Hepatoma extrahepatic metastasis prediction model based on radiomics and construction method and application thereof
A radiomics, metastasis prediction technology, applied in neural learning methods, biological neural network models, informatics, etc., to improve performance and achieve the effect of individualized and precision medicine
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Embodiment 1
[0081] This embodiment proposes a radiomics-based method for establishing a prediction model for extrahepatic metastasis of liver cancer, including the following steps:
[0082] (1) 277 patients who were pathologically confirmed as hepatocellular carcinoma and underwent liver resection were included as a data set, and they were randomly divided into a training group (n=193) and a validation group (n=84) according to a ratio of 7:3. );
[0083] (2) Collect the original medical images and clinical information of patients with liver cancer treated by hepatectomy, and extract 1130 imaging features from the CT images of each patient, that is, the preliminary radiomics features, of which 1130 imaging features Features include: first-order statistical features, morphological features, gray-scale co-occurrence matrix features (GLCM), gray-scale run-length features (GLRLM), gray-scale region size matrix features (GLSZM), gray-scale dependency matrix features (GLDM), wavelet Change fea...
Embodiment 2
[0092] This embodiment proposes a method for constructing a clinical model and a joint model, including the following steps:
[0093] (1) Univariate analysis was used to determine the impact of clinical characteristics on prognosis of patients with extrahepatic metastasis of liver cancer, and the clinical characteristics with p<0.05 were selected for multivariate regression analysis, and three clinical characteristics were determined through univariate analysis, namely body mass index (BMI ), neutrophil count (NEUT) and t stage, two qualitative imaging features, namely tumor diameter, MVI and Radscore (all P<0.05);
[0094] (2) Multivariate logistic regression analysis was performed on the above clinical characteristics and imaging qualitative characteristics. The analysis showed that tumor diameter (OR 0.721 [95% CI, 0.542-0.959)], P=0.025), t stage (P<0.0001) and radiomics score (OR, 1.618e6[95CI, 17.438-3.666e10], P=0.005) were independent predictors of liver cancer;
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