CT radiomics model for predicting progression-free survival of locally advanced cervical cancer after concurrent chemoradiotherapy
10.3760/cma.j.cn113030-20230222-00033
- VernacularTitle:CT影像组学预测局部晚期宫颈癌同步放化疗后生存期
- Author:
Huiling LIU
1
;
Yongbin CUI
;
Cheng CHANG
;
Qingtao QIU
;
Yong YIN
;
Ruozheng WANG
Author Information
1. 新疆肿瘤学重点实验室，新疆医科大学附属肿瘤医院放疗中心，乌鲁木齐 830011
- Keywords:
Uterine cervical neoplasms;
Concurrent chemoradiotherapy;
Computed tomography;
Radiomics;
Survival prediction
- From:
Chinese Journal of Radiation Oncology
2023;32(8):697-703
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct machine learning models based on CT imaging and clinical parameters for predicting progression-free survival (PFS) of locally advanced cervical cancer (LACC) patients after concurrent chemoradiotherapy (CCRT).Methods:Clinical data of 167 LACC patients treated with CCRT at Shandong Cancer Hospital from September 2015 to October 2021 were retrospectively analyzed. All patients were randomly divided into the training and validation cohorts according to the ratio of 7 vs. 3. Clinical features were selected by univariate and multivariate Cox proportional hazards model ( P<0.1). Radiomics models and nomograms were constructed by radiomics features which were selected by least absolute shrinkage and selection operator (LASSO) Cox regression model to predict the 1-, 3- and 5-year PFS. Combined models and nomogram models were developed by selected clinical and radiomics features. The Kaplan Meier-curve, receiver operating characteristic (ROC) curve, C-index and calibration curve were used to evaluate the model performance. Results:A total of 1 409 radiomics features were extracted based on the region of interest (ROI) in CT images. CT radiomics models showed better performance for predicting 1-, 3-and 5-year PFS than the clinical model in the training and validation cohorts. The combined model displayed the optimal performance in predicting 1-, 3-and 5-year PFS in the training cohort [area under the curve (AUC): 0.760, 0.648, 0.661, C-index: 0.740, 0.667, 0.709] and verification cohort (AUC: 0.763, 0.677, 0.648, C-index: 0.748, 0.668, 0.678).Conclusions:Combined model constructed based on CT radiomics and clinical features yield better prediction performance than that based on radiomics or clinical features alone. As an objective image analysis approach, it possesses high prediction efficiency for PFS of LACC patients after CCRT, which can provide reference for clinical decision-making.
