Literature DB >> 35430688

Intratumoral and peritumoral CT-based radiomics strategy reveals distinct subtypes of non-small-cell lung cancer.

Xing Tang1, Haolin Huang2, Peng Du2, Lijuan Wang2, Hong Yin1, Xiaopan Xu3.   

Abstract

PURPOSE: To evaluate a new radiomics strategy that incorporates intratumoral and peritumoral features extracted from lung CT images with ensemble learning for pretreatment prediction of lung squamous cell carcinoma (LUSC) and lung adenocarcinoma (LUAD).
METHODS: A total of 105 patients (47 LUSC and 58 LUAD) with pretherapy CT scans were involved in this retrospective study, and were divided into training (n = 73) and testing (n = 32) cohorts. Seven categories of radiomics features involving 3078 metrics in total were extracted from the intra- and peritumoral regions of each patient's CT data. Student's t tests in combination with three feature selection methods were adopted for optimal features selection. An ensemble classifier was developed using five common machine learning classifiers with these optimal features. The performance was assessed using both training and testing cohorts, and further compared with that of Visual Geometry Group-16 (VGG-16) deep network for this predictive task.
RESULTS: The classification models developed using optimal feature subsets determined from intratumoral region and peritumoral region with the ensemble classifier achieved mean area under the curve (AUC) of 0.87, 0.83 in the training cohort and 0.66, 0.60 in the testing cohort, respectively. The model developed by using the optimal feature subset selected from both intra- and peritumoral regions with the ensemble classifier achieved great performance improvement, with AUC of 0.87 and 0.78 in both cohorts, respectively, which are also superior to that of VGG-16 (AUC of 0.68 in the testing cohort).
CONCLUSIONS: The proposed new radiomics strategy that extracts image features from the intra- and peritumoral regions with ensemble learning could greatly improve the diagnostic performance for the histological subtype stratification in patients with NSCLC.
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Entities:  

Keywords:  CT radiomics; Ensemble learning; Intra- and peritumoral regions; Lung adenocarcinoma; Lung squamous cell carcinoma

Mesh:

Year:  2022        PMID: 35430688     DOI: 10.1007/s00432-022-04015-z

Source DB:  PubMed          Journal:  J Cancer Res Clin Oncol        ISSN: 0171-5216            Impact factor:   4.322


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