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Nomogram based on MRI can preoperatively predict brain invasion in meningioma

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机构: [1]Department of Radiology, The Fifth Affiliated Hospital of Zunyi Medical University, Zhufengdadao No.1439, Doumen District, Zhuhai 519110, China [2]Department of Radiology, Affiliated Hospital of Qinghai University, Xining, China [3]Department of Radiology, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu, China [4]Department of Radiology, Lanzhou University Second Hospital, Cuiyingmen No. 82, Chengguan District, 730030 Lanzhou, People’s Republic of China [5]Key Laboratory of Central Research Institute, United Imaging Healthcare, Shanghai, China [6]Department of Pharmaceuticals Diagnosis, GE Healthcare, Beijing, China
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关键词: Meningioma Brain Magnetic resonance imaging

摘要:
Predicting brain invasion preoperatively should help to guide surgical decision-making and aid the prediction of meningioma grading and prognosis. However, only a few imaging features have been identified to aid prediction. This study aimed to develop and validate an MRI-based nomogram to predict brain invasion by meningioma. In this retrospective study, 658 patients were examined via routine MRI before undergoing surgery and were diagnosed with meningioma by histopathology. Least absolute shrinkage and selection operator (LASSO) regularization was used to determine the optimal combination of clinical characteristics and MRI features for predicting brain invasion by meningiomas. Logistic regression and receiver operating characteristic (ROC) curve analyses were used to determine the discriminatory ability. Furthermore, a nomogram was constructed using the optimal MRI features, and decision curve analysis was used to validate the clinical usefulness of the nomogram. Eighty-one patients with brain invasion and 577 patients without invasion were enrolled. According to LASSO regularization, tumour shape, tumour boundary, peritumoral oedema, and maximum diameter were independent predictors of brain invasion. The model showed good discriminatory ability for predicting brain invasion in meningiomas, with an AUC of 0.905 (95% CI, 0.871-0.940) vs 0.898 (95% CI, 0.849-0.947) and sensitivity of 93.0% vs 92.6% in the training vs validation cohorts. Our predictive model based on MRI features showed good performance and high sensitivity for predicting the risk of brain invasion in meningiomas and can be applied in the clinical setting.© 2022. The Author(s).

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出版当年[2022]版:
大类 | 3 区 医学
小类 | 3 区 外科 3 区 临床神经病学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 外科
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出版当年[2022]版:
Q2 SURGERY Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q1 SURGERY Q2 CLINICAL NEUROLOGY

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第一作者机构: [1]Department of Radiology, The Fifth Affiliated Hospital of Zunyi Medical University, Zhufengdadao No.1439, Doumen District, Zhuhai 519110, China
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