单位:[1]Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Capital Medical University, Beijing, China[2]National Center for Respiratory Medicine, Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, National Clinical Research Center for Respiratory Diseases, Beijing, China[3]Department of Radiology, China-Japan Friendship Hospital, Beijing, China[4]Department of Clinical Pathology, China-Japan Friendship Hospital, Beijing, China[5]Infervision Medical Technology Co Ltd, Beijing, China[6]Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
Objectives To develop and validate a general radiomics nomogram capable of identifying EGFR mutation status in non-small cell lung cancer (NSCLC) patients, regardless of patient with either contrast-enhanced CT (CE-CT) or non-contrast-enhanced CT (NE-CT). Methods A total of 412 NSCLC patients were retrospectively enrolled in this study. Patients' radiomics features not significantly different between NE-CT and CE-CT were defined as general features, and were further used to construct the general radiomics signature. Fivefold cross-validation was used to select the best machine learning algorithm. Finally, a general radiomics nomogram was developed using general radiomics signature, and clinical and radiological characteristics. Two groups of data collected at different time periods were used as two test sets to access the discrimination and clinical usefulness. Area under the receiver operating characteristic curve (ROC-AUC) was applied to performance evaluation. Result The general radiomics signature yielded the highest AUC of 0.756 and 0.739 in the two test sets, respectively. When applying to same type of CT, the performance of general radiomics signature was always similar to or higher than that of models built using only NE-CT or CE-CT features. The general radiomics nomogram combining general radiomics signature, smoking history, emphysema, and ILD achieved higher performance whether applying to NE-CT or CE-CT (test set 1, AUC = 0.833 and 0.842; test set 2, AUC = 0.839 and 0.850). Conclusions Our work demonstrated that using general features to construct radiomics signature and nomogram could help identify EGFR mutation status of NSCLC patients and expand its scope of clinical application.
基金:
Chinese Academy of Medical Sciences, Science and Technology Innovation in Medicine and Health Project [2018-I2M-1-0001]; National Natural Science Foundation of China [81870056, 81871328]; Beijing Science and Technology Commission Pharmaceutical and Technology Innovation [Z181100001918034]
第一作者单位:[1]Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Capital Medical University, Beijing, China[2]National Center for Respiratory Medicine, Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, National Clinical Research Center for Respiratory Diseases, Beijing, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Capital Medical University, Beijing, China[2]National Center for Respiratory Medicine, Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, National Clinical Research Center for Respiratory Diseases, Beijing, China[6]Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
推荐引用方式(GB/T 7714):
Xiaoyan Yang,Min Liu,Yanhong Ren,et al.Using contrast-enhanced CT and non-contrast-enhanced CT to predict EGFR mutation status in NSCLC patients-a radiomics nomogram analysis[J].EUROPEAN RADIOLOGY.2022,32(4):2693-2703.doi:10.1007/s00330-021-08366-y.
APA:
Xiaoyan Yang,Min Liu,Yanhong Ren,Huang Chen,Pengxin Yu...&Chen Wang.(2022).Using contrast-enhanced CT and non-contrast-enhanced CT to predict EGFR mutation status in NSCLC patients-a radiomics nomogram analysis.EUROPEAN RADIOLOGY,32,(4)
MLA:
Xiaoyan Yang,et al."Using contrast-enhanced CT and non-contrast-enhanced CT to predict EGFR mutation status in NSCLC patients-a radiomics nomogram analysis".EUROPEAN RADIOLOGY 32..4(2022):2693-2703