机构:[a]Beijing Neurosurgical Institute, Capital Medical University, Beijing, 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[b]Chinese Academy of Sciences, Institute of Automation, Beijing, China[c]Department of Nuclear Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China,医技科室核医学科首都医科大学附属天坛医院[d]Neurological Imaging Center, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China重点科室诊疗科室研究所神经病学中心神经病学中心北京市神经外科研究所首都医科大学附属天坛医院[e]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, 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[f]Center of Brain Tumor, Beijing Institute for Brain Disorders, Beijing, China[g]China National Clinical Research Center for Neurological Diseases, Beijing, China
Objective: The aim of this study was to develop a radiomics signature for prediction of progression-free survival (PFS) in lower-grade gliomas and to investigate the genetic background behind the radiomics signature. Methods: In this retrospective study, training (n = 216) and validation (n = 84) cohorts were collected from the Chinese Glioma Genome Atlas and the Cancer Genome Atlas, respectively. For each patient, a total of 431 radiomics features were extracted from preoperative T2-weighted magnetic resonance images. A radiomics signature was generated in the training cohort, and its prognostic value was evaluated in both the training and validation cohorts. The genetic characteristics of the group with high-risk scores were identified by radio-genomic analysis, and a nomogram was established for prediction of PFS. Results: There was a significant association between the radiomics signature (including 9 screened radiomics features) and PFS, which was independent of other clinicopathologic factors in both the training (P < 0.001, multivariable Cox regression) and validation (P = 0.045, multivariable Cox regression) cohorts. Radiogenomic analysis revealed that the radiomics signature was associated with the immune response, programmed cell death, cell proliferation, and vasculature development. A nomogram established using the radiomics signature and clinicopathologic risk factors demonstrated high accuracy and good calibration for prediction of PFS in both the training (C-index, 0.684) and validation (C-index, 0.823) cohorts. Conclusions: PFS can be predicted non-invasively in patients with LGGs by a group of radiomics features that could reflect the biological processes of these tumors.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81601452]; Beijing Natural Science FoundationBeijing Natural Science Foundation [7174295]; National Key Research and Development Plan [2016YFC0902500]; Capital Medical Development Research Fund [2016-1-1072]; Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support [ZYLX201708]
第一作者机构:[a]Beijing Neurosurgical Institute, Capital Medical University, Beijing, China
共同第一作者:
通讯作者:
通讯机构:[a]Beijing Neurosurgical Institute, Capital Medical University, Beijing, China[e]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China[f]Center of Brain Tumor, Beijing Institute for Brain Disorders, Beijing, China[g]China National Clinical Research Center for Neurological Diseases, Beijing, China[*1]Beijing Neurosurgical Institute, Capital Medical University, 6 Tiantanxili, Beijing 100050, China[*2]Beijing Tiantan Hospital, Department of Neurosurgery, Capital Medical University, 6 Tiantanxili, Beijing 100050, China.
推荐引用方式(GB/T 7714):
Xing Liu,Yiming Li,Zenghui Qian,et al.A radiomic signature as a non-invasive predictor of progression-free survival in patients with lower-grade gliomas[J].NEUROIMAGE-CLINICAL.2018,20:1070-1077.doi:10.1016/j.nicl.2018.10.014.
APA:
Xing Liu,Yiming Li,Zenghui Qian,Zhiyan Sun,Kaibin Xu...&Yinyan Wang.(2018).A radiomic signature as a non-invasive predictor of progression-free survival in patients with lower-grade gliomas.NEUROIMAGE-CLINICAL,20,
MLA:
Xing Liu,et al."A radiomic signature as a non-invasive predictor of progression-free survival in patients with lower-grade gliomas".NEUROIMAGE-CLINICAL 20.(2018):1070-1077