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A prognostic model integrating PET-derived metrics and image texture analyses with clinical risk factors from GOYA
L. Kostakoglu, F. Dalmasso, P. Berchialla, LA. Pierce, U. Vitolo, M. Martelli, LH. Sehn, M. Trněný, TG. Nielsen, CR. Bolen, D. Sahin, C. Lee, TC. El-Galaly, F. Mattiello, PE. Kinahan, S. Chauvie
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
NLK
Directory of Open Access Journals
od 2020
PubMed Central
od 2020
ProQuest Central
od 2021-02-01
Wiley-Blackwell Open Access Titles
od 2019
ROAD: Directory of Open Access Scholarly Resources
od 2020
PubMed
35846039
DOI
10.1002/jha2.421
Knihovny.cz E-zdroje
- Publikační typ
- časopisecké články MeSH
Image texture analysis (radiomics) uses radiographic images to quantify characteristics that may identify tumour heterogeneity and associated patient outcomes. Using fluoro-deoxy-glucose positron emission tomography/computed tomography (FDG-PET/CT)-derived data, including quantitative metrics, image texture analysis and other clinical risk factors, we aimed to develop a prognostic model that predicts survival in patients with previously untreated diffuse large B-cell lymphoma (DLBCL) from GOYA (NCT01287741). Image texture features and clinical risk factors were combined into a random forest model and compared with the international prognostic index (IPI) for DLBCL based on progression-free survival (PFS) and overall survival (OS) predictions. Baseline FDG-PET scans were available for 1263 patients, 832 patients of these were cell-of-origin (COO)-evaluable. Patients were stratified by IPI or radiomics features plus clinical risk factors into low-, intermediate- and high-risk groups. The random forest model with COO subgroups identified a clearer high-risk population (45% 2-year PFS [95% confidence interval (CI) 40%-52%]; 65% 2-year OS [95% CI 59%-71%]) than the IPI (58% 2-year PFS [95% CI 50%-67%]; 69% 2-year OS [95% CI 62%-77%]). This study confirms that standard clinical risk factors can be combined with PET-derived image texture features to provide an improved prognostic model predicting survival in untreated DLBCL.
1st Faculty of Medicine Charles University General Hospital Prague Czech Republic
Department of Clinical and Biological Sciences University of Turin Turin Italy
Department of Hematology Aalborg University Hospital Aalborg Denmark
Department of Radiology and Medical Imaging University of Virginia Charlottesville Virginia USA
Department of Radiology University of Washington Seattle Washington USA
F Hoffmann La Roche Ltd Basel Switzerland
Genentech Inc South San Francisco California USA
Hematology Department of Translational and Precision Medicine Sapienza University Rome Italy
Medical Physics Division Santa Croce e Carle Hospital Cuneo Italy
Multidisciplinary Oncology Outpatient Clinic Candiolo Cancer Institute Candiolo Italy
Citace poskytuje Crossref.org
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