机构:[1]CAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China[2]University of Chinese Academy of Sciences, Beijing 100080, China[3]Beijing Neurosurgical Institute, Capital Medical University, Beijing 100050, China研究所北京市神经外科研究所首都医科大学附属天坛医院[4]Electrical Engineering School, Harbin University of Science & Technology, Harbin 150040, China[5]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China重点科室诊疗科室神经外科神经外科首都医科大学附属天坛医院[6]CAS Center for Excellence in Brain Science and Intelligence Technology, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China
To make individualised preoperative prediction of non-functioning pituitary adenoma (NFPAs) subtypes between null cell adenomas (NCAs) and other subtypes using a radiomics approach. We enrolled 112 patients (training set: n = 75; test set: n = 37) with complete T1-weighted magnetic resonance imaging (MRI) and contrast-enhanced T1-weighted MRI (CE-T1). A total of 1482 quantitative imaging features were extracted from T1 and CE-T1 images. Support vector machine trained a predictive model that was validated using a receiver operating characteristics (ROC) analysis on an independent test set. Moreover, a nomogram was constructed incorporating clinical characteristics and the radiomics signature for individual prediction. T1 image features yielded area under the curve (AUC) values of 0.8314 and 0.8042 for the training and test sets, respectively, while CE-T1 image features provided no additional contribution to the predictive model. The nomogram incorporating sex and the T1 radiomics signature yielded good calibration in the training and test sets (concordance index (CI) = 0.854 and 0.857, respectively). This study focused on the preoperative prediction of NFPA subtypes between NCAs and others using a radiomics approach. The developed model yielded good performance, indicating that radiomics had good potential for the preoperative diagnosis of NFPAs. aEuro cent MRI may help in the pre-operative diagnosis of NFPAs subtypes aEuro cent Retrospective study showed T1-weighted MRI more useful than CE-T1 in NCAs diagnosis aEuro cent Treatment decision making becomes more individualised aEuro cent Radiomics approach had potential for classification of NFPAs.
基金:
National Key Research and Development Program of China [2017YFA0205200, 2017YFC1308700, 2106YFC0103702, 2016YFA0201401, 2017YFC1308701, 2017YFC1309100, 2016CZYD0001]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81227901, 81527805, 61231004, 81501616, 81671851]; Beijing Municipal Science & Technology CommissionBeijing Municipal Science & Technology Commission [Z161100002616022, Z171100000117023]; Science and Technology Service Network Initiative of the Chinese Academy of Sciences [KFJ-SW-STS-160]; International Innovation Team of CAS [20140491524]; Instrument Developing Project of the Chinese Academy of Sciences [YZ201502]; National High Technology Research and Development Program of ChinaNational High Technology Research and Development Program of China [2015AA020504]
第一作者机构:[1]CAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China[2]University of Chinese Academy of Sciences, Beijing 100080, China
共同第一作者:
通讯作者:
通讯机构:[1]CAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China[2]University of Chinese Academy of Sciences, Beijing 100080, China[3]Beijing Neurosurgical Institute, Capital Medical University, Beijing 100050, China[5]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China