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Habitat Radiomics Based on MRI for Predicting Platinum Resistance in Patients with High-Grade Serous Ovarian Carcinoma: A Multicenter Study

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机构: [1]Fudan Univ, Jinshan Hosp, Dept Radiol, Shanghai 201508, Peoples R China [2]Kunming Univ Sci & Technol, Peoples Hosp Yunnan Prov 1, Affiliated Hosp, Dept MRI, Kunming 650032, Yunnan, Peoples R China [3]Kunming Univ Sci & Technol, Peoples Hosp Yunnan Prov 1, Affiliated Hosp, Dept Med Oncol, Kunming 650032, Yunnan, Peoples R China [4]Municipal Peoples Hosp Chuxiong, Dept Radiol, Chuxiong 675000, Yunnan, Peoples R China [5]Beihang Univ, Sch Automat Sci & Elect Engn, Beijing 100083, Peoples R China [6]Beihang Univ, Sci & Technol Aircraft Control Lab, Beijing 100083, Peoples R China [7]Yunnan Power Grid Co Ltd, Elect Power Res Inst, Kunming 650217, Yunnan, Peoples R China [8]Southeast Univ, Zhongda Hosp, Sch Med, Dept Radiol, Nanjing 210009, Jiangsu, Peoples R China [9]Siemens Healthineers Ltd, MR Res Collaborat Team, Shanghai 200126, Peoples R China [10]Kunming Med Univ, Affiliated Hosp 3, Yunnan Canc Hosp, Yunnan Canc Ctr,Dept Radiol, Kunming 650118, Yunnan, Peoples R China [11]Fudan Univ, Shanghai Med Coll, Dept Oncol, Shanghai 200032, Peoples R China [12]Fudan Univ, Shanghai Med Coll, Shanghai Canc Ctr, Dept Radiol, Shanghai 200032, Peoples R China
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关键词: Key Words: Ovarian carcinoma Habitat Radiomics Platinum resistance MRI

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Rationale and Objectives: This study aims to explore the feasibility of MRI-based habitat radiomics for predicting response of platinum-based chemotherapy in patients with high-grade serous ovarian carcinoma (HGSOC), and compared to conventional radiomics deep learning models. Materials and Methods: A retrospective study was conducted on HGSOC patients from three hospitals. K-means algorithm was used perform clustering on T2-weighted images (T2WI), contrast-enhanced T1-weighted images (CE-T1WI), and apparent diffusion coefficient (ADC) maps. After feature extraction and selection, the radiomics model, habitat model, and deep learning model were constructed respectively to identify platinum-resistant and platinum-sensitive patients. A nomogram was developed by integrating the optimal model and clinical independent predictors. The model performance and benefit was assessed using the area under the receiver operating characteristic curve (AUC), net reclassification index (NRI), and integrated discrimination improvement (IDI). Results: A total of 394 eligible patients were incorporated. Three habitats were clustered, a significant difference in habitat 2 (weak enhancement, high ADC values, and moderate T2WI signal) was found between the platinum-resistant and platinum-sensitive groups 0.05). Compared to the radiomics model (0.640) and deep learning model (0.603), the habitat model had a higher AUC (0.710). The nomogram, combining habitat signatures with a clinical independent predictor (neoadjuvant chemotherapy), yielded a highest AUC (0.721) among four models, with positive NRI and IDI. Conclusion: MRI-based habitat radiomics had the potential to predict response of platinum-based chemotherapy in patients with HGSOC. nomogram combining with habitat signature had a best performance and good model gains for identifying platinum-resistant patients.

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大类 | 2 区 医学
小类 | 2 区 核医学
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出版当年[2023]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

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第一作者机构: [1]Fudan Univ, Jinshan Hosp, Dept Radiol, Shanghai 201508, Peoples R China [2]Kunming Univ Sci & Technol, Peoples Hosp Yunnan Prov 1, Affiliated Hosp, Dept MRI, Kunming 650032, Yunnan, Peoples R China
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