Preoperative Prediction of Extracapsular Extension: Radiomics Signature Based on Magnetic Resonance Imaging to Stage Prostate Cancer.

Purpose: To investigate and validate the potential role of a radiomics signature in predicting the side-specific probability of extracapsular extension (ECE) of prostate cancer (PCa).Procedures: The preoperative magnetic resonance imaging data of 238 prostatic samples from 119 enrolled PCa patients...

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Publicado en:Molecular Imaging & Biology Vol. 22; no. 3; pp. 711 - 722
Autores principales: Ma, Shuai, Xie, Huihui, Wang, Huihui, Yang, Jiejin, Han, Chao, Wang, Xiaoying, Zhang, Xiaodong
Formato: research Journal Article
Publicado: Springer Nature Jun2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2020
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      pub: Springer Nature
      place: New York, New York
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        atl: Preoperative Prediction of Extracapsular Extension: Radiomics Signature Based on Magnetic Resonance Imaging to Stage Prostate Cancer.
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          Ma, Shuai
          Xie, Huihui
          Wang, Huihui
          Yang, Jiejin
          Han, Chao
          Wang, Xiaoying
          Zhang, Xiaodong
        affil: Department of Radiology, Peking University First Hospital, 8 Xishiku Street, Xicheng District, 100034, Beijing, China
      sug:
        subj:
          Prostatic Neoplasms
          Prostatic Neoplasms Pathology
          Image Processing, Computer Assisted Methods
          Magnetic Resonance Imaging Methods
          Male
          Aged
          ROC Curve
          Predictive Value of Tests
          Retrospective Design
          Human
          Preoperative Care Methods
          Neoplasm Staging
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Funding Source
          Aged: 65+ years
          Male
      ab: Purpose: To investigate and validate the potential role of a radiomics signature in predicting the side-specific probability of extracapsular extension (ECE) of prostate cancer (PCa).Procedures: The preoperative magnetic resonance imaging data of 238 prostatic samples from 119 enrolled PCa patients were retrospectively assessed. The samples with were randomized in a two-to-one ratio into training (n = 74) and validation (n = 45) datasets. The radiomics features were derived from T2-weighted images (T2WIs). The optimal radiomics features were identified from the least absolute shrinkage and selection operator (LASSO) logistic regression model and were used to construct a predictive radiomics signature via dimension reduction and selection approaches. The association between the radiomics signatures and pathological ECE status was explored. Receiver operating characteristic (ROC) analysis was used to assess the discriminatory ability of the signature. The calibration performance and clinical usefulness of the radiomics signature were subsequently assessed by calibration curve and decision curve analyses.Results: The proposed radiomics signature that incorporated 17 selected radiomics features was significantly associated with pathological ECE outcomes (P < 0.001) in both the training and validation datasets. The constructed model displayed good discrimination, with areas under the curve (AUC) of 0.906 (95 % confidence interval (CI), 0.847, 0.948) and 0.821 (95 % CI, 0.726, 0.894) for the training and validation datasets, respectively, and had a good calibration performance. The clinical utility of this model was confirmed through decision curve analysis.Conclusions: The radiomics signature based on T2WIs showed the potential to predict the side-specific probability of pathological ECE status and can facilitate the preoperative individualized predictions for PCa patients.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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