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用于改善放疗治疗的肺癌患者复发预测的稳健的 CT 放射组学特征的鉴定,这些特征不受采集和分割变化的影响。

Identification of CT radiomic features robust to acquisition and segmentation variations for improved prediction of radiotherapy-treated lung cancer patient recurrence.

机构信息

Division of Nuclear Medicine and Oncological Imaging, University Hospital of Liège, Liège, Belgium.

Radiation Oncology Department, University Hospital of Brest, Brest, France.

出版信息

Sci Rep. 2024 Apr 19;14(1):9028. doi: 10.1038/s41598-024-58551-4.

Abstract

The primary objective of the present study was to identify a subset of radiomic features extracted from primary tumor imaged by computed tomography of early-stage non-small cell lung cancer patients, which remain unaffected by variations in segmentation quality and in computed tomography image acquisition protocol. The robustness of these features to segmentation variations was assessed by analyzing the correlation of feature values extracted from lesion volumes delineated by two annotators. The robustness to variations in acquisition protocol was evaluated by examining the correlation of features extracted from high-dose and low-dose computed tomography scans, both of which were acquired for each patient as part of the stereotactic body radiotherapy planning process. Among 106 radiomic features considered, 21 were identified as robust. An analysis including univariate and multivariate assessments was subsequently conducted to estimate the predictive performance of these robust features on the outcome of early-stage non-small cell lung cancer patients treated with stereotactic body radiation therapy. The univariate predictive analysis revealed that robust features demonstrated superior predictive potential compared to non-robust features. The multivariate analysis indicated that linear regression models built with robust features displayed greater generalization capabilities by outperforming other models in predicting the outcomes of an external validation dataset.

摘要

本研究的主要目的是确定从早期非小细胞肺癌患者的计算机断层扫描原发性肿瘤中提取的一组放射组学特征,这些特征不受分割质量和计算机断层扫描图像采集协议变化的影响。通过分析由两名注释者描绘的病变体积中提取的特征值之间的相关性,评估这些特征对分割变化的稳健性。通过检查从高剂量和低剂量计算机断层扫描中提取的特征之间的相关性来评估对采集协议变化的稳健性,这些扫描都是每个患者作为立体定向体放射治疗计划过程的一部分获得的。在考虑的 106 个放射组学特征中,确定了 21 个稳健的特征。随后进行了包括单变量和多变量评估的分析,以估计这些稳健特征对接受立体定向体放射治疗的早期非小细胞肺癌患者的治疗结果的预测性能。单变量预测分析表明,稳健特征与非稳健特征相比,具有更高的预测潜力。多变量分析表明,使用稳健特征构建的线性回归模型通过在预测外部验证数据集的结果方面优于其他模型,显示出更大的泛化能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6439/11031577/12617e991a89/41598_2024_58551_Fig1_HTML.jpg

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