单位:[1]Department of Radiology, The Affiliated Hospital of Qingdao University, Qingdao, China,[2]GE Healthcare (China), Shanghai, China,[3]Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China医技科室影像中心放射科首都医科大学附属北京友谊医院
Objectives To investigate the efficacy of multi-parametric MRI-based radiomics nomograms for preoperative distinction between benign and malignant sinonasal tumors. Methods Data of 244 patients with sinonasal tumor (training set, n=192; test set, n=52) who had undergone pre-contrast MRI, and 101 patients who underwent post-contrast MRI (training set, n=74; test set, n=27) were retrospectively analyzed. Independent predictors of malignancy were identified and their performance were evaluated. Seven radiomics signatures (RSs) using maximum relevance minimum redundancy (mRMR), and the least absolute shrinkage selection operator (LASSO) algorithm were established. The radiomics nomograms, comprising the clinical model and the RS algorithms were built: one based on pre-contrast MRI (RNWOC); the other based on pre-contrast and post-contrast MRI (RNWC). The performances of the models were evaluated with area under the curve (AUC), calibration, and decision curve analysis (DCA) respectively. Results The efficacy of the clinical model (AUC=0.81) of RNWC was higher than that of the model (AUC=0.76) of RNWOC in the test set. There was no significant difference in the AUC of radiomic algorithms in the test set. The RS-T1T2 (AUC=0.74) and RS-T1T2T1C (RSWC, AUC=0.81) achieved a good distinction efficacy in the test set. The RNWC and the RNWOC showed excellent distinction (AUC=0.89 and 0.82 respectively) in the test set. The DCA of the nomograms showed better clinical usefulness than the clinical models and radiomics signatures. Conclusions The radiomics nomograms combining the clinical model and RS can be accurately, safely and efficiently used to distinguish between benign and malignant sinonasal tumors.
第一作者单位:[1]Department of Radiology, The Affiliated Hospital of Qingdao University, Qingdao, China,
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推荐引用方式(GB/T 7714):
Bi Shu-cheng,Zhang Han,Wang He-xiang,et al.Radiomics Nomograms Based on Multi-Parametric MRI for Preoperative Differential Diagnosis of Malignant and Benign Sinonasal Tumors: A Two-Centre Study[J].FRONTIERS in ONCOLOGY.2021,11:doi:10.3389/fonc.2021.659905.
APA:
Bi, Shu-cheng,Zhang, Han,Wang, He-xiang,Ge, Ya-qiong,Zhang, Peng...&Hao, Da-peng.(2021).Radiomics Nomograms Based on Multi-Parametric MRI for Preoperative Differential Diagnosis of Malignant and Benign Sinonasal Tumors: A Two-Centre Study.FRONTIERS in ONCOLOGY,11,
MLA:
Bi, Shu-cheng,et al."Radiomics Nomograms Based on Multi-Parametric MRI for Preoperative Differential Diagnosis of Malignant and Benign Sinonasal Tumors: A Two-Centre Study".FRONTIERS in ONCOLOGY 11.(2021)