多参数MRI影像组学3D及2D特征预测Luminal型乳腺癌HER-2表达状态的研究
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乐山市2022年重点科技计划项目(22SZD060)


Prediction of HER-2 expression in Luminal breast cancer based on 3D and 2D radiomics features of multiparameter MRI
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    目的 探讨基于多参数磁共振成像(MRI)影像组学3D及2D特征在术前预测乳腺癌人表皮生长因子受体2(HER-2)不同表达状态的价值。方法 回顾性分析2021年7月—2023年11月我院经病理证实为Luminal型乳腺癌的147例患者的MRI图像,将患者按7〖DK〗∶3的比例随机分为训练集和测试集[HER-2阳性与阴性(任务1)、低表达与0表达(任务2)、低表达和阳性与0表达(任务3)方面],从DWI、动态增强前蒙片(S0)、动态增强第3期(S3)图像中提取瘤内及瘤周的3D和2D影像组学特征,通过3种归一化方法、2种降维方法、4种特征选择方法、10种分类器进行多种流水线组合构建模型,通过受试者工作特征(ROC)曲线及曲线下的面积(AUC)评估模型的预测效能,选出3D和2D单参数(DWI、S0、S3)及多参数组合(S0+S3、S0+DWI、S3+DWI、S0+S3+DWI)的最佳模型,通过Delong检验比较不同模型间的差异。结果 任务1中,3D和2D各模型在训练集AUC为0.777~0.832、0.708~0.882,测试集AUC为0.707~0.829、0.702~0.846;任务2中,3D和2D各模型在训练集AUC为0.779~0.870、0.751~0.863,测试集AUC为0.759~0.846、0.728~0.829 ;任务3中,3D和2D各模型在训练集AUC为0.781~0.891、0.740~0.866,测试集AUC为0.776~〖JP〗0.870、0.727~0.846;3个任务中3D与2D相同参数模型间比较均无明显统计学差异。结论 基于多参数MRI影像组学模型能够较好地预测乳腺癌HER-2表达状态,基于瘤内及瘤周的3D和2D特征模型具有同等预测效能

    Abstract:

    Objective To explore the value of 3D and 2D radiomics features of multiparameter MRI in predicting the different expression patterns of human epidermal growth factor receptor 2(HER-2) in breast cancer before surgery, including positive versus negative (task 1), low expression versus zero expression (task 2), low expression and positive versus zero expression (task 3). Methods The MRI images of 147 patients with pathologically confirmed Luminal breast cancer were retrospectively analyzed. The patients were randomly divided into training set and test set according to the ratio of 7〖DK〗∶3. The 3D and 2D radiomics features in and around the tumor were extracted from DWI, dynamic contrast-enhanced mask (S0) and dynamic contrast-enhanced phase 3 (S3) images. Then the models were constructed by multiple pipeline combinations of three normalization methods, two dimensionality reduction methods, four feature selection methods, and ten classifiers. The receiver operating characteristic (ROC) curve and the area under the curve (AUC) were used to evaluate the prediction performance of the models in order to select the best 3D and 2D single parameter (DWI, S0, S3) and multiparameter combination (S0+S3, S0+DWI, S3+DWI, S0+S3+DWI) models. Finally, the differences between different models were compared by Delong test. Results In task 1, the AUC of 3D and 2D models in the training set was 0.777~0.832 and 0.708~0.882, respectively, and those in the test set was 0.707~0.829 and 0.702~0.846. In task 2, the AUC of 3D and 2D models in the training set was 0.779~0.870 and 0.751~0.863, respectively, and those in the test set was 0.759~0.846, 0.728~0.829. In task 3, the AUC of 3D and 2D models in the training set was 0.781~0.891 and 0.740~0.866, respectively, and those in the test set was 0.776~0.870,0.727~0.846. There was no significant statistical difference between 3D and 2D models with the same parameters. Conclusion The multiparameter MRI-based radiomics model can better predict the expression of HER-2 in breast cancer, and the models based on intratumoral and peritumoral 3D and 2D features have the same prediction efficiency

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  • 在线发布日期: 2025-04-23
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