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A radiomic signature as a non-invasive predictor of progression-free survival in patients with lower-grade gliomas

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机构: [a]Beijing Neurosurgical Institute, Capital Medical University, Beijing, China [b]Chinese Academy of Sciences, Institute of Automation, Beijing, China [c]Department of Nuclear Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China, [d]Neurological Imaging Center, 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
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关键词: Radiomic analysis Lower-grade gliomas Progression-free survival Radiogenomics

摘要:
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.

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出版当年[2017]版:
大类 | 2 区 医学
小类 | 2 区 神经成像
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 神经成像
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出版当年[2016]版:
Q1 NEUROIMAGING
最新[2023]版:
Q2 NEUROIMAGING

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: [a]Beijing Neurosurgical Institute, Capital Medical University, Beijing, China
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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.
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