基于 T2 加权成像和对比增强 T1 加权成像的影像组学分析在骨肉瘤和软骨肉瘤鉴别诊断中的应用。
Radiomics analysis in differentiating osteosarcoma and chondrosarcoma based on T2-weighted imaging and contrast-enhanced T1-weighted imaging.
机构信息
Department of Infectious Diseases, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
FuRong Laboratory, Changsha, 410078, Hunan, China.
出版信息
Sci Rep. 2024 Nov 4;14(1):26594. doi: 10.1038/s41598-024-78245-1.
This study was performed to investigate the diagnostic value of radiomics models constructed by fat suppressed T2-weighted imaging (T2WI-FS) and contrast-enhanced T1-weighted imaging (CET1) based on magnetic resonance imaging (MRI) for differentiation of osteosarcoma (OS) and chondrosarcoma (CS). In this retrospective cohort study, we included all inpatients with pathologically confirmed OS or CS from Second Xiangya Hospital of Central South University (Hunan, China) as of October 2020. Demographic and imaging variables were extracted from electronic medical records and compared between OS and CS group. Totals of 530 radiomics features were extracted from CET1 and T2WI-FS sequences based on MRI. The least absolute shrinkage and selection operator (LASSO) method was used for screening and dimensionality reduction of the radiomics model. Multivariate logistic regression analysis was performed to construct the radiomics model, and receiver operating characteristic curve (ROC) was generated to evaluate the diagnostic accuracy of the radiomics model. The training cohort and validation cohort included 87 and 29 patients, respectively. 8 CET1 features and 15 T2WI-FS features were screened based on the radiomics features. In the training group, the area under the receiver-operator characteristic curve (AUC) value for CET1 and T2WI-FS sequences in the radiomics model was 0.894 (95% CI 0.817-0.970) and 0.970 (95% CI 0.940-0.999), respectively. In the validation group, the AUC value for CET1 and T2WI-FS sequences in the radiomics model was 0.821 (95% CI 0.642-1.000) and 0.899 (95% CI 0.785-1.000), respectively. In this study, we developed a radiomics model based on T2WI-FS and CET1 sequences to differentiate between OS and CS. This model exhibits good performance and can help clinicians make decisions and optimize the use of healthcare resources.
这项研究旨在探讨基于磁共振成像(MRI)的 T2 加权成像(T2WI-FS)和对比增强 T1 加权成像(CET1)构建的放射组学模型在鉴别骨肉瘤(OS)和软骨肉瘤(CS)中的诊断价值。本回顾性队列研究纳入了截至 2020 年 10 月中南大学湘雅二医院(湖南)经病理证实的 OS 或 CS 的所有住院患者。从电子病历中提取人口统计学和影像学变量,并在 OS 和 CS 组之间进行比较。从 CET1 和 T2WI-FS 序列中提取了 530 个放射组学特征。基于 MRI 采用最小绝对值收缩和选择算子(LASSO)方法进行放射组学模型的筛选和降维。采用多变量逻辑回归分析构建放射组学模型,并生成受试者工作特征曲线(ROC)以评估放射组学模型的诊断准确性。训练队列和验证队列分别纳入了 87 例和 29 例患者。基于放射组学特征,筛选出了 8 个 CET1 特征和 15 个 T2WI-FS 特征。在训练组中,该放射组学模型的 CET1 和 T2WI-FS 序列的受试者工作特征曲线(ROC)下面积(AUC)值分别为 0.894(95%CI 0.817-0.970)和 0.970(95%CI 0.940-0.999)。在验证组中,该放射组学模型的 CET1 和 T2WI-FS 序列的 AUC 值分别为 0.821(95%CI 0.642-1.000)和 0.899(95%CI 0.785-1.000)。本研究基于 T2WI-FS 和 CET1 序列构建了一个用于鉴别 OS 和 CS 的放射组学模型。该模型具有良好的性能,可以帮助临床医生做出决策并优化医疗资源的利用。
相似文献
Nan Fang Yi Ke Da Xue Xue Bao. 2020-4-30
引用本文的文献
本文引用的文献
Cancer Lett. 2021-4-28
Clin Case Rep. 2019-9-30