Radiomics of small renal masses on multiphasic CT: accuracy of machine learning-based classification models for the differentiation of renal cell carcinoma and angiomyolipoma without visible fat.
Objective: To investigate the discriminative capabilities of different machine learning-based classification models on the differentiation of small (< 4 cm) renal angiomyolipoma without visible fat (AMLwvf) and renal cell carcinoma (RCC).Methods: This study retrospectively collected 163 patients wit...
| Publicado en: | European Radiology Vol. 30; no. 2; pp. 1254 - 1264 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141192286&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141192286 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Feb2020 vid: 30 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 141192286 141192286 NLM31468159 141192286 10.1007/s00330-019-06384-5 NLM31468159 141192286 ppf: 1254 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Radiomics of small renal masses on multiphasic CT: accuracy of machine learning-based classification models for the differentiation of renal cell carcinoma and angiomyolipoma without visible fat. aug: au: Yang, Ruimeng Wu, Jialiang Sun, Lei Lai, Shengsheng Xu, Yikai Liu, Xilong Ma, Ying Zhen, Xin affil: Department of Radiology, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, 510180, Guangzhou, Guangdong, China sug: subj: Carcinoma, Renal Cell Tomography, X-Ray Computed Methods Kidney Neoplasms Classification Carcinoma, Renal Cell Classification Neoplasms, Adipose Tissue Classification Kidney Neoplasms Neoplasms, Adipose Tissue Middle Age Female Aged Diagnosis, Differential Retrospective Design Carcinoma, Renal Cell Pathology Male Case Control Studies Kidney Neoplasms Pathology Neoplasms, Adipose Tissue Pathology Funding Source Human Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Objective: To investigate the discriminative capabilities of different machine learning-based classification models on the differentiation of small (< 4 cm) renal angiomyolipoma without visible fat (AMLwvf) and renal cell carcinoma (RCC).Methods: This study retrospectively collected 163 patients with pathologically proven small renal mass, including 118 RCC and 45 AMLwvf patients. Target region of interest (ROI) delineation, followed by texture feature extraction, was performed on a representative slice with the largest lesion area on each phase of the four-phase CT images. Fifteen concatenations of the four-phasic features were fed into 224 classification models (built with 8 classifiers and 28 feature selection methods), classification performances of the 3360 resultant discriminative models were compared, and the top-ranked features were analyzed.Results: Image features extracted from the unenhanced phase (UP) CT image demonstrated dominant classification performances over features from other three phases. The two discriminative models "SVM + t_score" and "SVM + relief" achieved the highest classification AUC of 0.90. The 10 top-ranked features from UP included 1 shape feature, 5 first-order statistics features, and 4 texture features, where the shape feature and the first-order statistics features showed superior discriminative capabilities in differentiating RCC vs. AMLwvf through the t-SNE visualization.Conclusion: Image features extracted from UP are sufficient to generate accurate differentiation between AMLwvf and RCC using machine learning-based classification model.Key Points: • Radiomics extracted from unenhanced CT are sufficient to accurately differentiate angiomyolipoma without visible fat and renal cell carcinoma using machine learning-based classification model. • The highest discriminative models achieved an AUC of 0.90 and were based on the analysis of unenhanced CT, alone or in association with images obtained at the nephrographic phase. • Features related to shape and to histogram analysis (first-order statistics) showed superior discrimination compared with gray-level distribution of the image (second-order statistics, commonly called texture features). pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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