Diagnostics,
Journal Year:
2024,
Volume and Issue:
14(2), P. 152 - 152
Published: Jan. 9, 2024
Purpose:
We
aimed
to
assess
the
efficacy
of
machine
learning
and
radiomics
analysis
using
magnetic
resonance
imaging
(MRI)
with
a
hepatospecific
contrast
agent,
in
pre-surgical
setting,
predict
tumor
budding
liver
metastases.
Methods:
Patients
MRI
setting
were
retrospectively
enrolled.
Manual
segmentation
was
made
by
means
3D
Slicer
image
computing,
851
features
extracted
as
median
values
PyRadiomics
Python
package.
Balancing
performed
inter-
intraclass
correlation
coefficients
calculated
between
observer
within
reproducibility
all
features.
A
Wilcoxon–Mann–Whitney
nonparametric
test
receiver
operating
characteristics
(ROC)
carried
out.
feature
selection
procedures
performed.
Linear
non-logistic
regression
models
(LRM
NLRM)
different
learning-based
classifiers
including
decision
tree
(DT),
k-nearest
neighbor
(KNN)
support
vector
(SVM)
considered.
Results:
The
internal
training
set
included
49
patients
119
validation
cohort
consisted
total
28
single
lesion
patients.
best
predictor
classify
original_glcm_Idn
obtained
T1-W
VIBE
sequence
arterial
phase
an
accuracy
84%;
wavelet_LLH_firstorder_10Percentile
portal
92%;
wavelet_HHL_glcm_MaximumProbability
hepatobiliary
excretion
88%;
wavelet_LLH_glcm_Imc1
T2-W
SPACE
sequences
88%.
Considering
linear
analysis,
statistically
significant
increase
96%
weighted
combination
13
radiomic
from
phase.
Moreover,
classifier
KNN
trained
sequence,
obtaining
95%
AUC
0.96.
reached
94%,
sensitivity
86%
specificity
95%.
Conclusions:
Machine
are
promising
tools
predicting
budding.
there
compared
feature.
Diagnostics,
Journal Year:
2022,
Volume and Issue:
12(4), P. 890 - 890
Published: April 2, 2022
Combined
hepatocellular-cholangiocarcinoma
(cHCC-CCA)
is
a
rare
type
of
primary
liver
malignancy.
Among
the
risk
factors,
hepatitis
B
and
C
virus
infections,
cirrhosis,
male
gender
are
widely
reported.
The
clinical
appearance
cHCC-CCA
similar
to
that
HCC
iCCA
it
usually
silent
until
advanced
states,
causing
delay
diagnosis.
Diagnosis
mainly
based
on
histology
from
biopsies
or
surgical
specimens.
Correct
pre-surgical
diagnosis
during
imaging
studies
very
problematic
due
heterogeneous
characteristics
lesion
in
imaging,
with
overlapping
features
CCA.
predominant
histological
subtype
within
establishes
findings.
Therefore,
this
scenario,
radiological
findings
characteristic
show
an
overlap
those
Since
cHCC-CCAs
prevalent
patients
at
high
there
these
may
mimic
HCC,
currently
difficult
see
non-invasive
HCC.
Surgery
only
curative
treatment
HCC-CCA.
role
transplantation
(LT)
remains
controversial,
as
ablative
systemic
therapies
tumour.
These
lesions
still
remain
challenging,
both
phase.
pre-treatment
essential,
well
identification
prognostic
factors
could
stratify
recurrence
most
adequate
therapy
according
patient
characteristics.
Current Oncology,
Journal Year:
2023,
Volume and Issue:
30(1), P. 839 - 853
Published: Jan. 7, 2023
breast
cancer
(BC)
is
the
world's
most
prevalent
in
female
population,
with
2.3
million
new
cases
diagnosed
worldwide
2020.
The
great
efforts
made
to
set
screening
campaigns,
early
detection
programs,
and
increasingly
targeted
treatments
led
significant
improvement
patients'
survival.
Full-Field
Digital
Mammograph
(FFDM)
considered
gold
standard
method
for
diagnosis
of
BC.
From
several
previous
studies,
it
has
emerged
that
density
(BD)
a
risk
factor
development
BC,
affecting
periodicity
plans
present
today
at
an
international
level.in
this
study,
focus
mammographic
image
processing
techniques
allow
extraction
indicators
derived
from
textural
patterns
mammary
parenchyma
indicative
BD
factors.a
total
168
patients
were
enrolled
internal
training
test
while
51
compose
external
validation
cohort.
Different
Machine
Learning
(ML)
have
been
employed
classify
breasts
based
on
values
tissue
density.
Textural
features
extracted
only
which
train
classifiers,
thanks
aid
ML
algorithms.the
accuracy
different
tested
classifiers
varied
between
74.15%
93.55%.
best
results
reached
by
Support
Vector
(accuracy
93.55%
percentage
true
positives
negatives
equal
TPP
=
94.44%
TNP
92.31%).
was
not
influenced
choice
selection
approach.
Considering
cohort,
SVM,
as
classifier
7
selected
wrapper
method,
showed
0.95,
sensitivity
0.96,
specificity
0.90.our
preliminary
Radiomics
analysis
approach
us
objectively
identify
BD.
Cancers,
Journal Year:
2023,
Volume and Issue:
15(2), P. 351 - 351
Published: Jan. 5, 2023
Pancreatic
cancer
(PC)
is
one
of
the
deadliest
cancers,
and
it
responsible
for
a
number
deaths
almost
equal
to
its
incidence.
The
high
mortality
rate
correlated
with
several
explanations;
main
late
disease
stage
at
which
majority
patients
are
diagnosed.
Since
surgical
resection
has
been
recognised
as
only
curative
treatment,
PC
diagnosis
initial
believed
tool
improve
survival.
Therefore,
patient
stratification
according
familial
genetic
risk
creation
screening
protocol
by
using
minimally
invasive
diagnostic
tools
would
be
appropriate.
cystic
neoplasms
(PCNs)
subsets
lesions
deserve
special
management
avoid
overtreatment.
current
programs
based
on
annual
employment
magnetic
resonance
imaging
cholangiopancreatography
sequences
(MR/MRCP)
and/or
endoscopic
ultrasonography
(EUS).
For
unfit
MRI,
computed
tomography
(CT)
could
proposed,
although
CT
results
in
lower
detection
rates,
compared
small
lesions.
actual
major
limit
incapacity
detect
characterize
pancreatic
intraepithelial
neoplasia
(PanIN)
EUS
MR/MRCP.
possibility
utilizing
artificial
intelligence
models
evaluate
higher-risk
favour
these
entities,
more
data
needed
support
real
utility
applications
field
screening.
motives,
appropriate
realize
research
settings.
Journal of Personalized Medicine,
Journal Year:
2023,
Volume and Issue:
13(2), P. 225 - 225
Published: Jan. 27, 2023
Due
to
the
rich
vascularization
and
lymphatic
drainage
of
pulmonary
tissue,
lung
metastases
(LM)
are
not
uncommon
in
patients
with
cancer.
Radiomics
is
an
active
research
field
aimed
at
extraction
quantitative
data
from
diagnostic
images,
which
can
serve
as
useful
imaging
biomarkers
for
a
more
effective,
personalized
patient
care.
Our
purpose
illustrate
current
applications,
strengths
weaknesses
radiomics
lesion
characterization,
treatment
planning
prognostic
assessment
LM,
based
on
systematic
review
literature.
BMC Medical Imaging,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: Jan. 2, 2025
To
develop
ultrasound-based
radiomics
models
and
a
clinical
model
associated
with
inflammatory
markers
for
predicting
intrahepatic
cholangiocarcinoma
(ICC)
lymph
node
(LN)
metastasis.
Both
are
integrated
enhanced
preoperative
prediction.
This
study
retrospectively
enrolled
156
surgically
diagnosed
ICC
patients.
A
region
of
interest
(ROI)
was
manually
identified
on
the
ultrasound
image
tumor
to
extract
features.
In
training
cohort,
we
performed
Wilcoxon
test
screen
differentially
expressed
features,
then
used
12
machine
learning
algorithms
107
within
cross-validation
framework
determine
optimal
through
receiver
operating
characteristic
(ROC)
curve
analysis.
Multivariable
logistic
regression
analysis
identify
independent
risk
factors
construct
model.
The
combined
established
by
combining
parameters.
Delong
decision
(DCA)
were
compare
diagnostic
efficacy
utility
different
models.
total
1239
features
extracted
from
ROIs
tumors.
Among
prediction
models,
(Stepglm
+
LASSO)
utilizing
10
ultimately
yielded
highest
average
area
under
(AUC)
0.872,
an
AUC
0.916
in
cohort
0.827
validation
cohort.
model,
which
incorporates
score,
N
stage,
platelet-to-lymphocyte
ratio
(PLR),
achieved
0.882
significantly
outperforming
0.687
(P
=
0.009).
According
DCA
analysis,
also
showed
better
benefits.
incorporating
PLR
marker
offers
effective,
noninvasive
intelligence-assisted
tool
LN
metastasis
Not
applicable.