Lai Weiwei, Wang Shuang, Li Jiannan, Qi Rui, Zhao Zeyun, Wang Min
Department of General Surgery, The Second Hospital of Jilin University, No. 4026 Yatai Street, Nanguan District, Changchun, 130000, Jilin, China.
Department of Dermatology, The Second Hospital of Jilin University, Changchun, China.
Sci Rep. 2025 Jul 2;15(1):22939. doi: 10.1038/s41598-025-03463-0.
To develop an automated grading model for rectocele (RC) based on radiomics and evaluate its efficacy. This study retrospectively analyzed a total of 9,392 magnetic resonance imaging (MRI) images obtained from 222 patients who underwent dynamic magnetic resonance defecography (DMRD) over the period from August 2021 to June 2023. The focus was specifically on the defecation phase images of the DMRD, as this phase provides critical information for assessing RC. To develop and evaluate the model, the MRI images from all patients were randomly divided into two groups. 70% of the data were allocated to the training cohort to build the model, and the remaining 30% was reserved as a test cohort to evaluate its performance. First, the severity of RC was assessed using the RC MRI grading criteria by two independent radiologists. To extract and select radiomic features, two additional radiologists independently delineated the regions of interest (ROIs). These features were then dimensionality reduced to retain only the most relevant data for the analysis. The radiomics features were reduced in dimension, and a machine learning model was developed using a Support Vector Machine (SVM). Finally, receiver operating characteristic curve (ROC) and area under the curve (AUC) were used to evaluate the classification efficiency of the model. The AUC (macro/micro) of the model using defecation phase images was 0.794/0.824, and the overall accuracy was 0.754. The radiomics model built using the combination of DMRD defecation phase images is well suited for grading RC and helping clinicians diagnose and treat the disease.
开发基于影像组学的直肠膨出(RC)自动分级模型并评估其效能。本研究回顾性分析了2021年8月至2023年6月期间222例行动态磁共振排粪造影(DMRD)患者的9392张磁共振成像(MRI)图像。重点关注DMRD的排粪期图像,因为该阶段为评估RC提供关键信息。为了开发和评估模型,将所有患者的MRI图像随机分为两组。70%的数据分配到训练队列以构建模型,其余30%留作测试队列以评估其性能。首先,由两名独立的放射科医生使用RC MRI分级标准评估RC的严重程度。为了提取和选择影像组学特征,另外两名放射科医生独立勾勒出感兴趣区域(ROI)。然后对这些特征进行降维,仅保留最相关的数据用于分析。对影像组学特征进行降维,并使用支持向量机(SVM)开发机器学习模型。最后,使用受试者操作特征曲线(ROC)和曲线下面积(AUC)评估模型的分类效率。使用排粪期图像的模型的AUC(宏观/微观)为0.794/0.824,总体准确率为0.754。使用DMRD排粪期图像组合构建的影像组学模型非常适合RC分级,并有助于临床医生诊断和治疗该疾病。
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