基于T2WI和DWI影像组学在术前预测垂体腺瘤质地中的应用价值
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1.南京医科大学第一附属医院放射科;2.南京医科大学第一附属医院神经外科

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江苏高校优势学科建设工程三期项目(苏政办发【2018】87号)


Application value of T2WI-DWI based radiomics in preoperative prediction of pituitary adenoma consistency
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Department of Radiology,First affiliated hospital of Nanjing Medical University

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    摘要:

    目的:探讨基于T2WI和DWI影像组学在术前无创预测垂体腺瘤质地中的应用价值。方法:回顾性分析经病理证实为垂体腺瘤的108例患者临床及术前MRI资料,根据术中两名神经外科医生评估肿瘤质地将其分为软硬两组。按7:3比例随机分为训练组和验证组,在T2WI和DWI图像上手动勾画肿瘤实质区的体积作为感兴趣区,用FeAture Explorer软件提取特征,采用无监督特征选择(Unsupervised Feature Selection,UFS)进行特征筛选,采用支持向量机(support vector machine,SVM)构建影像组学模型。通过受试者工作曲线下面积(area under curve,AUC)及校准曲线评估模型的效能。结果:在联合T2WI和DWI影像组学模型中,训练组预测垂体腺瘤质地的AUC为0.89,验证组的AUC为0.80。校准曲线显示模型预测值与实际值一致性较好。结论:联合T2WI和DWI影像组学模型具有较好的诊断效能,有助于术前预测垂体腺瘤的质地。

    Abstract:

    Objective:To explore the application value of the radiomics models based on T2-weighted imaging (T2WI) and Diffusion-weighted imaging (DWI) in non-invasive preoperative prediction of pituitary adenoma consistency. Methods:The clinical and preoperative MRI data of 108 patients with pathologically confirmed pituitary adenoma were retrospectively analyzed and divided into soft and hard groups based on the intraoperative assessment of tumor consistency by two neurosurgeons. The cases were randomly divided into a training cohort and a validation cohort in a ratio of 7:3.Volume of interest (VOI) were delineated manually on T2WI and DWI images.Radiomics features were extracted by FeAture Explorer software. Unsupervised Feature Selection (UFS) was used to select features. Support vector machine(SVM) was used to conduct the radiomics models.Area under curve (AUC) and calibration curve were used to assess the performance of the models. Results:In the radiomics model based on T2WI combined with DWI,the training cohort to predict pituitary adenoma consistency had an AUC of 0.89.The validation cohort had an AUC of 0.80. Calibration curve showed a good agreement between predicted and actual probabilities. Conclusion: The radiomics model based on T2WI combined with DWI showed good diagnostic performance and was promising in predicting the consistency of pituitary adenoma before surgery.

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  • 收稿日期:2024-04-14
  • 最后修改日期:2024-06-16
  • 录用日期:2024-11-27
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