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Prediction of Chemotherapy Efficacy in Patients with Colorectal Cancer Ovarian Metastases: A Preliminary Study Using Contrast-Enhanced Computed-Tomography-Based Radiomics

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机构: [1]Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China. [2]Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, China. [3]Division of Abdominal Tumor Multimodality Treatment, Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, China. [4]Institute of Advanced Research, Infervision Medical Technology Co., Ltd., Beijing 100025, China. [5]Colorectal Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, China.
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关键词: colorectal cancer ovarian metastases radiomics chemotherapy efficacy

摘要:
Ovarian metastasis (OM) from colorectal cancer (CRC) is infrequent and has a poor prognosis. The purpose of this study is to investigate the value of a contrast-enhanced CT-based radiomics model in predicting ovarian metastasis from colorectal cancer outcomes after systemic chemotherapy. A total of 52 ovarian metastatic CRC patients who received first-line systemic chemotherapy were retrospectively included in this study and were categorized into chemo-benefit (C+) and no-chemo-benefit (C-) groups, using Response Criteria in Solid Tumors (RECIST v1.1) as the standard. A total of 1743 radiomics features were extracted from baseline CT, three methods were adopted during the feature selection, and five prediction models were constructed. Receiver operating characteristic (ROC) analysis, calibration analysis, and decision curve analysis (DCA) were used to evaluate the diagnostic performance and clinical utility of each model. Among those machine-learning-based radiomics models, the SVM model showed the best performance on the validation dataset, with AUC, accuracy, sensitivity, and specificity of 0.903 (95% CI, 0.788-0.967), 88.5%, 95.7%, and 82.8%, respectively. All radiomics models exhibited good calibration, and the DCA demonstrated that the SVM model had a higher net benefit than other models across the majority of the range of threshold probabilities. Our findings showed that contrast-enhanced CT-based radiomics models have high discriminating power in predicting the outcome of colorectal cancer ovarian metastases patients receiving chemotherapy.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 3 区 医学:内科
最新[2023]版:
大类 | 3 区 医学
小类 | 3 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.
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通讯作者:
通讯机构: [2]Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, China. [5]Colorectal Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, China.
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