机构:[a]Department of Radiology, West China Hospital, Sichuan University, Chengdu,四川大学华西医院[b]Department of Gastrointestinal Surgery and Laboratory of Gastric Cancer, West China Hospital, Sichuan University, Chengdu,四川大学华西医院[c]Institute of Advanced Research, Infervision, Beijing, China.
Peritoneal metastasis (PM) is a frequent condition in patients presenting with gastric cancer, especially in younger patients with advanced tumor stages. Computer tomography (CT) is the most common noninvasive modality for preoperative staging in gastric cancer. However, the challenges of limited CT soft tissue contrast result in poor CT depiction of small peritoneal tumors. The sensitivity for detecting PM remains low. About 16% of PM are undetected. Deep learning belongs to the category of artificial intelligence and has demonstrated amazing results in medical image analyses. So far, there has been no deep learning study based on CT images for the diagnosis of PM in gastric cancer.
CT images in the primary tumor region of gastric cancer had valuable information that could predict occult PM of gastric cancer, which could be extracted effectively through deep learning.
To develop a deep learning model for accurate preoperative diagnosis of PM in gastric cancer.
All patients with gastric cancer were retrospectively enrolled. All patients were initially diagnosed as PM negative by CT and later confirmed as positive through surgery or laparoscopy. The dataset was randomly split into training cohort (70% of all patients) and testing cohort (30% of all patients). To develop deep convolutional neural network (DCNN) models with high generalizability, 5-fold cross-validation and model ensemble were utilized. The area under the receiver operating characteristic curve, sensitivity and specificity were used to evaluate DCNN models on the testing cohort.
This study will help us know whether deep learning can improve the performance of CT in diagnosing PM in gastric cancer.
基金:
This retrospective study was approved by the Biomedical Research Ethics
Committee of West China Hospital of Sichuan University (No. 2019-1158), and
the requirement for informed consent was waived.
语种:
外文
PubmedID:
中科院(CAS)分区:
出版当年[2020]版:
大类|4 区医学
小类|4 区医学:内科
最新[2023]版:
大类|4 区医学
小类|4 区医学:内科
第一作者:
第一作者机构:[a]Department of Radiology, West China Hospital, Sichuan University, Chengdu,
共同第一作者:
通讯作者:
通讯机构:[a]Department of Radiology, West China Hospital, Sichuan University, Chengdu,[b]Department of Gastrointestinal Surgery and Laboratory of Gastric Cancer, West China Hospital, Sichuan University, Chengdu,[*1]Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China[*2]Department of Gastrointestinal Surgery and Laboratory of Gastric Cancer, West China Hospital, Sichuan University, Chengdu 610041, China
推荐引用方式(GB/T 7714):
Zixing Huang,Dan Liu,Xinzu Chen,et al.Retrospective imaging studies of gastric cancer: Study protocol clinical trial (SPIRIT Compliant).[J].Medicine.2020,99(8):e19157.doi:10.1097/MD.0000000000019157.
APA:
Zixing Huang,Dan Liu,Xinzu Chen,Pengxin Yu,Jiangfen Wu...&Bing Wu.(2020).Retrospective imaging studies of gastric cancer: Study protocol clinical trial (SPIRIT Compliant)..Medicine,99,(8)
MLA:
Zixing Huang,et al."Retrospective imaging studies of gastric cancer: Study protocol clinical trial (SPIRIT Compliant).".Medicine 99..8(2020):e19157