hua
          Yan, Hai-biao
          He, Rong-quan
          Chen, Gang
          He, Yun
          Yang, Hong
        affil: Department of Medical Ultrasonics, First Affiliated Hospital of Guangxi Medical University, 530021, Nanning, Guangxi Zhuang Autonomous Region, People's Republic of China
      sug:
        subj:
          Models, Statistical
          Bladder Neoplasms
          Gene Expression Profiling
          Tomography, X-Ray Computed Methods
          Bladder Pathology
          Bladder
          Adult
          Prognosis
          Survival Analysis
          Bladder Neoplasms Pathology
          Female
          Risk Factors
          Contrast Media
          Radiographic Image Enhancement Methods
          Male
          Clinical Assessment Tools
          Scales
          Funding Source
          Human
          Adult: 19-44 years
          Female
          Male
      ab: Objectives: To determine the integrative value of contrast-enhanced computed tomography (CECT), transcriptomics data and clinicopathological data for predicting the survival of bladder urothelial carcinoma (BLCA) patients.Methods: RNA sequencing data, radiomics features and clinical parameters of 62 BLCA patients were included in the study. Then, prognostic signatures based on radiomics features and gene expression profile were constructed by using least absolute shrinkage and selection operator (LASSO) Cox analysis. A multi-omics nomogram was developed by integrating radiomics, transcriptomics and clinicopathological data. More importantly, radiomics risk score-related genes were identified via weighted correlation network analysis and submitted to functional enrichment analysis.Results: The radiomics and transcriptomics signatures significantly stratified BLCA patients into high- and low-risk groups in terms of the progression-free interval (PFI). The two risk models remained independent prognostic factors in multivariate analyses after adjusting for clinical parameters. A nomogram was developed and showed an excellent predictive ability for the PFI in BLCA patients. Functional enrichment analysis suggested that the radiomics signature we developed could reflect the angiogenesis status of BLCA patients.Conclusions: The integrative nomogram incorporated CECT radiomics, transcriptomics and clinical features improved the PFI prediction in BLCA patients and is a feasible and practical reference for oncological precision medicine.Key Points: • Our radiomics and transcriptomics models are proved robust for survival prediction in bladder urothelial carcinoma patients. • A multi-omics nomogram model which integrates radiomics, transcriptomics and clinical features for prediction of progression-free interval in bladder urothelial carcinoma is established. • Molecular functional enrichment analysis is used to reveal the potential molecular function of radiomics signature.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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