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鞍区/鞍旁区颅咽管瘤和脑膜瘤的 MRI 特征及纹理特征的放射组学分析:一项可行性研究。

Radiomic Analysis of Craniopharyngioma and Meningioma in the Sellar/Parasellar Area with MR Images Features and Texture Features: A Feasible Study.

机构信息

West China School of Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.

Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu 610041, China.

出版信息

Contrast Media Mol Imaging. 2020 Feb 18;2020:4837156. doi: 10.1155/2020/4837156. eCollection 2020.

Abstract

PURPOSE

To investigate the ability of qualitative Magnetic Resonance (MR) images features and quantitative Magnetic Resonance Imaging (MRI) texture features in the contrastive analysis between craniopharyngioma and meningioma.

METHOD

A total number of 127 patients were included in this study (craniopharyngioma = 63; meningioma = 64). All the features analyzed in this study were acquired from preoperative MRI images. Qualitative MR images features were evaluated with chi-square tests or Fisher exact test, while MRI texture features were evaluated with the Mann-Whitney test with the Benjamini-Hochberg method. Then binary logistic regression analysis for texture features was performed to evaluate their ability as independent predictors, and the diagnostic accuracy was calculated next for these texture features with high abilities as independent predictors using receiver operating characteristic (ROC) curves.

RESULTS

Four qualitative MR images features showed significant difference between craniopharyngioma and meningioma, but only cystic alteration could be considered as diagnostic independent predictors. Meanwhile, three quantitative parameters, histogram-based matrix- (HISTO-) Skewness, Grey-level co-occurrence matrix- (GLCM-) Contrast on contrast-enhanced images, and HISTO-Skewness on images of T2-weighted imaging (T2WI), showed promising abilities in the contrastive analysis. Besides, these texture features were found significantly to be relative to cystic alteration.

CONCLUSION

MR images features and texture features were useful in the contrastive analysis of craniopharyngioma and meningioma. Furthermore, qualitative MR images features and MRI texture features could be related to each other.

摘要

目的

探讨磁共振(MR)定性图像特征和磁共振成像(MRI)定量纹理特征在颅咽管瘤与脑膜瘤对比分析中的作用。

方法

本研究共纳入 127 例患者(颅咽管瘤 63 例,脑膜瘤 64 例)。本研究分析的所有特征均来自术前 MRI 图像。定性 MR 图像特征采用卡方检验或 Fisher 确切概率法进行评估,MRI 纹理特征采用 Mann-Whitney U 检验结合 Benjamini-Hochberg 方法进行评估。然后对纹理特征进行二元逻辑回归分析,评估其作为独立预测因子的能力,并用受试者工作特征(ROC)曲线计算具有高独立预测能力的这些纹理特征的诊断准确性。

结果

4 项定性 MR 图像特征在颅咽管瘤与脑膜瘤之间存在显著差异,但只有囊性改变可被视为诊断独立预测因子。同时,基于直方图的矩阵(HISTO)偏度、增强图像的灰度共生矩阵(GLCM)对比度和 T2 加权成像(T2WI)图像的 HISTO 偏度等 3 项定量参数在对比分析中具有良好的能力。此外,这些纹理特征与囊性改变显著相关。

结论

MR 图像特征和纹理特征有助于颅咽管瘤和脑膜瘤的对比分析。此外,定性 MR 图像特征和 MRI 纹理特征可能相互关联。

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