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Non-invasive radiomics approach potentially predicts non-functioning pituitary adenomas subtypes before surgery

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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 [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 [6]CAS Center for Excellence in Brain Science and Intelligence Technology, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China
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关键词: Non-functioning pituitary adenomas Null cell adenomas Radiomics Support vector machine Nomograms

摘要:
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.

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出版当年[2017]版:
大类 | 2 区 医学
小类 | 2 区 核医学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 核医学
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出版当年[2016]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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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
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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
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