To investigate the radiomic features associated with Ki-67 expression in lower grade gliomas and assess the prognostic values of these features. Patients with lower grade gliomas (n = 117) were randomly assigned into the training (n = 78) and validation (n = 39) sets. A total of 431 radiological features were extracted from each patient. Differential radiological features between the low and high Ki-67 expression groups were screened by significance analysis of microarrays. Then, generalized linear analysis was performed to select features that could predict the Ki-67 expression level. Predictive efficiencies were further evaluated in the validation set. Cox regression analysis was performed to investigate the prognostic values of Ki-67 expression level and Ki-67-related radiological features. A group of nine radiological features were screened for prediction of Ki-67 expression status; these achieved accuracies of 83.3% and 88.6% (areas under the curves, 0.91 and 0.93) in the training and validation sets, respectively. Of these features, only spherical disproportion (SD) was found to be a prognostic factor. Patients in the high SD group exhibited worse outcomes in the whole cohort (overall survival, p < 0.0001; progression-free survival, p < 0.0001). Ki-67 expression level and SD were independent prognostic factors in the multivariate Cox regression analysis. This study identified a radiomic signature for prediction of Ki-67 expression level as well as a prognostic radiological feature in patients with lower grade gliomas.
基金:
Beijing Natural Science FoundationBeijing Natural Science Foundation [7174295]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81601452]
第一作者机构:[1]Capital Med Univ, Beijing Neurosurg Inst, 6 Tiantanxili, Beijing 100050, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Neurosurg Inst, 6 Tiantanxili, Beijing 100050, Peoples R China;[4]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, 6 Tiantanxili, Beijing 100050, Peoples R China;[5]Beijing Inst Brain Disorders, Ctr Brain Tumor, Beijing, Peoples R China;[6]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China
推荐引用方式(GB/T 7714):
Li Yiming,Qian Zenghui,Xu Kaibin,et al.Radiomic features predict Ki-67 expression level and survival in lower grade gliomas[J].JOURNAL OF NEURO-ONCOLOGY.2017,135(2):317-324.doi:10.1007/s11060-017-2576-8.
APA:
Li, Yiming,Qian, Zenghui,Xu, Kaibin,Wang, Kai,Fan, Xing...&Jiang, Tao.(2017).Radiomic features predict Ki-67 expression level and survival in lower grade gliomas.JOURNAL OF NEURO-ONCOLOGY,135,(2)
MLA:
Li, Yiming,et al."Radiomic features predict Ki-67 expression level and survival in lower grade gliomas".JOURNAL OF NEURO-ONCOLOGY 135..2(2017):317-324