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MRI-based intratumoral and peritumoral radiomics for assessing deep myometrial invasion in patients with early-stage endometrioid adenocarcinoma

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机构: [1]Kunming Univ Sci & Technol, Peoples Hosp Yunnan Prov 1, Affiliated Hosp, Dept MRI, Kunming, Yunnan, Peoples R China [2]Chongqing Med Univ, Affiliated Hosp 1, Dept Radiol, Chongqing, Peoples R China [3]Kunming Univ Sci & Technol, Peoples Hosp Puer, Affiliated Hosp, Dept Med Imaging, Puer, Yunnan, Peoples R China [4]Guangzhou Univ Chinese Med, Shenzhen Tradit Chinese Med Hosp, Dept Radiol, Clin Med Coll 4, Shenzhen, Peoples R China [5]Kunming Univ Sci & Technol, Affiliated Hosp, Sch Clin Med, Kunming, Yunnan, Peoples R China [6]Kunming Med Univ, Peking Univ, Yunnan Canc Hosp, Affiliated Hosp 3,Canc Hosp Yunnan,Dept Radiol, Kunming, Yunnan, Peoples R China
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关键词: endometrial carcinoma deep myometrial invasion MRI radiomics peritumoral

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Purpose To evaluate the effectiveness of magnetic resonance imaging (MRI)-based intratumoral and peritumoral radiomics models for predicting deep myometrial invasion (DMI) of early-stage endometrioid adenocarcinoma (EAC).Methods The data of 459 EAC patients from three centers were retrospectively collected. Radiomics features were extracted separately from the intratumoral and peritumoral regions expanded by 0 mm, 5 mm, and 10 mm on unimodal and multimodal MRI. Then, various radiomics models were developed and validated, and the optimal model was confirmed. Integrated models were constructed by ensemble and stacking algorithms based on the above radiomics models. The models' performance was evaluated using the area under the curve (AUC).Results The multimodal MRI-based radiomics model, which included both intratumoral and peritumoral regions expanded by 5 mm, was the optimal radiomics model, with an AUC of 0.74 in the validation group. When the same integrated algorithm was utilized, the integrated models with 5-mm expansion presented higher AUCs than those with 0-mm and 10-mm expansion in the validation group. The performance of the stacking model and ensemble model with 5-mm expansion was similar, and their AUCs were 0.74 and 0.75, respectively.Conclusion The multimodal radiomics model from the intratumoral and peritumoral regions expanded by 5 mm has the potential to improve the performance for detecting DMI of early-stage EAC. The integrated models are of little value in increasing the prediction.

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大类 | 3 区 医学
小类 | 3 区 肿瘤学
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Q2 ONCOLOGY

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