Multiregional-based magnetic resonance imaging radiomics model for predicting tumor deposits in resectable rectal cancer.
Purpose: To establish and validate an integrated model incorporating multiregional magnetic resonance imaging (MRI) radiomics features and clinical factors to predict tumor deposits (TDs) preoperatively in resectable rectal cancer (RC). Methods: This study retrospectively included 148 resectable RC...
| Publicado en: | Abdominal Radiology Vol. 48; no. 11; pp. 3310 - 3322 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Nov2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172807138&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172807138 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2366004X JT14 jtl: Abdominal Radiology issn: 2366004X maglogo: N pubinfo: dt: Nov2023 vid: 48 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 172807138 169931066 10.1007/s00261-023-04013-w 172807138 ppf: 3310 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Multiregional-based magnetic resonance imaging radiomics model for predicting tumor deposits in resectable rectal cancer. aug: au: Feng, Feiwen Liu, Yuanqing Bao, Jiayi Hong, Rong Hu, Su Hu, Chunhong affil: https://ror.org/051jg5p78 Department of Radiology, The First Affiliated Hospital of Soochow University, No. 188 Shizi Street, 215006, Suzhou, Jiangsu Province, China sug: ab: Purpose: To establish and validate an integrated model incorporating multiregional magnetic resonance imaging (MRI) radiomics features and clinical factors to predict tumor deposits (TDs) preoperatively in resectable rectal cancer (RC). Methods: This study retrospectively included 148 resectable RC patients [TDs+ (n = 45); TDs− (n = 103)] from August 2016 to August 2022, who were divided randomly into a testing cohort (n = 45) and a training cohort (n = 103). Radiomics features were extracted from the volume of interest on T2-weighted images (T2WI) and diffusion-weighted images (DWI) from pretreatment MRI. Model construction was performed after feature selection. Finally, five classification models were developed by support vector machine (SVM) algorithm to predict TDs in resectable RC using the selected clinical factor, single-regional radiomics features (extracted from primary tumor), and multiregional radiomics features (extracted from the primary tumor and mesorectal fat). Receiver-operating characteristic (ROC) curve analysis was employed to assess the discrimination performance of the five models. The AUCs of five models were compared by DeLon's test. Results: The training and testing cohorts included 31 (30.1%) and 14 (31.1%) patients with TDs, respectively. The AUCs of multiregional radiomics, single-regional radiomics, and the clinical models for predicting TDs were 0.839, 0.765, and 0.793, respectively. An integrated model incorporating multiregional radiomics features and clinical factors showed good predictive performance for predicting TDs in resectable RC (AUC, 0.931; 95% CI, 0.841–0.988), which demonstrated superiority over clinical model (P = 0.016), the single-regional radiomics model (P = 0.042), and the multiregional radiomics model (P = 0.025). Conclusion: An integrated model combining multiregional MRI radiomic features and clinical factors can improve prediction performance for TDs and guide clinicians in implementing treatment plans individually for resectable RC patients. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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