Prediction of Benign and Malignant Solid Renal Masses: Machine Learning-Based CT Texture Analysis.

Rationale and Objectives: This study aimed to investigate whether benign and malignant renal solid masses could be distinguished through machine learning (ML)-based computed tomography (CT) texture analysis.Materials and Methods: Seventy-nine patients with 84 solid renal masses (21 benign; 63 malign...

Full description

Bibliographic Details
Published in:Academic Radiology Vol. 27; no. 10; pp. 1422 - 1430
Main Authors: Erdim, Cagri, Yardimci, Aytul Hande, Bektas, Ceyda Turan, Kocak, Burak, Koca, Sevim Baykal, Demir, Hale, Kilickesmez, Ozgur
Format: research tables/charts Journal Article
Published: Elsevier B.V. Oct2020
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146171560&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 146171560
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10766332
        T4X
      jtl: Academic Radiology
      issn: 10766332
      maglogo: N
    pubinfo:
      dt: Oct2020
      vid: 27
      iid: 10
      pid: 467
      pub: Elsevier B.V.
      place: New York, New York
    artinfo:
      ui:
        146171560
        146171560
        NLM32014404
        146171560
        10.1016/j.acra.2019.12.015
        NLM32014404
        146171560
      ppf: 1422
      ppct: 8
      formats:
      tig:
        atl: Prediction of Benign and Malignant Solid Renal Masses: Machine Learning-Based CT Texture Analysis.
      aug:
        au:
          Erdim, Cagri
          Yardimci, Aytul Hande
          Bektas, Ceyda Turan
          Kocak, Burak
          Koca, Sevim Baykal
          Demir, Hale
          Kilickesmez, Ozgur
        affil: Department of Radiology, Sultangazi Haseki Training and Research Hospital, Sultangazi, Istanbul, Turkey
      sug:
        subj:
          Carcinoma, Renal Cell
          Kidney Neoplasms
          Tomography, X-Ray Computed
          Reproducibility of Results
          Diagnosis, Differential
          Probability
          Retrospective Design
          Human
      ab: Rationale and Objectives: This study aimed to investigate whether benign and malignant renal solid masses could be distinguished through machine learning (ML)-based computed tomography (CT) texture analysis.Materials and Methods: Seventy-nine patients with 84 solid renal masses (21 benign; 63 malignant) from a single center were included in this retrospective study. Malignant masses included common renal cell carcinoma (RCC) subtypes: clear cell RCC, papillary cell RCC, and chromophobe RCC. Benign masses are represented by oncocytomas and fat-poor angiomyolipomas. Following preprocessing steps, a total of 271 texture features were extracted from unenhanced and contrast-enhanced CT images. Dimension reduction was done with a reliability analysis and then with a feature selection algorithm. A nested-approach was used for feature selection, model optimization, and validation. Eight ML algorithms were used for the classifications: decision tree, locally weighted learning, k-nearest neighbors, naive Bayes, logistic regression, support vector machine, neural network, and random forest.Results: The number of features with good reproducibility was 198 for unenhanced CT and 244 for contrast-enhanced CT. Random forest algorithm demonstrated the best predictive performance using five selected contrast-enhanced CT texture features. The accuracy and area under the curve metrics were 90.5% and 0.915, respectively. Having eliminated the highly collinear features from the analysis, the accuracy and area under the curve values slightly increased to 91.7% and 0.916, respectively.Conclusion: ML-based contrast-enhanced CT texture analysis might be a potential method for distinguishing benign and malignant solid renal masses with satisfactory performance.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N