Contrast-enhanced computed tomography radiomics and multilayer perceptron network classifier: an approach for predicting CD20+ B cells in patients with pancreatic ductal adenocarcinoma.

Purpose: To develop and validate a machine-learning classifier based on contrast-enhanced computed tomography (CT) for the preoperative prediction of CD20+ B lymphocyte expression in patients with pancreatic ductal adenocarcinoma (PDAC). Methods: Overall, 189 patients with PDAC (n = 132 and n = 57 i...

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Publicado en:Abdominal Radiology Vol. 47; no. 1; pp. 242 - 254
Autores principales: Yu, Jieyu, Li, Qi, Zhang, Hao, Meng, Yinghao, Liu, Yan Fang, Jiang, Hui, Ma, Chao, Liu, Fang, Fang, Xu, Li, Jing, Feng, Xiaochen, Shao, Chengwei, Bian, Yun, Lu, Jianping
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Springer Nature Jan2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00261-021-03285-4
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        atl: Contrast-enhanced computed tomography radiomics and multilayer perceptron network classifier: an approach for predicting CD20+ B cells in patients with pancreatic ductal adenocarcinoma.
      aug:
        au:
          Yu, Jieyu
          Li, Qi
          Zhang, Hao
          Meng, Yinghao
          Liu, Yan Fang
          Jiang, Hui
          Ma, Chao
          Liu, Fang
          Fang, Xu
          Li, Jing
          Feng, Xiaochen
          Shao, Chengwei
          Bian, Yun
          Lu, Jianping
        affil: Department of Radiology, Changhai Hospital, Naval Medical University, Changhai Road 168, 200434, Shanghai, China
      sug:
        subj:
          Tomography, X-Ray Computed
          Pancreatic Neoplasms Prognosis
          Carcinoma, Ductal Prognosis
          Adenocarcinoma Prognosis
          Cancer Patients
          Contrast Media Diagnostic Use
          B Lymphocytes
          Multilayer Perceptrons
          Human
          Immunohistochemistry
          Spearman's Rank Correlation Coefficient
          Log-Rank Test
          Confidence Intervals
          Descriptive Statistics
      ab: Purpose: To develop and validate a machine-learning classifier based on contrast-enhanced computed tomography (CT) for the preoperative prediction of CD20+ B lymphocyte expression in patients with pancreatic ductal adenocarcinoma (PDAC). Methods: Overall, 189 patients with PDAC (n = 132 and n = 57 in the training and validation sets, respectively) underwent immunohistochemistry and radiomics feature extraction. The X-tile software was used to stratify them into groups with 'high' and 'low' CD20+ B lymphocyte expression levels. For each patient, 1409 radiomic features were extracted from volumes of interest and reduced using variance analysis and Spearman correlation analysis. A multilayer perceptron (MLP) network classifier was developed using the training and validation set. Model performance was determined by its discriminative ability, calibration, and clinical utility. Results: A log-rank test showed that the patients with high CD20+ B expression had significantly longer survival than those with low CD20+ B expression. The prediction model showed good discrimination in both the training and validation sets. For the training set, the area under the curve (AUC), sensitivity, specificity, accuracy, positive predictive value, and negative predictive value were 0.82 (95% CI 0.74–0.89), 92.42%, 57.58%, 0.75, 0.69, and 0.88, respectively; whereas these values for the validation set were 0.84 (95% CI 0.72–0.93), 86.21%, 78.57%, 0.83, 0.81, and 0.85, respectively. Conclusion: The MLP network classifier based on contrast-enhanced CT can accurately predict CD20+ B expression in patients with PDAC.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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