Comparison of Different Fusion Radiomics for Predicting Benign and Malignant Sacral Tumors: A Pilot Study.

Differentiating between benign and malignant sacral tumors is crucial for determining appropriate treatment options. This study aims to develop two benchmark fusion models and a deep learning radiomic nomogram (DLRN) capable of distinguishing between benign and malignant sacral tumors using multiple...

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Publicado en:Journal of Digital Imaging Vol. 37; no. 5; pp. 2415 - 2428
Autores principales: Zheng, Fei, Yin, Ping, Liang, Kewei, Liu, Tao, Wang, Yujian, Hao, Wenhan, Hao, Qi, Hong, Nan
Formato: research tables/charts Journal Article
Publicado: Springer Nature Oct2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2024
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-024-01134-6
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        atl: Comparison of Different Fusion Radiomics for Predicting Benign and Malignant Sacral Tumors: A Pilot Study.
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        au:
          Zheng, Fei
          Yin, Ping
          Liang, Kewei
          Liu, Tao
          Wang, Yujian
          Hao, Wenhan
          Hao, Qi
          Hong, Nan
        affil: https://ror.org/035adwg89 Department of Radiology, Peking University People's Hospital, No. 11 Xizhimen South Street, 100044, Xicheng District, Beijing, People's Republic of China
      sug:
        subj:
          Spinal Neoplasms Diagnosis
          Radiomics
          Prediction Models
          Sacrum Pathology
          Deep Learning
          Tomography, X-Ray Computed Methods
          Human
          Pilot Studies
          Machine Learning
          Logistic Regression
          Image Processing, Computer Assisted
          Predictive Value of Tests
          ROC Curve
          Sensitivity and Specificity
          Descriptive Statistics
          Funding Source
          Comparative Studies
      ab: Differentiating between benign and malignant sacral tumors is crucial for determining appropriate treatment options. This study aims to develop two benchmark fusion models and a deep learning radiomic nomogram (DLRN) capable of distinguishing between benign and malignant sacral tumors using multiple imaging modalities. We reviewed axial T2-weighted imaging (T2WI) and non-contrast computed tomography (NCCT) of 134 patients pathologically confirmed as sacral tumors. The two benchmark fusion models were developed using fusion deep learning (DL) features and fusion classical machine learning (CML) features from multiple imaging modalities, employing logistic regression, K-nearest neighbor classification, and extremely randomized trees. The two benchmark models exhibiting the most robust predictive performance were merged with clinical data to formulate the DLRN. Performance assessment involved computing the area under the receiver operating characteristic curve (AUC), sensitivity, specificity, accuracy, negative predictive value (NPV), and positive predictive value (PPV). The DL benchmark fusion model demonstrated superior performance compared to the CML fusion model. The DLRN, identified as the optimal model, exhibited the highest predictive performance, achieving an accuracy of 0.889 and an AUC of 0.961 in the test sets. Calibration curves were utilized to evaluate the predictive capability of the models, and decision curve analysis (DCA) was conducted to assess the clinical net benefit of the DLR model. The DLRN could serve as a practical predictive tool, capable of distinguishing between benign and malignant sacral tumors, offering valuable information for risk counseling, and aiding in clinical treatment decisions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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