Fusing Diverse Decision Rules in 3D-Radiomics for Assisting Diagnosis of Lung Adenocarcinoma.

This study aimed to develop an interpretable diagnostic model for subtyping of pulmonary adenocarcinoma, including minimally invasive adenocarcinoma (MIA), adenocarcinoma in situ (AIS), and invasive adenocarcinoma (IAC), by integrating 3D-radiomic features and clinical data. Data from multiple hospi...

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Published in:Journal of Digital Imaging Vol. 37; no. 5; pp. 2135 - 2149
Main Authors: Ren, He, Wang, Qiubo, Xiao, Zhengguang, Mo, Runwei, Guo, Jiachen, Hide, Gareth Richard, Tu, Mengting, Zeng, Yanan, Ling, Chen, Li, Ping
Format: diagnostic images equations & formulas research tables/charts Journal Article
Published: Springer Nature Oct2024
Online Access:View this record in EBSCOhost
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      dt: Oct2024
      vid: 37
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-024-00967-5
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        atl: Fusing Diverse Decision Rules in 3D-Radiomics for Assisting Diagnosis of Lung Adenocarcinoma.
      aug:
        au:
          Ren, He
          Wang, Qiubo
          Xiao, Zhengguang
          Mo, Runwei
          Guo, Jiachen
          Hide, Gareth Richard
          Tu, Mengting
          Zeng, Yanan
          Ling, Chen
          Li, Ping
        affil: https://ror.org/03ns6aq57 Respiratory Department, Zhoupu Hospital, Shanghai University of Medicine and Health Sciences, Shanghai, China
      sug:
        subj:
          Adenocarcinoma of Lung Diagnosis
          Radiomics
          Adenocarcinoma of Lung Pathology
          Imaging, Three-Dimensional Methods
          Human
          Male
          Female
          Adult
          Middle Age
          Minimally Invasive Procedures
          Adenocarcinoma in Situ
          Learning Methods
          Random Forest
          Boosting Machine Learning Algorithms
          Comparative Studies
          Prospective Studies
          ROC Curve
          Prediction Models
          Support, Psychosocial
          Health Care Delivery
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: This study aimed to develop an interpretable diagnostic model for subtyping of pulmonary adenocarcinoma, including minimally invasive adenocarcinoma (MIA), adenocarcinoma in situ (AIS), and invasive adenocarcinoma (IAC), by integrating 3D-radiomic features and clinical data. Data from multiple hospitals were collected, and 10 key features were selected from 1600 3D radiomic signatures and 11 radiological features. Diverse decision rules were extracted using ensemble learning methods (gradient boosting, random forest, and AdaBoost), fused, ranked, and selected via RuleFit and SHAP to construct a rule-based diagnostic model. The model's performance was evaluated using AUC, precision, accuracy, recall, and F1-score and compared with other models. The rule-based diagnostic model exhibited excellent performance in the training, testing, and validation cohorts, with AUC values of 0.9621, 0.9529, and 0.8953, respectively. This model outperformed counterparts relying solely on selected features and previous research models. Specifically, the AUC values for the previous research models in the three cohorts were 0.851, 0.893, and 0.836. It is noteworthy that individual models employing GBDT, random forest, and AdaBoost demonstrated AUC values of 0.9391, 0.8681, and 0.9449 in the training cohort, 0.9093, 0.8722, and 0.9363 in the testing cohort, and 0.8440, 0.8640, and 0.8750 in the validation cohort, respectively. These results highlight the superiority of the rule-based diagnostic model in the assessment of lung adenocarcinoma subtypes, while also providing insights into the performance of individual models. Integrating diverse decision rules enhanced the accuracy and interpretability of the diagnostic model for lung adenocarcinoma subtypes. This approach bridges the gap between complex predictive models and clinical utility, offering valuable support to healthcare professionals and patients.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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