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Multiple Machine-Learning Fusion Model Based on Gd-EOB-DTPA-Enhanced MRI and Aminotransferase-to-Platelet Ratio and Gamma-Glutamyl Transferase-to-Platelet Ratio to Predict Microvascular Invasion in Solitary Hepatocellular Carcinoma: A Multicenter Study.

作者信息

Wang Fei, Yan Chun Yue, Qin Yuan, Wang Zheng Ming, Liu Dan, He Ying, Yang Ming, Wen Li, Zhang Dong

机构信息

Department of Radiology, XinQiao Hospital of Army Medical University, Chongqing, 400037, People's Republic of China.

Department of Medical Imaging, Luzhou People's Hospital, Luzhou, 646000, People's Republic of China.

出版信息

J Hepatocell Carcinoma. 2024 Feb 29;11:427-442. doi: 10.2147/JHC.S449737. eCollection 2024.


DOI:10.2147/JHC.S449737
PMID:38440051
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10911084/
Abstract

BACKGROUND: Currently, it is still confused whether preoperative aminotransferase-to-platelet ratio (APRI) and gamma-glutamyl transferase-to-platelet ratio (GPR) can predict microvascular invasion (MVI) in solitary hepatocellular carcinoma (HCC). We aimed to develop and validate a machine-learning integration model for predicting MVI using APRI, GPR and gadoxetic acid disodium (Gd-EOB-DTPA) enhanced MRI. METHODS: A total of 314 patients from XinQiao Hospital of Army Medical University were divided chronologically into training set (n = 220) and internal validation set (n = 94), and recurrence-free survival was determined to follow up after surgery. Seventy-three patients from Chongqing University Three Gorges Hospital and Luzhou People's Hospital served as external validation set. Overall, 387 patients with solitary HCC were analyzed as whole dataset set. Least absolute shrinkage and selection operator, tenfold cross-validation and multivariate logistic regression were used to gradually filter features. Six machine-learning models and an ensemble of the all models (ENS) were built. The area under the receiver operating characteristic curve (AUC) and decision curve analysis were used to evaluate model's performance. RESULTS: APRI, GPR, HBP ([liver SI‒tumor SI]/liver SI), PLT, peritumoral enhancement, non-smooth margin and peritumoral hypointensity were independent risk factors for MVI. Six machine-learning models showed good performance for predicting MVI in training set (AUCs range, 0.793-0.875), internal validation set (0.715-0.832), external validation set (0.636-0.746) and whole dataset set (0.756-0.850). The ENS achieved the highest AUCs (0.879 vs 0.858 vs 0.839 vs 0.851) in four cohorts with excellent calibration and more net benefit. Subgroup analysis indicated that ENS obtained excellent AUCs (0.900 vs 0.809 vs 0.865 vs 0.908) in HCC >5cm, ≤5cm, ≤3cm and ≤2cm cohorts. Kaplan‒Meier survival curves indicated that ENS achieved excellent stratification for MVI status. CONCLUSION: The APRI and GPR may be new potential biomarkers for predicting MVI of HCC. The ENS achieved optimal performance for predicting MVI in different sizes HCC and may aid in the individualized selection of surgical procedures.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/7d902c581dbf/JHC-11-427-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/3a5b7cdb982c/JHC-11-427-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/e8f8aaa5bd8f/JHC-11-427-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/b6de2ed73c78/JHC-11-427-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/c9be03c9f042/JHC-11-427-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/f8debb6619aa/JHC-11-427-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/8e169ad18c28/JHC-11-427-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/7d902c581dbf/JHC-11-427-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/3a5b7cdb982c/JHC-11-427-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/e8f8aaa5bd8f/JHC-11-427-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/b6de2ed73c78/JHC-11-427-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/c9be03c9f042/JHC-11-427-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/f8debb6619aa/JHC-11-427-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/8e169ad18c28/JHC-11-427-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3172/10911084/7d902c581dbf/JHC-11-427-g0007.jpg

相似文献

[1]
Multiple Machine-Learning Fusion Model Based on Gd-EOB-DTPA-Enhanced MRI and Aminotransferase-to-Platelet Ratio and Gamma-Glutamyl Transferase-to-Platelet Ratio to Predict Microvascular Invasion in Solitary Hepatocellular Carcinoma: A Multicenter Study.

J Hepatocell Carcinoma. 2024-2-29

[2]
A Dynamic Online Nomogram Based on Gd-EOB-DTPA-Enhanced MRI and Inflammatory Biomarkers for Preoperative Prediction of Pathological Grade and Stratification in Solitary Hepatocellular Carcinoma: A Multicenter Study.

Acad Radiol. 2024-10

[3]
Radiomics and nomogram of magnetic resonance imaging for preoperative prediction of microvascular invasion in small hepatocellular carcinoma.

World J Gastroenterol. 2022-8-21

[4]
Comparison of non-radiomics imaging features and radiomics models based on contrast-enhanced ultrasound and Gd-EOB-DTPA-enhanced MRI for predicting microvascular invasion in hepatocellular carcinoma within 5 cm.

Eur Radiol. 2023-9

[5]
Deep learning nomogram based on Gd-EOB-DTPA MRI for predicting early recurrence in hepatocellular carcinoma after hepatectomy.

Eur Radiol. 2023-7

[6]
Predicting microvascular invasion in hepatocellular carcinoma: A dual-institution study on gadoxetate disodium-enhanced MRI.

Liver Int. 2022-5

[7]
Evaluation of Preoperative Microvascular Invasion in Hepatocellular Carcinoma Through Multidimensional Parameter Combination Modeling Based on Gd-EOB-DTPA MRI.

J Clin Transl Hepatol. 2023-4-28

[8]
Novel Nomogram Based on Inflammatory Markers for the Preoperative Prediction of Microvascular Invasion in Solitary Primary Hepatocellular Carcinoma.

Cancer Manag Res. 2022-3-1

[9]
Preoperative Evaluation of Gd-EOB-DTPA-Enhanced MRI Radiomics-Based Nomogram in Small Solitary Hepatocellular Carcinoma (≤3 cm) With Microvascular Invasion: A Two-Center Study.

J Magn Reson Imaging. 2022-11

[10]
Advancing microvascular invasion diagnosis: a multi-center investigation of novel MRI-based models for precise detection and classification in early-stage small hepatocellular carcinoma (≤ 3 cm).

Abdom Radiol (NY). 2025-5

引用本文的文献

[1]
Current Advances in Classification, Prediction and Management of Microvascular Invasion in Hepatocellular Carcinoma.

J Cell Mol Med. 2025-8

[2]
Preoperative prediction of hepatocellular carcinoma microvascular invasion based on magnetic resonance imaging feature extraction artificial neural network.

World J Gastrointest Surg. 2024-8-27

本文引用的文献

[1]
Prognostic impact of gamma-glutamyl transpeptidase to platelets ratio on hepatocellular carcinoma patients who have undergone surgery: a meta-analysis and systematic review.

Eur J Gastroenterol Hepatol. 2023-8-1

[2]
Longitudinal MRI-based fusion novel model predicts pathological complete response in breast cancer treated with neoadjuvant chemotherapy: a multicenter, retrospective study.

EClinicalMedicine. 2023-3-24

[3]
Quality of radiomics for predicting microvascular invasion in hepatocellular carcinoma: a systematic review.

Eur Radiol. 2023-5

[4]
Predicting pathological highly invasive lung cancer from preoperative [F]FDG PET/CT with multiple machine learning models.

Eur J Nucl Med Mol Imaging. 2023-2

[5]
Artificial intelligence for the prevention and clinical management of hepatocellular carcinoma.

J Hepatol. 2022-6

[6]
Serum gamma-glutamyl transpeptidase-to-platelet ratio (GPR) can predict the prognosis of hepatocellular carcinoma: a meta-analysis and systematic review.

Transl Cancer Res. 2022-4

[7]
Preoperative application of systemic inflammatory biomarkers combined with MR imaging features in predicting microvascular invasion of hepatocellular carcinoma.

Abdom Radiol (NY). 2022-5

[8]
Novel Nomogram Based on Inflammatory Markers for the Preoperative Prediction of Microvascular Invasion in Solitary Primary Hepatocellular Carcinoma.

Cancer Manag Res. 2022-3-1

[9]
Aspartate aminotransferase-to-platelet ratio index for predicting late recurrence of hepatocellular carcinoma after radiofrequency ablation.

Int J Hyperthermia. 2022

[10]
Albumin-Bilirubin (ALBI) and Monocyte to Lymphocyte Ratio (MLR)-Based Nomogram Model to Predict Tumor Recurrence of AFP-Negative Hepatocellular Carcinoma.

J Hepatocell Carcinoma. 2021-11-12

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