机构:[1]Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China.四川大学华西医院[2]Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, China.四川大学华西医院[3]Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu 610041, China.四川大学华西医院
We explored the added value of a radiomic strategy based on quantitative transverse relaxation (T2) mapping and conventional magnetic resonance imaging (MRI) to evaluate the histologic grade of bladder cancer (BCa) preoperatively. Patients who were suspected of BCa underwent pelvic MRI (including T2 mapping and diffusion-weighted imaging (DWI) before any treatment. All patients with histological-proved urothelial BCa were included. We constructed different prediction models using the mean signal values and radiomic features from both T2 mapping and apparent diffusion coefficient (ADC) maps. The diagnostic performance of each model or parameter was assessed using receiver operating characteristic curves. In total, 92 patients were finally included (training cohort, n = 64; testing cohort, n = 28); among these, 71 had high-grade BCa. In the testing cohort, the T2-mapping radiomic model achieved the highest prediction performance (area under the curve (AUC), 0.87; 95% confidence interval (CI), 0.73-1.0) compared with the ADC radiomic model (AUC, 0.77; 95%CI, 0.56-0.97), and the joint radiomic model of 0.78 (95%CI, 0.61-0.96). Our results demonstrated that radiomic mapping could provide more information than direct evaluation of T2 and ADC values in differentiating histological grades of BCa. Additionally, among the radiomic models, the T2-mapping radiomic model outperformed the ADC and joint radiomic models.
基金:
This research was funded by Natural Science Foundation of Sichuan Province (No. 2022NSFSC1335),
Post-Doctor Research Project,West China Hospital, Sichuan University (No.2021HXBH044),
Key research and development project of Sichuan Science and Technology Department (No. 23ZDYF1246),
and also founded by Hainan Province ClinicalMedical Center.
语种:
外文
PubmedID:
中科院(CAS)分区:
出版当年[2023]版:
大类|3 区医学
小类|2 区医学:内科
最新[2023]版:
大类|3 区医学
小类|2 区医学:内科
第一作者:
第一作者机构:[1]Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China.
共同第一作者:
通讯作者:
推荐引用方式(GB/T 7714):
Ye Lei,Wang Yayi,Xiang Wanxin,et al.Radiomic Analysis of Quantitative T2 Mapping and Conventional MRI in Predicting Histologic Grade of Bladder Cancer[J].Journal of clinical medicine.2023,12(18):doi:10.3390/jcm12185900.
APA:
Ye Lei,Wang Yayi,Xiang Wanxin,Yao Jin,Liu Jiaming&Song Bin.(2023).Radiomic Analysis of Quantitative T2 Mapping and Conventional MRI in Predicting Histologic Grade of Bladder Cancer.Journal of clinical medicine,12,(18)
MLA:
Ye Lei,et al."Radiomic Analysis of Quantitative T2 Mapping and Conventional MRI in Predicting Histologic Grade of Bladder Cancer".Journal of clinical medicine 12..18(2023)