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Radiomic analysis of lung cancer for the assessment of patient prognosis and intratumor heterogeneity

OBJECTIVE: To determine whether the radiomic features of lung lesions on computed tomography correlate with overall survival in lung cancer patients. MATERIALS AND METHODS: This was a retrospective study involving 101 consecutive patients with malignant neoplasms confirmed by biopsy or surgery. On c...

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Detalles Bibliográficos
Autores principales: Ferreira Junior, José Raniery, Koenigkam-Santos, Marcel, Machado, Camila Vilas Boas, Faleiros, Matheus Calil, Correia, Natália Santana Chiari, Cipriano, Federico Enrique Garcia, Fabro, Alexandre Todorovic, de Azevedo-Marques, Paulo Mazzoncini
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8029936/
https://www.ncbi.nlm.nih.gov/pubmed/33854262
http://dx.doi.org/10.1590/0100-3984.2019.0135
Descripción
Sumario:OBJECTIVE: To determine whether the radiomic features of lung lesions on computed tomography correlate with overall survival in lung cancer patients. MATERIALS AND METHODS: This was a retrospective study involving 101 consecutive patients with malignant neoplasms confirmed by biopsy or surgery. On computed tomography images, the lesions were submitted to semi-automated segmentation and were characterized on the basis of 2,465 radiomic variables. The prognostic assessment was based on Kaplan-Meier analysis and log-rank tests, according to the median value of the radiomic variables. RESULTS: Of the 101 patients evaluated, 28 died (16 dying from lung cancer), and 73 were censored, with a mean overall survival time of 1,819.4 days (95% confidence interval [95% CI]: 1,481.2-2,157.5). One radiomic feature (the mean of the Fourier transform) presented a difference on Kaplan-Meier curves (p < 0.05). A high-risk group of patients was identified on the basis of high values for the mean of the Fourier transform. In that group, the mean survival time was 1,465.4 days (95% CI: 985.2-1,945.6), with a hazard ratio of 2.12 (95% CI: 1.01-4.48). We also identified a low-risk group, in which the mean of the Fourier transform was low (mean survival time of 2,164.8 days; 95% CI: 1,745.4-2,584.1). CONCLUSION: A radiomic signature based on the Fourier transform correlates with overall survival, representing a prognostic biomarker for risk stratification in patients with lung cancer.