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基于 PET 的放射组学在预测非小细胞肺癌患者表皮生长因子受体突变状态中的仪器间验证。

Inter-equipment validation of PET-based radiomics for predicting EGFR mutation statuses in patients with non-small cell lung cancer.

机构信息

Department of Nuclear Medicine, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou 450000, Henan, China.

Department of Nuclear Medicine, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou 450000, Henan, China; Henan Medical Key Laboratory of Molecular Imaging, No.1 Jianshe East Road, Zhengzhou 450000, Henan, China.

出版信息

Clin Radiol. 2024 Aug;79(8):571-578. doi: 10.1016/j.crad.2023.12.030. Epub 2024 Mar 26.

Abstract

AIM

To validate the inter-equipment generality of the radiomics based on PET images to predict the EGFR mutation status of patients with non-small cell lung cancer.

MATERIALS AND METHODS

Patients were retrospectively collected in the departments of nuclear medicine of Heyi branch (Siemens equipment) and East branch (General Electric (GE) equipment) of the first affiliated hospital of Zhengzhou university. 5 predicting logistic regression models were established. The 1 one was trained and tested by the GE dataset; The 2 one was trained and tested by the Siemens dataset; The 3 one was trained and tested by the mixed dataset consisting of GE and Siemens. The 4 one was trained by GE and tested by Siemens; The 5 one was trained by Siemens and tested by GE.

RESULTS

For the 1 ∼ 5 models, the mean values of AUCs for training/testing datasets were 0.78/0.73, 0.74/0.72, 0.75/0.70, 0.74/0.65 and 0.68/0.63, respectively.

CONCLUSION

The AUCs of the models trained and tested on the datasets from the same equipment were higher than those for different equipment. The inter-equipment generality of the radiomics was not good enough in clinical practice.

摘要

目的

验证基于 PET 图像的放射组学在预测非小细胞肺癌患者表皮生长因子受体(EGFR)突变状态方面的设备间通用性。

材料与方法

回顾性收集了郑州大学第一附属医院核医学科怡和分院(西门子设备)和东区分院(通用电气(GE)设备)的患者。建立了 5 个预测逻辑回归模型。其中 1 个模型由 GE 数据集进行训练和测试;2 个模型由西门子数据集进行训练和测试;3 个模型由 GE 和西门子混合数据集进行训练和测试。4 个模型由 GE 进行训练,由西门子进行测试;5 个模型由西门子进行训练,由 GE 进行测试。

结果

对于模型 1∼5,训练/测试数据集的 AUC 均值分别为 0.78/0.73、0.74/0.72、0.75/0.70、0.74/0.65 和 0.68/0.63。

结论

在来自同一设备的数据集上进行训练和测试的模型的 AUC 高于在不同设备上进行训练和测试的模型。放射组学的设备间通用性在临床实践中还不够好。

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