Texture analysis and machine learning algorithms accurately predict histologic grade in small (< 4 cm) clear cell renal cell carcinomas: a pilot study.

Purpose: To predict the histologic grade of small clear cell renal cell carcinomas (ccRCCs) using texture analysis and machine learning algorithms. Methods: Fifty-two noncontrast (NC), 26 corticomedullary (CM) phase, and 35 nephrographic (NG) phase CTs of small (< 4 cm) surgically resected ccRCCs we...

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Publicado en:Abdominal Radiology Vol. 45; no. 3; pp. 789 - 799
Autores principales: Haji-Momenian, Shawn, Lin, Zixian, Patel, Bhumi, Law, Nicole, Michalak, Adam, Nayak, Anishsanjay, Earls, James, Loew, Murray
Formato: Journal Article
Publicado: Springer Nature Mar2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2020
      vid: 45
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00261-019-02336-1
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        atl: Texture analysis and machine learning algorithms accurately predict histologic grade in small (< 4 cm) clear cell renal cell carcinomas: a pilot study.
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        au:
          Haji-Momenian, Shawn
          Lin, Zixian
          Patel, Bhumi
          Law, Nicole
          Michalak, Adam
          Nayak, Anishsanjay
          Earls, James
          Loew, Murray
        affil: Department of Radiology, George Washington University Hospital, 900 23rd St NW, 20037, Washington, DC, USA
      sug:
      ab: Purpose: To predict the histologic grade of small clear cell renal cell carcinomas (ccRCCs) using texture analysis and machine learning algorithms. Methods: Fifty-two noncontrast (NC), 26 corticomedullary (CM) phase, and 35 nephrographic (NG) phase CTs of small (< 4 cm) surgically resected ccRCCs were retrospectively identified. Surgical pathology classified the tumors as low- or high-Fuhrman histologic grade. The axial image with the largest cross-sectional tumor area was exported and segmented. Six histogram and 31 texture (gray-level co-occurrences (GLC) and gray-level run-lengths (GLRL)) features were calculated for each tumor in each phase. T testing compared feature values in low- and high-grade ccRCCs, with a (Benjamini–Hochberg) false discovery rate of 10%. Area under the receiver operating curve (AUC) was calculated for each feature to assess prediction of low- and high-grade ccRCCs in each phase. Histogram, texture, and combined histogram and texture data sets were used to train and test four algorithms (k-nearest neighbor (KNN), support vector machine (SVM), random forests, and decision tree) with tenfold cross-validation; AUCs were calculated for each algorithm in each phase to assess prediction of low- and high-grade ccRCCs. Results: Zero, 23, and 0 features in the NC, CM, and NG phases had statistically significant differences between low and high-grade ccRCCs. CM histogram skewness and GLRL short run emphasis had the highest AUCs (0.82) in predicting histologic grade. All four algorithms had the highest AUCs (0.97) predicting histologic grade using CM histogram features. The algorithms' AUCs decreased using histogram or texture features from NC or NG phases. Conclusion: The histologic grade of small ccRCCs can be accurately predicted with machine learning algorithms using CM histogram features, which outperform NC and NG phase image data.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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