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.
基金:
National Natural Science Foundations of China [82271940]; Natural Science Foundation of Shanghai [22ZR1412500]; Kunming University of Science and Technology & the First People's Hospital of Yunnan Province Joint Special Project on Medical Research [KUST-KH2022027Y]; Basic Research on Application of Joint Special Funding of Science and Technology Department of Yunnan Province -Kunming Medical University [202301AY070001-084]
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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通讯作者:
推荐引用方式(GB/T 7714):
Bi Qiu,Miao Kun,Xu Na,et al.Habitat Radiomics Based on MRI for Predicting Platinum Resistance in Patients with High-Grade Serous Ovarian Carcinoma: A Multicenter Study[J].ACADEMIC RADIOLOGY.2024,31(6):2367-2380.doi:10.1016/j.acra.2023.11.038.
APA:
Bi, Qiu,Miao, Kun,Xu, Na,Hu, Faping,Yang, Jing...&Qiang, Jinwei.(2024).Habitat Radiomics Based on MRI for Predicting Platinum Resistance in Patients with High-Grade Serous Ovarian Carcinoma: A Multicenter Study.ACADEMIC RADIOLOGY,31,(6)
MLA:
Bi, Qiu,et al."Habitat Radiomics Based on MRI for Predicting Platinum Resistance in Patients with High-Grade Serous Ovarian Carcinoma: A Multicenter Study".ACADEMIC RADIOLOGY 31..6(2024):2367-2380