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基于 F-氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描放射组学的机器学习分析在肿瘤学领域的临床应用。

Clinical application of F-fluorodeoxyglucose positron emission tomography/computed tomography radiomics-based machine learning analyses in the field of oncology.

机构信息

Department of Radiology, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8544, Japan.

出版信息

Jpn J Radiol. 2024 Jan;42(1):28-55. doi: 10.1007/s11604-023-01476-1. Epub 2023 Aug 1.


DOI:10.1007/s11604-023-01476-1
PMID:37526865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10764437/
Abstract

Machine learning (ML) analyses using F-fluorodeoxyglucose (F-FDG) positron emission tomography (PET)/computed tomography (CT) radiomics features have been applied in the field of oncology. The current review aimed to summarize the current clinical articles about F-FDG PET/CT radiomics-based ML analyses to solve issues in classifying or constructing prediction models for several types of tumors. In these studies, lung and mediastinal tumors were the most commonly evaluated lesions, followed by lymphatic, abdominal, head and neck, breast, gynecological, and other types of tumors. Previous studies have commonly shown that F-FDG PET radiomics-based ML analysis has good performance in differentiating benign from malignant tumors, predicting tumor characteristics and stage, therapeutic response, and prognosis by examining significant differences in the area under the receiver operating characteristic curves, accuracies, or concordance indices (> 0.70). However, these studies have reported several ML algorithms. Moreover, different ML models have been applied for the same purpose. Thus, various procedures were used in F-FDG PET/CT radiomics-based ML analysis in oncology, and F-FDG PET/CT radiomics-based ML models, which are easy and universally applied in clinical practice, would be expected to be established.

摘要

机器学习(ML)分析使用 F-氟脱氧葡萄糖(F-FDG)正电子发射断层扫描(PET)/计算机断层扫描(CT)放射组学特征已应用于肿瘤学领域。本综述旨在总结目前关于基于 F-FDG PET/CT 放射组学的 ML 分析的临床文章,以解决几种类型肿瘤的分类或构建预测模型的问题。在这些研究中,肺部和纵隔肿瘤是最常评估的病变,其次是淋巴、腹部、头颈部、乳腺、妇科和其他类型的肿瘤。以前的研究表明,基于 F-FDG PET 放射组学的 ML 分析在区分良恶性肿瘤、预测肿瘤特征和分期、治疗反应和预后方面具有良好的性能,通过检查受试者工作特征曲线下面积、准确性或一致性指数的显著差异(>0.70)。然而,这些研究报告了几种 ML 算法。此外,相同的目的也应用了不同的 ML 模型。因此,在肿瘤学中,基于 F-FDG PET/CT 放射组学的 ML 分析采用了各种程序,并且有望建立易于在临床实践中普遍应用的基于 F-FDG PET/CT 放射组学的 ML 模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8470/10764437/ecd2ebde7538/11604_2023_1476_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8470/10764437/ecd2ebde7538/11604_2023_1476_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8470/10764437/ecd2ebde7538/11604_2023_1476_Fig1_HTML.jpg

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[3]
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[4]
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[6]
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[10]
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本文引用的文献

[1]
Characterization of Mediastinal Bulky Lymphomas with FDG-PET-Based Radiomics and Machine Learning Techniques.

Cancers (Basel). 2023-3-23

[2]
The predictive value of [F]FDG PET/CT radiomics combined with clinical features for EGFR mutation status in different clinical staging of lung adenocarcinoma.

EJNMMI Res. 2023-4-4

[3]
Improving the Classification of PCNSL and Brain Metastases by Developing a Machine Learning Model Based on F-FDG PET.

J Pers Med. 2023-3-17

[4]
Machine Learning Model Based on Optimized Radiomics Feature from F-FDG-PET/CT and Clinical Characteristics Predicts Prognosis of Multiple Myeloma: A Preliminary Study.

J Clin Med. 2023-3-15

[5]
Four-dimensional quantitative analysis using FDG-PET in clinical oncology.

Jpn J Radiol. 2023-8

[6]
Preoperative F-FDG PET/CT radiomics analysis for predicting HER2 expression and prognosis in gastric cancer.

Quant Imaging Med Surg. 2023-3-1

[7]
Multicentric development and evaluation of F-FDG PET/CT and MRI radiomics models to predict para-aortic lymph node involvement in locally advanced cervical cancer.

Eur J Nucl Med Mol Imaging. 2023-7

[8]
Machine learning approach using 18 F-FDG PET-based radiomics in differentiation of lung adenocarcinoma with bronchoalveolar distribution and infection.

Nucl Med Commun. 2023-4-1

[9]
Radiomic Analysis of Positron-Emission Tomography and Computed Tomography Images to Differentiate between Multiple Myeloma and Skeletal Metastases.

Indian J Nucl Med. 2022

[10]
Classification of solid pulmonary nodules using a machine-learning nomogram based on F-FDG PET/CT radiomics integrated clinicobiological features.

Ann Transl Med. 2022-12

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