Journal of Inflammation Research,
Journal Year:
2024,
Volume and Issue:
Volume 17, P. 7639 - 7651
Published: Oct. 1, 2024
Accurate
prediction
of
treatment
response
in
Crohn's
disease
(CD)
patients
undergoing
infliximab
(IFX)
therapy
is
essential
for
clinical
decision-making.
Our
goal
was
to
compare
the
performance
characteristics,
radiomics
and
deep
learning
model
from
computed
tomography
enterography
(CTE)
identifying
individuals
at
high
risk
IFX
failure.
Frontiers in Oncology,
Journal Year:
2025,
Volume and Issue:
15
Published: Jan. 29, 2025
Background
Cervical
lymph
node
metastasis
(LNM)
is
a
significant
factor
that
leads
to
poor
prognosis
in
laryngeal
cancer.
Early-stage
supraglottic
cancer
(SGLC)
prone
LNM.
However,
research
on
risk
factors
for
predicting
cervical
LNM
early-stage
SGLC
limited.
This
study
seeks
create
and
validate
predictive
model
through
the
application
of
machine
learning
(ML)
algorithms.
Methods
The
training
set
internal
validation
data
were
extracted
from
Surveillance,
Epidemiology,
End
Results
(SEER)
database.
Data
78
patients
collected
Fujian
Provincial
Hospital
independent
external
validation.
We
identified
four
variables
associated
with
developed
six
ML
models
based
these
predict
patients.
In
two
cohorts,
167
(47.44%)
26
(33.33%)
experienced
LNM,
respectively.
Age,
T
stage,
grade,
tumor
size
as
predictors
All
performed
well,
both
validations,
eXtreme
Gradient
Boosting
(XGB)
outperformed
other
models,
AUC
values
0.87
0.80,
decision
curve
analysis
demonstrated
have
excellent
clinical
applicability.
Conclusions
Our
indicates
combining
algorithms
can
effectively
diagnosed
SGLC.
first
apply
The Laryngoscope,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 11, 2025
The
study
aims
to
establish
a
pre-academic
diagnostic
tool
based
on
deep
learning
and
conventional
radiomics
features
guide
the
clinical
decision-making
of
parapharyngeal
space
(PPS)
tumors.
This
retrospective
included
217
patients
with
PPS
tumors,
from
two
medical
centers
in
China
March
1,
2011,
October
2023.
cohort
was
divided
into
training
set
(n
=
145)
test
72).
A
(DL)
model
(Rad)
neck
MRI
were
constructed
distinguish
malignant
tumors
(MTs)
benign
(BTs)
(DLR)
which
integrates
further
developed.
area
under
receiver
operating
characteristic
curve
(AUC),
specificity,
sensitivity
used
evaluate
performance.
Decision
analysis
(DCA)
applied
assess
utility.
Compared
Rad
DL
models,
DLR
showed
excellent
performance
this
study,
highest
AUC
0.899
0.821
set,
respectively.
DCA
confirmed
utility
distinguishing
pathological
types
demonstrated
high
predictive
ability
diagnosing
MTs
BTs
could
serve
as
powerful
aid
preoperative
diagnosis
III
Laryngoscope,
2025.
Journal of Infection,
Journal Year:
2025,
Volume and Issue:
unknown, P. 106455 - 106455
Published: March 1, 2025
Differentiating
whether
hepatic
cystic
echinococcosis
(HCE)
lesions
exhibit
biological
activity
is
essential
for
developing
effective
treatment
plans.
This
study
evaluates
the
performance
of
a
Transformer-based
fusion
model
in
predicting
HCE
lesion
activity.
analyzed
CT
images
and
clinical
variables
from
700
patients
across
three
hospitals
2018
to
2023.
Univariate
multivariate
logistic
regression
analyses
were
conducted
selection
construct
model.
Radiomic
features
extracted
using
Pyradiomics
develop
radiomics
Additionally,
2D
deep
learning
3D
trained
images.
The
was
constructed
feature-level
fusion,
decision-level
Transformer
network
architecture,
allowing
analysis
discriminative
ability
correlation
among
radiomic
features,
while
comparing
classification
multimodal
models.
In
comparison
exhibited
superior
identifying
lesions.
demonstrated
highest
both
test
set
external
validation
set,
achieving
AUC
values
0.997
(0.992-1.000)
0.944
(0.911-0.977),
respectively,
thereby
outperforming
models,
enabling
precise
differentiation
integrates
facilitating
accurate
exhibiting
significant
potential
application.
Chinese Journal of Cancer Research,
Journal Year:
2025,
Volume and Issue:
37(1), P. 12 - 27
Published: Jan. 1, 2025
The
neglect
of
occult
lymph
nodes
metastasis
(OLNM)
is
one
the
pivotal
causes
early
non-small
cell
lung
cancer
(NSCLC)
recurrence
after
local
treatments
such
as
stereotactic
body
radiotherapy
(SBRT)
or
surgery.
This
study
aimed
to
develop
and
validate
a
computed
tomography
(CT)-based
radiomics
deep
learning
(DL)
fusion
model
for
predicting
non-invasive
OLNM.
Patients
with
radiologically
node-negative
adenocarcinoma
from
two
centers
were
retrospectively
analyzed.
We
developed
clinical,
radiomics,
radiomics-clinical
models
using
logistic
regression.
A
DL
was
established
three-dimensional
squeeze-and-excitation
residual
network-34
(3D
SE-ResNet34)
created
by
integrating
seleted
features
features.
Model
performance
assessed
area
under
curve
(AUC)
receiver
operating
characteristic
(ROC)
curve,
calibration
curves,
decision
analysis
(DCA).
Five
predictive
compared;
SHapley
Additive
exPlanations
(SHAP)
Gradient-weighted
Class
Activation
Mapping
(Grad-CAM)
employed
visualization
interpretation.
Overall,
358
patients
included:
186
in
training
cohort,
48
internal
validation
124
external
testing
cohort.
incorporating
3D
SE-Resnet34
achieved
highest
AUC
0.947
dataset,
strong
cohorts
(AUCs
0.903
0.907,
respectively),
outperforming
single-modal
models,
clinical
combined
(DeLong
test:
P<0.05).
DCA
confirmed
its
utility,
curves
demonstrated
excellent
agreement
between
predicted
observed
OLNM
probabilities.
Features
interpretation
highlighted
importance
textural
characteristics
surrounding
tumor
regions
stratifying
risk.
reliably
accurately
predicts
early-stage
adenocarcinoma,
offering
tool
refine
staging
guide
personalized
treatment
decisions.
These
results
may
aid
clinicians
optimizing
surgical
strategies.
Acta Oncologica,
Journal Year:
2025,
Volume and Issue:
64, P. 391 - 405
Published: March 13, 2025
Background
and
purpose:
This
study
aims
to
develop
compare
combined
models
based
on
enhanced
CT-based
radiomics,
multi-dimensional
deep
learning,
clinical-conventional
imaging
spatial
habitat
analysis
achieve
accurate
prediction
of
thymoma
risk
classification.
Materials
Methods:
205
consecutive
patients
with
confirmed
by
surgical
pathology
were
recruited
from
three
medical
centers.
Venous
phase
CT
images
used
delineate
the
tumor,
2D
3D
learning
whole
tumor
established
feature
extraction
was
performed.
The
tumors
divided
into
different
sub-regions
K-means
clustering
method
corresponding
features
obtained.
data
collected
evaluated,
univariate
multivariate
for
screening.
above
types
fused
each
other
construct
a
variety
models.
Quantitative
indicators
such
as
area
under
receiver
operating
characteristic
(ROC)
curve
(AUC)
calculated
evaluate
performance
model.
Results:
AUC
RDLCSM
developed
LightGBM
classifier
0.953
in
training
cohort,
0.930
internal
validation
0.924
0.903
two
external
cohorts,
respectively.
performs
better
than
RDLM
(AUC
range:
0.831-0.890)
2DLCSM
0.785-0.916)
KNN.
In
addition,
had
highest
accuracy
(0.818-0.882)
specificity
(0.926-1.000).
Interpretation:
RDLCSM,
which
combines
whole-tumor
clinical-visual
radiology,
subregional
omics,
can
be
non-invasive
tool
predict
BMC Cancer,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: March 18, 2025
The
potential
of
medical
imaging
to
non-invasively
assess
intratumoral
heterogeneity
(ITH)
is
increasingly
being
recognized.
This
study
aimed
investigate
the
value
ITH-based
deep
learning
model
for
preoperative
prediction
histopathologic
grade
in
hepatocellular
carcinoma
(HCC).
A
total
858
patients
from
primary
cohort
and
two
external
cohorts
were
included.
3.0T
or
1.5T
axial
portal
venous
phase
MRI
images
collected.
We
conducted
radiomics
feature-driven
K-means
clustering
automatic
partition
reveal
ITH.
2.5D
3D
models
based
on
ResNet
architecture
trained
extract
hidden
features
each
subregion.
selected
used
train
Random
Forest
classifier,
which
constructed
feature-fusion
model.
extracted
voxel-level
unsupervised
clustered
by
generate
three
subregions.
In
learning,
ITH
had
superior
predictive
efficacy
than
whole-tumor
(AUC:
0.82
vs.
0.72;
p
=
0.004).
Even
validation
test
sets,
this
maintained
a
high
AUC
0.78–0.83,
net
reclassification
indices
indicated
that
it
could
improve
25–28%.
Regarding
prognostic
value,
overall
survival
(OS)
recurrence-free
(RFS)
be
significantly
stratified
model,
multivariable
Cox
regressions
its
signature
was
identified
as
risk
predictor
OS
RFS
(p
<
0.05).
provided
non-invasive
method
classifying
tumor
differentiation
HCC,
may
serve
promising
strategy
stratification
management.