期刊
ACADEMIC RADIOLOGY
卷 30, 期 11, 页码 2487-2496出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.acra.2023.01.030
关键词
Neuroblastoma; Radiomics; Event -free survival; Prognosis.
The study constructed and validated a combined model based on axial skeleton radiomics of F-18-FDG PET/CT, which showed more accurate predictive performance for event-free survival in high-risk pediatric neuroblastoma patients, helping to design individualized treatment strategies and regular follow-ups.
Objectives: To construct and validate a combined model based on axial skeleton radiomics of F-18-FDG PET/CT for predicting event-free survival in high-risk pediatric neuroblastoma patients.Materials and methods: Eighty-seven high-risk neuroblastoma patients were retrospectively enrolled in this study and randomized in a 7:3 ratio to the training and validation cohorts. The radiomics model was constructed using radiomics features that were extracted from the axial skeleton. A univariate Cox regression analysis was then performed to screen clinical risk factors associated with event-free survival for building clinical model. Radiomics features and clinical risk factors were incorporated to construct the combined model for predicting the event-free survival in high-risk neuroblastoma patients. The performance of the models was evaluated by the C-index.Results: Eighteen radiomics features were selected to build the radiomics model. The radiomics model achieved better event-free survival prediction than the clinical model in the training cohort (C-index: 0.846 vs. 0.612) and validation cohort (C-index: 0.754 vs. 0.579). The combined model achieved the best prognostic prediction performance with a C-index of 0.863 and 0.799 in the training and validation cohorts, respectively.Conclusion: The combined model integrating radiomics features and clinical risk factors showed more accurate predictive performance for event-free survival in high-risk pediatric neuroblastoma patients, which helps to design individualized treatment strategies and regular follow-ups.
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