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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Li, Zongbao Zhong, Yifan Lv, Yan Zheng, Jianzhong Hu, Yu Yang, Yanyan Li, Yunxi Sun, Meng Liu, Siqian Guo, Yan Zhang, Mengchao Zhou, Le |
| Abstract | Objectives To develop and validate radiomics model based on computed tomography (CT) for preoperative prediction of CN0 status in patients with papillary thyroid carcinoma (PTC). Methods A total of 548 pathologically confirmed LNs (243 non-metastatic and 305 metastatic) two distinct hospitals were retrospectively assessed. A total of 396 radiomics features were extracted from arterial-phase CT images, where the strongest features containing the most predictive potential were further selected using the least absolute shrinkage and selection operator (LASSO) regression method. Delong test was used to compare the AUC values of training set, test sets and cN0 group. Results The Rad-score showed good discriminating performance with Area Under the ROC Curve (AUC) of 0.917(95% CI, 0.884 to 0.950), 0.892 (95% CI, 0.833 to 0.950) and 0.921 (95% CI, 868 to 0.973) in the training, internal validation cohort and external validation cohort, respectively. The test group of CN0 with a AUC of 0.892 (95% CI, 0.805 to 0.979). The accuracy was 85.4% (sensitivity = 81.3%; specificity = 88.9%) in the training cohort, 82.9% (sensitivity = 79.0%; specificity = 88.7%) in the internal validation cohort, 85.4% (sensitivity = 89.7%; specificity = 83.8%) in the external validation cohort, 86.7% (sensitivity = 83.8%; specificity = 91.3%) in the CN0 test group.The calibration curve demonstrated a significant Rad-score (P-value in H-L test > 0.05). The decision curve analysis indicated that the rad-score was clinically useful. Conclusions Radiomics has shown great diagnostic potential to preoperatively predict the status of cN0 in PTC. |
| Related Links | https://cancerimagingjournal.biomedcentral.com/counter/pdf/10.1186/s40644-024-00690-y.pdf |
| Ending Page | 9 |
| Page Count | 9 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14707330 |
| DOI | 10.1186/s40644-024-00690-y |
| Journal | Cancer Imaging |
| Issue Number | 1 |
| Volume Number | 24 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2024-05-15 |
| Access Restriction | Open |
| Subject Keyword | Oncology Cancer Research Imaging Radiology Nuclear Medicine CN0 CT imaging Radiomics Papillary thyroid carcinoma |
| Content Type | Text |
| Resource Type | Article |
| Subject | Radiological and Ultrasound Technology Radiology, Nuclear Medicine and Imaging Oncology |
| Journal Impact Factor | 3.5/2023 |
| 5-Year Journal Impact Factor | 4.3/2023 |
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