Radiomic features of magnetic resonance images as novel preoperative predictive factors of bone invasion in meningiomas.

Purpose: Bone invasion in meningiomas is a prognostic determinant, and a priori knowledge may alter surgical techniques. Here, we aim to predict bone invasion in meningiomas using radiomic signatures based on preoperative, contrast-enhanced T1-weighted (T1C) and T2-weighted (T2) magnetic resonance i...

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Publicado en:European Journal of Radiology Vol. 132
Autores principales: Zhang, Jing, Sun, Jianqing, Han, Tao, Zhao, Zhiyong, Cao, Yuntai, Zhang, Guojin, Zhou, Junlin
Formato: research randomized controlled trial Journal Article
Publicado: Elsevier B.V. Nov2020
Acceso en línea:Ver este registro en EBSCOhost
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        0720048X
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      jtl: European Journal of Radiology
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      dt: Nov2020
      vid: 132
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      pub: Elsevier B.V.
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        146785451
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        NLM32980725
        146785451
        10.1016/j.ejrad.2020.109287
        NLM32980725
        146785451
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        atl: Radiomic features of magnetic resonance images as novel preoperative predictive factors of bone invasion in meningiomas.
      aug:
        au:
          Zhang, Jing
          Sun, Jianqing
          Han, Tao
          Zhao, Zhiyong
          Cao, Yuntai
          Zhang, Guojin
          Zhou, Junlin
        affil: Second Clinical School, Lanzhou University, Lanzhou, China
      sug:
        subj:
          Meningioma Surgery
          Meningeal Neoplasms
          Meningioma
          Algorithms
          Retrospective Design
          Human
          Magnetic Resonance Imaging
          Comparative Studies
          Multicenter Studies
          Randomized Controlled Trials
          Evaluation Research
          Validation Studies
      ab: Purpose: Bone invasion in meningiomas is a prognostic determinant, and a priori knowledge may alter surgical techniques. Here, we aim to predict bone invasion in meningiomas using radiomic signatures based on preoperative, contrast-enhanced T1-weighted (T1C) and T2-weighted (T2) magnetic resonance imaging (MRI).Methods: In this retrospective study, 490 patients diagnosed with meningiomas, including WHO grade I (448cases), grade II (38cases), and grade III (4cases), were enrolled and 213 out of 490 cases (43.5 %) had bone invasion. The patients were randomly divided into training (n = 343) and test (n = 147) datasets at a 7:3 ratio. For each patient, 1227 radiomic features were extracted from T1C and T2, respectively. Spearman's correlation and least absolute shrinkage and selection operator (LASSO) regression analyses were performed to select the most informative features. Subsequently, a 5-fold cross-validation was used to compare the performance of different classification algorithms, and logistic regression was chosen to predict the risk of bone invasion.Results: Eight radiomic features were selected from T1C and T2 respectively, and three models were built using radiomic features. The radiomic models derived from T1C alone or a combination of T1C and T2 had the best performance in predicting risk of bone invasion, with areas under the curve in the training dataset of 0.714 [95 % CI, 0.660-0.768] and 0.722 [95 % CI, 0.668-0.776] and in the test datasets of 0.715 [95 % CI, 0.632-0.798] and 0.713 [95 % CI, 0.628-0.798], respectively.Conclusions: The radiomic model may aid clinicians with preoperative prediction of bone invasion by meningiomas, which can help in predicting prognosis and devising surgical strategies.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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