机构:[1]Department of Radiology, Beijing Tongren Hospital, Capital Medical University, No 1 Dongjiaominxiang, Dongcheng District, Beijing 100730, China.医技科室放射科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[2]Department of Radiology, Beijing Luhe Hospital, Capital Medical University, No 82 Xinhua South Road, Tongzhou District, Beijing 101149, China.[3]Huiying Medical Technology Co., Ltd, Beijing 100000, China.[4]Department of Diagnostic Imaging, National University Health System, Singapore 119074, Singapore.
Background Laryngeal and hypopharyngeal squamous cell carcinoma (LHSCC) with thyroid cartilage invasion are considered T4 and need total laryngectomy. However, the accuracy of preoperative diagnosis of thyroid cartilage invasion remains lower. Therefore, the purpose of this study was to assess the potential of computed tomography (CT)-based radiomics features in the prediction of thyroid cartilage invasion from LHSCC. Methods A total of 265 patients with pathologically proven LHSCC were enrolled in this retrospective study (86 with thyroid cartilage invasion and 179 without invasion). Two head and neck radiologists evaluated the thyroid cartilage invasion on CT images. Radiomics features were extracted from venous phase contrast-enhanced CT images. The least absolute shrinkage and selection operator (LASSO) and logistic regression (LR) method were used for dimension reduction and model construction. In addition, the support vector machine-based synthetic minority oversampling (SVMSMOTE) algorithm was adopted to balance the dataset and a new LR-SVMSMOTE model was constructed. The performance of the radiologist and the two models were evaluated with receiver operating characteristic (ROC) curves and compared using the DeLong test. Results The areas under the ROC curves (AUCs) in the prediction of thyroid cartilage invasion from LHSCC for the LR-SVMSMOTE model, LR model, and radiologist were 0.905 [95% confidence interval (CI): 0.863 to 0.937)], 0.876 (95%CI: 0.830 to 0.913), and 0.721 (95%CI: 0.663-0.774), respectively. The AUCs of both models were higher than that of the radiologist assessment (all P < 0.001). There was no significant difference in predictive performance between the LR-SVMSMOTE and LR models (P = 0.05). Conclusions Models based on CT radiomic features can improve the accuracy of predicting thyroid cartilage invasion from LHSCC and provide a new potentially noninvasive method for preoperative prediction of thyroid cartilage invasion from LHSCC.
基金:
Beijing Municipal Administration of
Hospitals’ Ascent Plan (DFL20190203) and Beijing Municipal Administration
of Hospital Clinical Medicine Development of Special Funding (ZYLX201704).
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2019]版:
大类|3 区医学
小类|3 区核医学4 区肿瘤学
最新[2023]版:
大类|2 区医学
小类|2 区肿瘤学2 区核医学
JCR分区:
出版当年[2018]版:
Q2RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGINGQ2ONCOLOGY
最新[2023]版:
Q1RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGINGQ2ONCOLOGY
第一作者机构:[1]Department of Radiology, Beijing Tongren Hospital, Capital Medical University, No 1 Dongjiaominxiang, Dongcheng District, Beijing 100730, China.[2]Department of Radiology, Beijing Luhe Hospital, Capital Medical University, No 82 Xinhua South Road, Tongzhou District, Beijing 101149, China.
通讯作者:
推荐引用方式(GB/T 7714):
Guo Ran,Guo Jian,Zhang Lichen,et al.CT-based radiomics features in the prediction of thyroid cartilage invasion from laryngeal and hypopharyngeal squamous cell carcinoma[J].CANCER IMAGING.2020,20(1):doi:10.1186/s40644-020-00359-2.
APA:
Guo, Ran,Guo, Jian,Zhang, Lichen,Qu, Xiaoxia,Dai, Shuangfeng...&Xian, Junfang.(2020).CT-based radiomics features in the prediction of thyroid cartilage invasion from laryngeal and hypopharyngeal squamous cell carcinoma.CANCER IMAGING,20,(1)
MLA:
Guo, Ran,et al."CT-based radiomics features in the prediction of thyroid cartilage invasion from laryngeal and hypopharyngeal squamous cell carcinoma".CANCER IMAGING 20..1(2020)