Differentiation of atypical non-functional pancreatic neuroendocrine tumor and pancreatic ductal adenocarcinoma using CT based radiomics
文献类型:期刊论文
作者 | He, Ming1; Liu, Zhenyu2,3,5![]() ![]() ![]() |
刊名 | EUROPEAN JOURNAL OF RADIOLOGY
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出版日期 | 2019-08-01 |
卷号 | 117页码:102-111 |
关键词 | Pancreatic ductal carcinoma Neuroendocrine tumor Multidetector computed tomography Radiomics Differential diagnosis |
ISSN号 | 0720-048X |
DOI | 10.1016/j.ejrad.2019.05.024 |
通讯作者 | Tian, Jie(jie.tian@ia.ac.cn) ; Xue, Huadan(bjdanna95@hotmail.com) |
英文摘要 | Purpose: To develop and validate an effective model to differentiate NF-pNET from PDAC. Materials and methods: Between July 2014 and December 2017, 147 patients (80 patients with PDAC and 67 patients with atypical NF-pNET) with pathology results and enhanced CT were consecutively enrolled and chronologically divided into primary and validation cohorts. Three models were built to differentiate atypical NF-pNET from PDAC, including a model based on radiomic signature alone, one based on clinicoradiological features alone and one that integrated the two. The diagnostic performance of the three models was estimated and compared with the area under the receiver operating characteristic curve (AUC) in the validation cohort. A nomogram was used to represent the model with the best performance, and the associated calibration was also assessed. Results: In the validation cohort, the AUC for differential diagnosis was 0.884 with the integrated model, which was significantly improved over that of the model based on clinicoradiological features (AUC = 0.775, p value = 0.004) and was comparable to that of the model based on the radiomic signature (AUC = 0.873, p value = 0.512). The nomogram representing the integrated model achieved good discrimination performances in both the primary and validation cohorts, with C-indices of 0.960 and 0.884, respectively. Conclusion: The integrated model outperformed the model based on clinicoradiological features alone and was comparable to the model based on the radiomic signature alone with respect to the differential diagnosis of atypical NF-pNET and PDAC. The nomogram achieved an optimal preoperative, noninvasive differential diagnosis between atypical pNET and PDAC, which can better inform therapeutic choice in clinical practice. |
WOS关键词 | IMAGING MIMICS ; DIAGNOSIS ; PREDICTION ; MANAGEMENT ; GUIDELINES ; CARCINOMA ; SURVIVAL ; MDCT |
WOS研究方向 | Radiology, Nuclear Medicine & Medical Imaging |
语种 | 英语 |
WOS记录号 | WOS:000475337200014 |
出版者 | ELSEVIER IRELAND LTD |
源URL | [http://ir.ia.ac.cn/handle/173211/26831] ![]() |
专题 | 自动化研究所_中国科学院分子影像重点实验室 |
通讯作者 | Tian, Jie; Xue, Huadan |
作者单位 | 1.Peking Union Med Coll Hosp Beijing, Dept Radiol, Beijing, Peoples R China 2.Chinese Acad Sci, Inst Automat, CAS Key Lab Mol Imaging, Beijing Key Lab Mol Imaging, Beijing, Peoples R China 3.Univ Chinese Acad Sci, Beijing 100049, Peoples R China 4.Zhengzhou Univ, Software Technol Sch, Zhengzhou, Henan, Peoples R China 5.Univ Chinese Acad Sci, Beijing 100080, Peoples R China 6.Beihang Univ, Beijing Adv Innovat Ctr Big Data Precis Med, Sch Med, Beijing 100191, Peoples R China 7.Xidian Univ, Engn Res Ctr Mol & Neuro Imaging, Sch Life Sci & Technol, Minist Educ, Xian 710126, Shaanxi, Peoples R China |
推荐引用方式 GB/T 7714 | He, Ming,Liu, Zhenyu,Lin, Yusong,et al. Differentiation of atypical non-functional pancreatic neuroendocrine tumor and pancreatic ductal adenocarcinoma using CT based radiomics[J]. EUROPEAN JOURNAL OF RADIOLOGY,2019,117:102-111. |
APA | He, Ming.,Liu, Zhenyu.,Lin, Yusong.,Wan, Jianzhong.,Li, Juan.,...&Xue, Huadan.(2019).Differentiation of atypical non-functional pancreatic neuroendocrine tumor and pancreatic ductal adenocarcinoma using CT based radiomics.EUROPEAN JOURNAL OF RADIOLOGY,117,102-111. |
MLA | He, Ming,et al."Differentiation of atypical non-functional pancreatic neuroendocrine tumor and pancreatic ductal adenocarcinoma using CT based radiomics".EUROPEAN JOURNAL OF RADIOLOGY 117(2019):102-111. |
入库方式: OAI收割
来源:自动化研究所
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