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A Radiomics and Genomics Derived Model for Predicting Metastasis and Prognosis in Colorectal Cancer

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机构: [1]Department of Clinical Research Center, Dazhou Central Hospital, Dazhou, Sichuan, 635000, China. [2]Department of Ultrasound, Zhongnan Hospital of Wuhan University, Wuhan, Hubei. [3]Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, China. [4]Department of General Surgery, Dazhou Central Hospital, Dazhou, Sichuan, 635000, China. [5]Department of Clinical laboratory, Dazhou Central Hospital, Dazhou, Sichuan, 635000, China. [6]Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Road, Wuhan 430030, China. [7]CAS Key Laboratory of Molecular Imaging, Institute of Automation, Beijing, 100190, China, University of Chinese Academy of Sciences, Beijing, 100080, China. [8]Department of Clinical Research Center, Dazhou Central Hospital, Dazhou, 635000, China.
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Approximately 50% of colorectal cancer (CRC) patients would develop metastasis with poor prognosis, therefore, it is necessary to effectively predict metastasis in clinical treatment. In this study, we aimed to establish a machine learning model for predicting metastasis in CRC patients by considering radiomics and transcriptomics simultaneously. Here, 1,023 patients with CRC from three centers were collected and divided into 5 queues (Dazhou Central Hospital n = 517, Nanchong Central Hospital n = 120, the Cancer Genome Atlas (TCGA) n = 386). A total of 854 radiomics features were extracted from tumor lesions on CT images, and 217 differentially expressed genes were obtained from non-metastasis and metastasis tumor tissues using RNA sequencing. Based on radiotranscriptomic (RT) analysis, a novel RT model was developed and verified through genetic algorithms (GA). Interleukin (IL)-26, a biomarker in RT model, was verified for its biological function in CRC metastasis. Furthermore, 15 radiomics variables were screened through stepwise regression, which was highly correlated with the IL26 expression level. Finally, a radiomics model (RA) was established by combining GA and stepwise regression analysis with radiomics features. The RA model exhibited favorable discriminatory ability and accuracy for metastasis prediction in two independent verification cohorts. We designed multicenter, multi-scale cohorts to construct and verify novel combined radiomics and genomics models for predicting metastasis in CRC. Overall, RT model and RA model might help clinicians in directing personalized diagnosis and therapeutic regimen selection for patients with CRC.© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

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大类 | 3 区 医学
小类 | 3 区 肿瘤学
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Q2 ONCOLOGY

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第一作者机构: [1]Department of Clinical Research Center, Dazhou Central Hospital, Dazhou, Sichuan, 635000, China.
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通讯机构: [7]CAS Key Laboratory of Molecular Imaging, Institute of Automation, Beijing, 100190, China, University of Chinese Academy of Sciences, Beijing, 100080, China. [8]Department of Clinical Research Center, Dazhou Central Hospital, Dazhou, 635000, China.
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