Radiomics combined with clinical features in distinguishing non-calcifying tuberculosis granuloma and lung adenocarcinoma in small pulmonary nodules

Autor: Qing Dong, Qingqing Wen, Nan Li, Jinlong Tong, Zhaofu Li, Xin Bao, Jinzhi Xu, Dandan Li
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: PeerJ, Vol 10, p e14127 (2022)
Druh dokumentu: article
ISSN: 2167-8359
DOI: 10.7717/peerj.14127
Popis: Aim To evaluate the performance of radiomics models with the combination of clinical features in distinguishing non-calcified tuberculosis granuloma (TBG) and lung adenocarcinoma (LAC) in small pulmonary nodules. Methodology We conducted a retrospective analysis of 280 patients with pulmonary nodules confirmed by surgical biopsy from January 2017 to December 2020. Samples were divided into LAC group (n = 143) and TBG group (n = 137). We assigned them to a training dataset (n = 196) and a testing dataset (n = 84). Clinical features including gender, age, smoking, CT appearance (size, location, spiculated sign, lobulated shape, vessel convergence, and pleural indentation) were extracted and included in the radiomics models. 3D slicer and FAE software were used to delineate the Region of Interest (ROI) and extract clinical features. The performance of the model was evaluated by the Area Under the Receiver Operating Characteristic (ROC) Curve (AUC). Results Based on the model selection, clinical features gender, and age in the LAC group and TBG group showed a significant difference in both datasets (P
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