Do We Need Complex Image Features to Personalize Treatment of Patients with Locally Advanced Rectal Cancer?
Publikation: Beitrag in Buch/Konferenzbericht/Sammelband/Gutachten › Beitrag in Konferenzband › Beigetragen › Begutachtung
Beitragende
Abstract
Radiomics has shown great potential for outcome prognosis and presents a promising approach for improving personalized cancer treatment. In radiomic analyses, features of different complexity are extracted from clinical imaging datasets, which are correlated to the endpoints of interest using machine-learning approaches. However, it is generally unclear if more complex features have a higher prognostic value and show a robust performance in external validation. Therefore, in this study, we developed and validated radiomic signatures for outcome prognosis after neoadjuvant radiochemotherapy in locally advanced rectal cancer (LARC) using computed tomography (CT) and T2-weighted magnetic resonance imaging (MRI) of two independent institutions (training/validation: 94/28 patients). For the prognosis of tumor response and freedom from distant metastases (FFDM), we used different imaging features extracted from the gross tumor volume: less complex morphological and first-order (MFO) features, more complex second-order texture (SOT) features, and both feature classes combined. Analyses were performed for both imaging modalities separately and combined. Performance was assessed by the area under the curve (AUC) and the concordance index (CI) for tumor response and FFDM, respectively. Overall, radiomic features showed prognostic value for both endpoints. Combining MFO and SOT features led to equal or higher performance in external validation compared to MFO and SOT features alone. The best results were observed after combining MRI and CT features (AUC = 0.76, CI = 0.65). In conclusion, promising biomarker signatures combining MRI and CT were developed for outcome prognosis in LARC. Further external validation is pending before potential clinical application.
Details
Originalsprache | Englisch |
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Titel | Medical Image Computing and Computer Assisted Intervention – MICCAI 2021 - 24th International Conference, Proceedings |
Redakteure/-innen | Marleen de Bruijne, Philippe C. Cattin, Stéphane Cotin, Nicolas Padoy, Stefanie Speidel, Yefeng Zheng, Caroline Essert |
Herausgeber (Verlag) | Springer, Berlin [u. a.] |
Seiten | 775-785 |
Seitenumfang | 11 |
ISBN (Print) | 9783030872335 |
Publikationsstatus | Veröffentlicht - 2021 |
Peer-Review-Status | Ja |
Publikationsreihe
Reihe | Lecture Notes in Computer Science, Volume 12907 |
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ISSN | 0302-9743 |
Konferenz
Titel | 24th International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2021 |
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Dauer | 27 September - 1 Oktober 2021 |
Stadt | Virtual, Online |
Externe IDs
ORCID | /0000-0002-7017-3738/work/146646024 |
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ORCID | /0000-0003-1776-9556/work/171065739 |
Schlagworte
Ziele für nachhaltige Entwicklung
ASJC Scopus Sachgebiete
Schlagwörter
- Biomarkers, Distant metastases, Rectal cancer, Tumor response