Development and Validation of CT-Based Radiomics Signature for Overall Survival Prediction in Multi-organ Cancer.

The malignant tumors in nature share some common morphological characteristics. Radiomics is not only images but also data; we think that a probability exists in a set of radiomics signatures extracted from CT scan images of one cancer tumor in one specific organ also be utilized for overall surviva...

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Publicado en:Journal of Digital Imaging Vol. 36; no. 3; pp. 911 - 923
Autores principales: Le, Viet Huan, Kha, Quang Hien, Minh, Tran Nguyen Tuan, Nguyen, Van Hiep, Le, Van Long, Le, Nguyen Quoc Khanh
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Jun2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2023
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      pub: Springer Nature
      place: New York, New York
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        atl: Development and Validation of CT-Based Radiomics Signature for Overall Survival Prediction in Multi-organ Cancer.
      aug:
        au:
          Le, Viet Huan
          Kha, Quang Hien
          Minh, Tran Nguyen Tuan
          Nguyen, Van Hiep
          Le, Van Long
          Le, Nguyen Quoc Khanh
        affil: International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, 110, Taipei, Taiwan
      sug:
        subj:
          Tomography, X-Ray Computed
          Neoplasms Prognosis
          Prediction Models
          Tumor Markers, Biological
          Neoplasm Metastasis
          Head and Neck Neoplasms Prognosis
          Kidney Neoplasms Prognosis
          Lung Neoplasms Prognosis
          Multiple Organ Dysfunction Syndrome
          Human
          Validation Studies
          Retrospective Design
          Algorithms
          Univariate Statistics
          Cox Proportional Hazards Model
          ROC Curve
          Kaplan-Meier Estimator
          Log-Rank Test
          Descriptive Statistics
          Confidence Intervals
          Funding Source
      ab: The malignant tumors in nature share some common morphological characteristics. Radiomics is not only images but also data; we think that a probability exists in a set of radiomics signatures extracted from CT scan images of one cancer tumor in one specific organ also be utilized for overall survival prediction in different types of cancers in different organs. The retrospective study enrolled four data sets of cancer patients in three different organs (420, 157, 137, and 191 patients for lung 1 training, lung 2 testing, and two external validation set: kidney and head and neck, respectively). In the training set, radiomics features were obtained from CT scan images, and essential features were chosen by LASSO algorithm. Univariable and multivariable analyses were then conducted to find a radiomics signature via Cox proportional hazard regression. The Kaplan–Meier curve was performed based on the risk score. The integrated time-dependent area under the ROC curve (iAUC) was calculated for each predictive model. In the training set, Kaplan–Meier curve classified patients as high or low-risk groups (p-value < 0.001; log-rank test). The risk score of radiomics signature was locked and independently evaluated in the testing set, and two external validation sets showed significant differences (p-value < 0.05; log-rank test). A combined model (radiomics + clinical) showed improved iAUC in lung 1, lung 2, head and neck, and kidney data set are 0.621 (95% CI 0.588, 0.654), 0.736 (95% CI 0.654, 0.819), 0.732 (95% CI 0.655, 0.809), and 0.834 (95% CI 0.722, 0.946), respectively. We believe that CT-based radiomics signatures for predicting overall survival in various cancer sites may exist.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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