Feng Qi, Liang Jiangtao, Wang Luoyu, Niu Jialing, Ge Xiuhong, Pang Peipei, Ding Zhongxiang
Department of Radiology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Hangzhou Universal Medical Imaging Diagnostic Center, Hangzhou, China.
Front Oncol. 2020 Sep 8;10:1619. doi: 10.3389/fonc.2020.01619. eCollection 2020.
Accurate staging is of great importance in treatment selection for patients with nasopharyngeal carcinoma (NPC). The aims of this study were to construct radiomic models of NPC staging based on positron emission tomography (PET) and magnetic resonance (MR) images and to investigate the correlation between metabolic parameters and radiomic features. A total of 100 consecutive cases of NPC (70 in training and 30 in the testing cohort) with undifferentiated carcinoma confirmed pathologically were recruited. Metabolic parameters of the local lesions of NPC were measured. A total of 396 radiomic features based on PET and MRI images were calculated [including histogram, Haralick, shape factor, gray level co-occurrence matrix (GLCM), and run length matrix (RLM)] and selected [using maximum relevance and minimum redundancy (mRMR) and least shrinkage and selection operator (LASSO)], respectively. The logistic regression models were established according to these features. Finally, the relationship between the metabolic parameters and radiomic features was analyzed. We selected the nine most relevant radiomic features (six from MR images and three from PET images) from local NPC lesions. In the PET model, the area under the receiver operating characteristic (ROC) curve (AUC), accuracy, sensitivity, and the specificity of the training group were 0.84, 0.75, 0.90, and 0.69, respectively. In the MR model, those metrics were 0.85, 0.83, 0.75, and 0.86, respectively. Pearson's correlation analysis showed that the metabolic parameters had different degrees of correlation with the selected radiomic features. The PET and MR radiomic models were helpful in the diagnosis of NPC staging. There were correlations between the metabolic parameters and radiomic features of primary NPC based on PET/MR. In the future, PET/MR-based radiomic models, with further improvement and validation, can be a more useful and economical tool for predicting local invasion and distant metastasis of NPC.
准确分期对于鼻咽癌(NPC)患者的治疗选择至关重要。本研究的目的是基于正电子发射断层扫描(PET)和磁共振(MR)图像构建NPC分期的放射组学模型,并研究代谢参数与放射组学特征之间的相关性。共纳入100例经病理证实为未分化癌的连续NPC病例(训练组70例,测试组30例)。测量NPC局部病变的代谢参数。基于PET和MRI图像计算了总共396个放射组学特征[包括直方图、哈氏特征、形状因子、灰度共生矩阵(GLCM)和游程长度矩阵(RLM)],并分别使用最大相关最小冗余(mRMR)和最小绝对收缩和选择算子(LASSO)进行选择。根据这些特征建立逻辑回归模型。最后,分析代谢参数与放射组学特征之间的关系。我们从NPC局部病变中选择了九个最相关的放射组学特征(六个来自MR图像,三个来自PET图像)。在PET模型中,训练组的受试者工作特征(ROC)曲线下面积(AUC)、准确率、灵敏度和特异性分别为0.84、0.75、0.90和0.69。在MR模型中,这些指标分别为0.85、0.83、0.75和0.86。Pearson相关性分析表明,代谢参数与所选放射组学特征有不同程度的相关性。PET和MR放射组学模型有助于NPC分期的诊断。基于PET/MR的原发性NPC的代谢参数与放射组学特征之间存在相关性。未来,基于PET/MR的放射组学模型经过进一步改进和验证后,可能成为预测NPC局部侵袭和远处转移的更有用、更经济的工具。