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A radiomics-based model for predicting local control of resected brain metastases receiving adjuvant SRS.

作者信息

Mulford Kellen, Chen Chuyu, Dusenbery Kathryn, Yuan Jianling, Hunt Matthew A, Chen Clark C, Sperduto Paul, Watanabe Yoichi, Wilke Christopher

机构信息

Department of Radiation Oncology, University of Minnesota, Minneapolis, MN, USA.

Department of Neurosurgery, University of Minnesota, Minneapolis, MN, USA.

出版信息

Clin Transl Radiat Oncol. 2021 May 8;29:27-32. doi: 10.1016/j.ctro.2021.05.001. eCollection 2021 Jul.


DOI:10.1016/j.ctro.2021.05.001
PMID:34095557
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8164004/
Abstract

PURPOSE: Adjuvant radiosurgery to the cavities of surgically resected brain metastases provides excellent local tumor control while reducing the risk of deleterious cognitive decline associated with whole brain radiotherapy. A subset of these patients, however, will develop disease recurrence following radiosurgery. In this study, we sought to assess the predictive capability of radiomic-based models, as compared with standard clinical features, in predicting local tumor control. METHODS: We performed a retrospective chart review of patients treated with adjuvant radiosurgery for resected brain metastases at the "Institution" from 2009 to 2019. Shape, intensity and texture based radiomics features of the cavities were extracted from the pre-radiosurgery treatment planning MRI scans and trained using a gradient boosting technique with K-fold cross validation. RESULTS: In total, 71 cavities from 67 treated patients were included for analysis. The 6 and 12 month local control estimates were 86% and 76%, respectively. The 6 and 12 month overall survival was 78% and 55%, respectively. Thirty-six patients developed intracranial failures outside of the surgical cavity. The predictive model for local control trained on imaging features from the whole cavity achieved an area-under-the-curve (AUC) of 0.73 on the validation set versus an AUC of 0.40 for the clinical features. CONCLUSIONS: Here we report a single institutional experience using radiomic-based predictive modeling of local tumor control following adjuvant Gamma Knife radiosurgery for resected brain metastases. We found the radiomics features to provide more robust predictive models of local control rates versus clinical features alone. Such techniques could potentially prove useful in the clinical setting and warrant further investigation.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50d/8164004/83119aaaf8b6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50d/8164004/9423ffb4afce/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50d/8164004/c28ff1a6117c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50d/8164004/a756b97db87d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50d/8164004/83119aaaf8b6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50d/8164004/9423ffb4afce/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50d/8164004/c28ff1a6117c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50d/8164004/a756b97db87d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50d/8164004/83119aaaf8b6/gr4.jpg

相似文献

[1]
A radiomics-based model for predicting local control of resected brain metastases receiving adjuvant SRS.

Clin Transl Radiat Oncol. 2021-5-8

[2]
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[3]
Use of radiomics for the prediction of local control of brain metastases after stereotactic radiosurgery.

Neuro Oncol. 2020-6-9

[4]
Radiomics as prognostic factor in brain metastases treated with Gamma Knife radiosurgery.

J Neurooncol. 2020-2-4

[5]
Early Gamma Knife stereotactic radiosurgery to the tumor bed of resected brain metastasis for improved local control.

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[6]
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[7]
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[8]
Pretreatment Spatially Aware Magnetic Resonance Imaging Radiomics Can Predict Distant Brain Metastases (DBMs) After Stereotactic Radiosurgery/Radiation Therapy (SRS/SRT).

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[9]
Tumor bed dynamics after surgical resection of brain metastases: implications for postoperative radiosurgery.

Int J Radiat Oncol Biol Phys. 2012-4-9

[10]
Post-operative stereotactic radiosurgery versus observation for completely resected brain metastases: a single-centre, randomised, controlled, phase 3 trial.

Lancet Oncol. 2017-8

引用本文的文献

[1]
Prediction of Pituitary Adenoma's Volumetric Response to Gamma Knife Radiosurgery Using Machine Learning-Supported MRI Radiomics.

J Clin Med. 2025-4-23

[2]
Prediction of brain metastasis progression after stereotactic radiosurgery: sensitivity to changing the definition of progression.

J Med Imaging (Bellingham). 2025-3

[3]
Computational Modeling and AI in Radiation Neuro-Oncology and Radiosurgery.

Adv Exp Med Biol. 2024

[4]
Radiomics-based prediction of local control in patients with brain metastases following postoperative stereotactic radiotherapy.

Neuro Oncol. 2024-9-5

[5]
Predicting stereotactic radiosurgery outcomes with multi-observer qualitative appearance labelling versus MRI radiomics.

Sci Rep. 2023-11-28

[6]
Dual-center validation of using magnetic resonance imaging radiomics to predict stereotactic radiosurgery outcomes.

Neurooncol Adv. 2023-5-27

[7]
Application of artificial intelligence to stereotactic radiosurgery for intracranial lesions: detection, segmentation, and outcome prediction.

J Neurooncol. 2023-2

[8]
Measuring the bias of incorrect application of feature selection when using cross-validation in radiomics.

Insights Imaging. 2021-11-24

本文引用的文献

[1]
Vulnerabilities of radiomic signature development: The need for safeguards.

Radiother Oncol. 2018-11-8

[2]
Postoperative stereotactic radiosurgery for patients with resected brain metastases: a volumetric analysis.

J Neurooncol. 2018-8-6

[3]
Stereotactic radiosurgery to surgical cavity post resection of brain metastases: Local recurrence and overall survival rates. A single-centre experience.

J Med Imaging Radiat Oncol. 2018-10

[4]
Stereotactic radiosurgery to the resection cavity for brain metastases: prognostic factors and outcomes.

J Radiosurg SBRT. 2015

[5]
Consensus Contouring Guidelines for Postoperative Completely Resected Cavity Stereotactic Radiosurgery for Brain Metastases.

Int J Radiat Oncol Biol Phys. 2017-10-4

[6]
Computational Radiomics System to Decode the Radiographic Phenotype.

Cancer Res. 2017-11-1

[7]
Radiation-induced cognitive toxicity: pathophysiology and interventions to reduce toxicity in adults.

Neuro Oncol. 2018-4-9

[8]
Postoperative stereotactic radiosurgery compared with whole brain radiotherapy for resected metastatic brain disease (NCCTG N107C/CEC·3): a multicentre, randomised, controlled, phase 3 trial.

Lancet Oncol. 2017-8

[9]
Patterns of Failure after Stereotactic Radiosurgery of the Resection Cavity Following Surgical Removal of Brain Metastases.

World Neurosurg. 2015-12

[10]
Stereotactic radiosurgery to the resection bed for intracranial metastases and risk of leptomeningeal carcinomatosis.

J Neurosurg. 2014-12

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