Yu Mingjun, Liu Jinliang, Zhou Wen, Gu Xiao, Yu Shijia
Department of Neurosurgery, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China.
Department of Medical Affairs, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China.
Sci Rep. 2025 Mar 3;15(1):7433. doi: 10.1038/s41598-025-90128-7.
We aimed to predict CD44 expression and assess its prognostic significance in patients with high-grade gliomas (HGG) using non-invasive radiomics models based on machine learning. Enhanced magnetic resonance imaging, along with the corresponding gene expression and clinicopathological data, was downloaded from online database. Kaplan-Meier survival curves, univariate and multivariate COX analyses, and time-dependent receiver operating characteristic were used to assess the prognostic value of CD44. Following the screening of radiomic features using repeat least absolute shrinkage and selection operator, two radiomics models were constructed utilizing logistic regression and support vector machine for validation purposes. The results indicated that CD44 protein levels were higher in HGG compared to normal brain tissues, and CD44 expression emerged as an independent biomarker of diminished overall survival (OS) in patients with HGG. Moreover, two predictive models based on seven radiomic features were built to predict CD44 expression levels in HGG, achieving areas under the curves (AUC) of 0.809 and 0.806, respectively. Calibration and decision curve analysis validated the fitness of the models. Notably, patients with high radiomic scores presented worse OS (p < 0.001). In summary, our results indicated that the radiomics models effectively differentiate CD44 expression level and OS in patients with HGG.
我们旨在使用基于机器学习的非侵入性放射组学模型预测高级别胶质瘤(HGG)患者的CD44表达,并评估其预后意义。从在线数据库下载增强磁共振成像以及相应的基因表达和临床病理数据。采用Kaplan-Meier生存曲线、单因素和多因素COX分析以及时间依赖性受试者工作特征曲线来评估CD44的预后价值。在使用重复最小绝对收缩和选择算子筛选放射组学特征后,构建了两个放射组学模型,分别采用逻辑回归和支持向量机进行验证。结果表明,与正常脑组织相比,HGG中CD44蛋白水平更高,并且CD44表达是HGG患者总生存期(OS)缩短的独立生物标志物。此外,基于七个放射组学特征构建了两个预测模型,以预测HGG中的CD44表达水平,曲线下面积(AUC)分别为0.809和0.806。校准和决策曲线分析验证了模型的适用性。值得注意的是,放射组学评分高的患者OS较差(p < 0.001)。总之,我们的结果表明,放射组学模型能够有效区分HGG患者的CD44表达水平和OS。