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Multiparametric MRI-based radiomics combined with 3D deep transfer learning to predict cervical stromal invasion in patients with endometrial carcinoma

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机构: [1]Kunming Univ Sci & Technol, Affiliated Hosp, Kunming, Peoples R China [2]First Peoples Hosp Yunnan Prov, Dept MRI, Kunming, Peoples R China [3]Kunming Med Univ, Affiliated Hosp 2, Dept Radiol, Kunming, Peoples R China [4]Fourth Clin Med Coll Guangzhou Univ Chinese Med, Shenzhen Tradit Chinese Med Hosp, Dept Radiol, Shenzhen, Peoples R China [5]First Peoples Hosp Yunnan Prov, Dept Geriatrie Med, Kunming, Peoples R China [6]First Peoples Hosp Yunnan Prov, Dept Vasc Surg, Kunming, Peoples R China [7]Kunming Med Univ, Affiliated Hosp 3, Dept Radiol, Kunming, Peoples R China
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关键词: Endometrial carcinoma Cervical stromal invasion Radiomics Deep transfer learning Magnetic resonance imaging

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Objective To develop and compare various preoperative cervical stromal invasion (CSI) prediction models, including radiomics, three-dimensional (3D) deep transfer learning (DTL), and integrated models, using single-sequence and multiparametric MRI. Methods Data from 466 early-stage endometrial carcinoma (EC) patients from three centers were collected. Radiomics models were constructed based on T2-weighted imaging (T2WI), diffusion-weighted imaging (DWI), apparent diffusion coefficient (ADC) mapping, contrast-enhanced T1-weighted imaging (CE-T1WI), and four combined sequences as well as 3D DTL models. Two integrated models were created using ensemble and stacking algorithms based on optimal radiomics and DTL models. Model performance and clinical benefits were assessed using area under the curve (AUC), decision curve analysis (DCA), net reclassification index (NRI), integrated discrimination index (IDI), and the Delong test for model comparisons. Results Multiparametric MRI models were superior to single-sequence models for radiomics or DTL models. Ensemble and stacking integrated models displayed excellent performance. The stacking model had the highest average AUC (0.908) and accuracy (0.883) in external validation groups 1 and 2 (AUC = 0.965 and 0.851, respectively) and emerged as the best predictive model for CSI. All models significantly outperformed the radiologist (P < 0.05). In terms of net benefits, all models demonstrated favorable outcomes in DCA, NRI, and IDI, with the stacking model yielding the highest net benefit. Conclusion Multiparametric MRI-based radiomics combined with 3D DTL can be used to noninvasively predict CSI in EC patients with greater diagnostic accuracy than the radiologist. Stacking integrated models showed significant potential utility in predicting CSI. Which helps to provide new treatment strategy for clinicians to treat early-stage EC patients.

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大类 | 3 区 医学
小类 | 3 区 核医学
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出版当年[2023]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Kunming Univ Sci & Technol, Affiliated Hosp, Kunming, Peoples R China [2]First Peoples Hosp Yunnan Prov, Dept MRI, Kunming, Peoples R China
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通讯机构: [1]Kunming Univ Sci & Technol, Affiliated Hosp, Kunming, Peoples R China [2]First Peoples Hosp Yunnan Prov, Dept MRI, Kunming, Peoples R China
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