Frontiers in Oncology,
Год журнала:
2021,
Номер
11
Опубликована: Сен. 7, 2021
Purpose
This
study
aimed
to
develop
a
radiomics
nomogram
based
on
contrast-enhanced
ultrasound
(CEUS)
for
preoperatively
assessing
microvascular
invasion
(MVI)
in
hepatocellular
carcinoma
(HCC)
patients.
Methods
A
retrospective
dataset
of
313
HCC
patients
who
underwent
CEUS
between
September
20,
2016
and
March
2020
was
enrolled
our
study.
The
population
randomly
grouped
as
primary
192
validation
121
Radiomics
features
were
extracted
from
the
B-mode
(BM),
artery
phase
(AP),
portal
venous
(PVP),
delay
(DP)
images
acquired
each
patient.
After
feature
selection,
BM,
AP,
PVP,
DP
scores
(Rad-score)
constructed
dataset.
four
clinical
factors
used
multivariate
logistic
regression
analysis,
then
developed.
We
also
built
preoperative
prediction
model
comparison.
performance
evaluated
via
calibration,
discrimination,
usefulness.
Results
Multivariate
analysis
indicated
that
PVP
Rad-score,
tumor
size,
AFP
(alpha-fetoprotein)
level
independent
risk
predictors
associated
with
MVI.
incorporating
these
revealed
superior
discrimination
(based
size
level)
(AUC:
0.849
vs
.
0.690;
p
<
0.001)
0.788
0.661;
=
0.008),
good
calibration.
Decision
curve
confirmed
clinically
useful.
Furthermore,
significant
improvement
net
reclassification
index
(NRI)
integrated
discriminatory
(IDI)
implied
signatures
may
be
very
useful
biomarkers
MVI
HCC.
Conclusion
CEUS-based
showed
favorable
predictive
value
identification
could
guide
more
appropriate
surgical
planning.
Korean Journal of Radiology,
Год журнала:
2020,
Номер
21(4), С. 387 - 387
Опубликована: Янв. 1, 2020
Radiomics
and
deep
learning
have
recently
gained
attention
in
the
imaging
assessment
of
various
liver
diseases.Recent
research
has
demonstrated
potential
utility
radiomics
staging
fibroses,
detecting
portal
hypertension,
characterizing
focal
hepatic
lesions,
prognosticating
malignant
tumors,
segmenting
tumors.In
this
review,
we
outline
basic
technical
aspects
summarize
recent
investigations
application
these
techniques
disease.
Abstract
Radiomics
reflects
the
texture
and
morphological
features
of
tumours
by
quantitatively
analysing
grey
values
medical
images.
We
aim
to
develop
a
nomogram
incorporating
radiomics
Breast
Imaging
Reporting
Data
System
(BI-RADS)
for
predicting
breast
cancer
in
BI-RADS
ultrasound
(US)
category
4
or
5
lesions.
From
January
2017
August
2018,
total
315
pathologically
proven
lesions
were
included.
Patients
from
study
population
divided
into
training
group
(n
=
211)
validation
104)
according
cut-off
date
March
1
st
,
2018.
Each
lesion
was
assigned
(4A,
4B,
4C
5)
second
edition
American
College
Radiology
(ACR)
US.
A
score
generated
US
image.
developed
based
on
results
multivariate
regression
analysis
group.
Discrimination,
calibration
clinical
usefulness
assessed
The
included
9
selected
features.
independently
associated
with
malignancy.
showed
better
discrimination
(area
under
receiver
operating
characteristic
curve
[AUC]:
0.928;
95%
confidence
interval
[CI]:
0.876,
0.980)
between
malignant
benign
than
either
(
P
0.029)
0.011).
demonstrated
good
usefulness.
In
conclusion,
combining
is
potentially
useful
malignancy
Liver International,
Год журнала:
2020,
Номер
40(9), С. 2050 - 2063
Опубликована: Июнь 9, 2020
Abstract
Liver
diseases,
a
wide
spectrum
of
pathologies
from
inflammation
to
neoplasm,
have
become
an
increasingly
significant
health
problem
worldwide.
Noninvasive
imaging
plays
critical
role
in
the
clinical
workflow
liver
but
conventional
assessment
may
provide
limited
information.
Accurate
detection,
characterization
and
monitoring
remain
challenging.
With
progress
quantitative
analysis
techniques,
radiomics
emerged
as
efficient
tool
that
shows
promise
aid
personalized
diagnosis
treatment
decision‐making.
Radiomics
could
reflect
heterogeneity
lesions
via
extracting
high‐throughput
high‐dimensional
features
multi‐modality
imaging.
Machine
learning
algorithms
are
then
used
construct
target‐oriented
biomarkers
assist
disease
management.
Here,
we
review
methodological
process
studies
stepwise
fashion
data
acquisition
curation,
region
interest
segmentation,
liver‐specific
feature
extraction,
task‐oriented
modelling.
Furthermore,
applications
diseases
outlined
aspects
staging,
evaluation
tumour
biological
behaviours,
prognosis
according
different
type.
Finally,
discuss
current
limitations
explore
its
future
opportunities.
Clinical and Translational Medicine,
Год журнала:
2020,
Номер
10(2)
Опубликована: Июнь 1, 2020
Abstract
Background
The
present
study
constructed
and
validated
the
use
of
contrast‐enhanced
computed
tomography
(CT)‐based
radiomics
to
preoperatively
predict
microvascular
invasion
(MVI)
status
(positive
vs
negative)
risk
(low
high)
in
patients
with
hepatocellular
carcinoma
(HCC).
Methods
We
enrolled
637
from
two
independent
institutions.
Patients
Institution
I
were
randomly
divided
into
a
training
cohort
451
test
111
patients.
II
served
as
an
validation
set.
LASSO
algorithm
was
used
for
selection
798
features.
Two
classifiers
predicting
MVI
developed
using
multivariable
logistic
regression.
also
performed
survival
analysis
investigate
potentially
prognostic
value
proposed
classifiers.
Results
signature
predicted
area
under
receiver
operating
characteristic
curve
(AUC)
.780,
.776,
.743
training,
test,
cohorts,
respectively.
final
classifier
that
integrated
clinical
factors
(age
α‐fetoprotein
level)
achieved
AUC
.806,
.803,
.796
For
stratification,
AUCs
.746,
.664,
.700
respectively,
classifier‐integrated
stage
.783,
.778,
.740,
Survival
showed
our
significantly
stratified
short
overall
or
early
tumor
recurrence.
Conclusions
Our
CT
radiomics‐based
models
able
HCC
might
serve
reliable
preoperative
evaluation
tool.
Journal of Gastroenterology and Hepatology,
Год журнала:
2021,
Номер
36(3), С. 569 - 580
Опубликована: Март 1, 2021
Abstract
The
advancement
of
investigation
tools
and
electronic
health
records
(EHR)
enables
a
paradigm
shift
from
guideline‐specific
therapy
toward
patient‐specific
precision
medicine.
multiparametric
large
detailed
information
necessitates
novel
analyses
to
explore
the
insight
diseases
aid
diagnosis,
monitoring,
outcome
prediction.
Artificial
intelligence
(AI),
machine
learning,
deep
learning
(DL)
provide
various
models
supervised,
or
unsupervised
algorithms,
sophisticated
neural
networks
generate
predictive
more
precisely
than
conventional
ones.
data,
application
tasks,
algorithms
are
three
key
components
in
AI.
Various
data
formats
available
daily
clinical
practice
hepatology,
including
radiological
imaging,
EHR,
liver
pathology,
wearable
devices,
multi‐omics
measurements.
images
abdominal
ultrasonography,
computed
tomography,
magnetic
resonance
imaging
can
be
used
predict
fibrosis,
cirrhosis,
non‐alcoholic
fatty
disease
(NAFLD),
differentiation
benign
tumors
hepatocellular
carcinoma
(HCC).
Using
AI
help
diagnosis
outcomes
HCC,
NAFLD,
portal
hypertension,
varices,
transplantation,
acute
failure.
helps
severity
patterns
steatosis,
activity
survival
HCC
by
using
pathological
data.
Despite
these
high
potentials
application,
preparation,
collection,
quality,
labeling,
sampling
biases
major
concerns.
selection,
evaluation,
validation
as
well
real‐world
models,
also
challenging.
Nevertheless,
opens
new
era
medicine
which
will
change
our
future
practice.
Journal of Magnetic Resonance Imaging,
Год журнала:
2021,
Номер
54(1), С. 134 - 143
Опубликована: Фев. 8, 2021
Background
Microvascular
invasion
(MVI)
is
a
critical
prognostic
factor
of
hepatocellular
carcinoma
(HCC).
However,
it
could
only
be
obtained
by
postoperative
histological
examination.
Purpose
To
develop
an
end‐to‐end
deep‐learning
models
based
on
MRI
images
for
preoperative
prediction
MVI
in
HCC
patients
who
underwent
surgical
resection.
Study
type
Retrospective.
Population
Two
hundred
and
thirty‐seven
with
histologically
confirmed
HCC.
Field
strength
1.5
T
3.0
T.
Sequence
Axial
2
‐weighted
(T
‐w)
turbo
spin
echo
sequence,
‐Spectral
Presaturation
Inversion
Recovery
‐SPIR),
dynamic
contrast‐enhanced
(DCE)
imaging
fat
suppressed
enhanced
1
high‐resolution
isotropic
volume
Assessment
The
were
randomly
divided
into
training
(
N
=
158)
validation
79)
sets.
Data
augmentation
random
rotation
was
performed
the
set
sample
size
increased
to
1940
each
MR
sequence.
A
three‐dimensional
convolutional
neural
network
(3D
CNN)
used
four
models,
including
three
single‐layer
single‐sequence,
fusion
model
combining
sequences.
status
from
pathology
reports.
Statistical
Tests
dice
similarity
coefficient
(DSC)
Hausdorff
distance
(HD)
applied
assess
reproducibility
between
manual
segmentations
tumor
two
radiologists.
Receiver
operating
characteristic
curve
analysis
evaluate
performance.
identified
92
(38.8%)
patients.
Good
interobserver
DSCs
0.90,
0.89,
0.89
HDs
4.09,
3.67,
3.60
observed
PVP,
WI,
‐SPIR,
respectively.
achieved
area
under
(AUC)
0.81,
sensitivity
69%,
specificity
79%
0.72,
55%,
81%
set.
Conclusion
3D
CNN
may
serve
as
noninvasive
tool
predict
HCC,
whereas
its
accuracy
needs
larger
cohort.
Level
Evidence
3
Technical
Efficacy
Stage
International Journal of Biological Sciences,
Год журнала:
2022,
Номер
18(8), С. 3458 - 3469
Опубликована: Янв. 1, 2022
In
recent
years,
with
the
standardization
of
radiomics
methods;
development
tools;
and
popularization
concept,
has
been
widely
used
in
all
aspects
tumor
diagnosis;
treatment;
prognosis.As
study
cancer
become
more
advanced,
currently
methods
have
revealed
their
shortcomings.The
performance
based
on
single-modality
medical
images,
which
imaging
principles,
only
partially
reflects
information,
necessarily
compromised.Using
whole
as
a
region
interest
to
extract
radiomic
features
inevitably
leads
loss
intra-tumoral
heterogeneity
of,
also
affects
radiomics.Radiomics
multimodal
images
extracts
various
information
from
each
modality
then
integrates
them
together
for
model
construction;
thus,
avoiding
missing
information.Subregional
segmentation
image
combinations
allows
acquired
subregions
retain
heterogeneity,
further
improving
radiomics.In
this
review,
we
provide
detailed
summary
current
research
subregion-based
radiomics,
raised
some
problems
thorough
discussion
these
issues.