Department of Radiology, Harbin Medical University Cancer Hospital, Harbin 150010, Heilongjiang, China.
College of Intelligent Systems Science and Engineering, Harbin Engineering University, Harbin 150001, China.
Br J Radiol. 2024 May 7;97(1157):938-946. doi: 10.1093/bjr/tqae056.
OBJECTIVES: Based on enhanced MRI, a prediction model of microvascular invasion (MVI) for hepatocellular carcinoma (HCC) was developed using graph convolutional network (GCN) combined nomogram. METHODS: We retrospectively collected 182 HCC patients confirmed histopathologically, all of them performed enhanced MRI before surgery. The patients were randomly divided into training and validation groups. Radiomics features were extracted from the arterial phase (AP), portal venous phase (PVP), and delayed phase (DP), respectively. After removing redundant features, the graph structure by constructing the distance matrix with the feature matrix was built. Screening the superior phases and acquired GCN Score (GS). Finally, combining clinical, radiological and GS established the predicting nomogram. RESULTS: 27.5% (50/182) patients were with MVI positive. In radiological analysis, intratumoural artery (P = 0.007) was an independent predictor of MVI. GCN model with grey-level cooccurrence matrix-grey-level run length matrix features exhibited area under the curves of the training group was 0.532, 0.690, and 0.885 and the validation group was 0.583, 0.580, and 0.854 for AP, PVP, and DP, respectively. DP was selected to develop final model and got GS. Combining GS with diameter, corona enhancement, mosaic architecture, and intratumoural artery constructed a nomogram which showed a C-index of 0.884 (95% CI: 0.829-0.927). CONCLUSIONS: The GCN model based on DP has a high predictive ability. A nomogram combining GS, clinical and radiological characteristics can be a simple and effective guiding tool for selecting HCC treatment options. ADVANCES IN KNOWLEDGE: GCN based on MRI could predict MVI on HCC.
目的:基于增强 MRI,利用图卷积网络(GCN)联合列线图建立肝癌微血管侵犯(MVI)的预测模型。
方法:回顾性收集 182 例经病理证实的肝癌患者,所有患者均在术前进行增强 MRI 检查。患者随机分为训练组和验证组。分别从动脉期(AP)、门静脉期(PVP)和延迟期(DP)提取影像组学特征。在去除冗余特征后,通过构建距离矩阵来构建图结构。筛选优势相并获取 GCN 评分(GS)。最后,结合临床、影像学和 GS 建立预测列线图。
结果:50/182(27.5%)例患者 MVI 阳性。影像学分析中,肿瘤内动脉(P=0.007)是 MVI 的独立预测因子。基于灰度共生矩阵-灰度游程矩阵特征的 GCN 模型在训练组中的曲线下面积分别为 0.532、0.690 和 0.885,在验证组中的曲线下面积分别为 0.583、0.580 和 0.854。选择 DP 建立最终模型并获取 GS。将 GS 与直径、晕环增强、马赛克结构和肿瘤内动脉相结合构建列线图,其 C 指数为 0.884(95%CI:0.829-0.927)。
结论:基于 DP 的 GCN 模型具有较高的预测能力。结合 GS、临床和影像学特征的列线图可以成为选择 HCC 治疗方案的简单有效指导工具。
知识进展:基于 MRI 的 GCN 可预测 HCC 的 MVI。
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