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Development of survival predictors for high-grade serous ovarian cancer based on stable radiomic features from computed tomography images.


ABSTRACT: Less than 35% of advanced patients with high-grade serous ovarian cancer (HGSOC) survive for 5 years after diagnosis. Here, we developed radiomics-based models to predict HGSOC clinical outcomes using preoperative contrast-enhanced computed tomography (CECT) images. 891 radiomics features were extracted between primary, metastatic, or lymphatic lesions from preoperative venous phase CECT images of 217 patients with HGSOC. A heuristic method, Frequency Appearance in Multiple Univariate preScreening (FAMUS), was proposed to identify stable and task-relevant radiomic features. Using FAMUS, we constructed predictive models of overall survival and disease-free survival in patients with HGSOC based on these stable radiomic features. According to their CT images, patients with HGSOC can be accurately stratified into high-risk or low-risk groups for cancer-related death within 2-6 years or for likely recurrence within 1-5 years. These radiomic models provide convincing and reliable non-invasive markers for individualized prognostic evaluation and clinical decision-making for patients with HGSOC.

SUBMITTER: Hu J 

PROVIDER: S-EPMC9254345 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Development of survival predictors for high-grade serous ovarian cancer based on stable radiomic features from computed tomography images.

Hu Jiaqi J   Wang Zhiwu Z   Zuo Ruocheng R   Zheng Chengcai C   Lu Bingjian B   Cheng Xiaodong X   Lu Weiguo W   Zhao Chunhui C   Liu Pengyuan P   Lu Yan Y  

iScience 20220616 7


Less than 35% of advanced patients with high-grade serous ovarian cancer (HGSOC) survive for 5 years after diagnosis. Here, we developed radiomics-based models to predict HGSOC clinical outcomes using preoperative contrast-enhanced computed tomography (CECT) images. 891 radiomics features were extracted between primary, metastatic, or lymphatic lesions from preoperative venous phase CECT images of 217 patients with HGSOC. A heuristic method, <b>F</b>requency <b>A</b>ppearance in <b>M</b>ultiple  ...[more]

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