Novel radiomic analysis on bi-parametric MRI for characterizing differences between MR non-visible and visible clinically significant prostate cancer

Autor: Lin Li, Rakesh Shiradkar, Sree Harsha Tirumani, Leonardo Kayat Bittencourt, Pingfu Fu, Amr Mahran, Christina Buzzy, Phillip D. Stricker, Ardeshir R. Rastinehad, Cristina Magi-Galluzzi, Lee Ponsky, Eric Klein, Andrei S. Purysko, Anant Madabhushi
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: European Journal of Radiology Open, Vol 10, Iss , Pp 100496- (2023)
Druh dokumentu: article
ISSN: 2352-0477
DOI: 10.1016/j.ejro.2023.100496
Popis: Background: around one third of clinically significant prostate cancer (CsPCa) foci are reported to be MRI non-visible (MRI─). Objective: To quantify the differences between MR visible (MRI+) and MRI─ CsPCa using intra- and peri-lesional radiomic features on bi-parametric MRI (bpMRI). Methods: This retrospective and multi-institutional study comprised 164 patients with pre-biopsy 3T prostate multi-parametric MRI from 2014 to 2017. The MRI─ CsPCa referred to lesions with PI-RADS v2 score 1. Three experienced radiologists were involved in annotating lesions and PI-RADS assignment. The validation set (Dv) comprised 52 patients from a single institution, the remaining 112 patients were used for training (Dt). 200 radiomic features were extracted from intra-lesional and peri-lesional regions on bpMRI.Logistic regression with least absolute shrinkage and selection operator (LASSO) and 10-fold cross-validation was applied on Dt to identify radiomic features associated with MRI─ and MRI+ CsPCa to generate corresponding risk scores RMRI─ and RMRI+. RbpMRI was further generated by integrating RMRI─ and RMRI+. Statistical significance was determined using the Wilcoxon signed-rank test. Results: Both intra-lesional and peri-lesional bpMRI Haralick and CoLlAGe radiomic features were significantly associated with MRI─ CsPCa (p
Databáze: Directory of Open Access Journals