机构:[1]Department of General Surgery, Nanfang Hospital affiliated to Southern Medical University, Guangzhou, China.[2]Department of Surgery, Stanford University School of Medicine, Stanford, United States of America.[3]Department of Radiation Oncology, Stanford University School of Medicine, Stanford, United States of America.[4]College of Computer Science, Nankai University, Tianjin, China.[5]Department of Gastrointestinal Surgery, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.大德路总院肛肠科大德路总院肛肠科广东省中医院[6]Graduate Group of Epidemiology, University of California Davis, Davis, United States of America.[7]JancsiTech and Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.[8]Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China.[9]Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine, Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine, Shenzhen, China.[10]Department of Pathology, Southern Medical University, Guangzhou, China.[11]The Department of Statistics and Actuarial Science, The University of Hong Kong, Hongkong, China.[12]State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, China.[13]Wake Forest University School of Medicine, Winston, United States of America.
The tumor immune microenvironment can provide prognostic and therapeutic information. We aimed to develop noninvasive imaging biomarkers from computed tomography (CT) for comprehensive evaluation of immune context, and investigate their associations with prognosis and immunotherapy response in gastric cancer (GC).This study involved 2,600 GC patients of nine independent cohorts. We developed and validated two CT imaging biomarkers [lymphoid radiomics score (LRS) and myeloid radiomics score (MRS)] for evaluating the immunohistochemistry (IHC)-derived lymphoid and myeloid immune context respectively, and then integrated them into a combined imaging biomarker [LRS/MRS: low(-) or high(+)] with four radiomics immune subtypes: 1(-/-), 2(+/-), 3(-/+), and 4(+/+). We further evaluated the imaging biomarkers' predictive values on prognosis and immunotherapy response.The developed imaging biomarkers (LRS and MRS) had a high accuracy in predicting lymphoid (AUC range: 0.765-0.773) and myeloid (AUC range: 0.736-0.750) immune context. Furthermore, same as IHC-derived immune context, two imaging biomarkers (HR range: 0.240-0.761 for LRS; 1.301-4.012 for MRS) and the combined biomarker were independent predictors for disease-free and overall survival in the training and all validation cohorts (all P<0.05). In addition, patient with high LRS or low MRS may benefit more from immunotherapy (P<0.001). Furthermore, a highly heterogeneous outcome on objective response rate was observed in four imaging subtypes: 1(-/-) with 27.3%, 2(+/-) with 53.3%, 3(-/+) with 10.2%, and 4(+/+) with 30.0% (P<0.0001).The noninvasive imaging biomarkers could accurately evaluate the immune context, and provide information regarding prognosis and immunotherapy for GC.None.
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外文
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中科院(CAS)分区:
出版当年[2023]版:
大类|1 区医学
小类|1 区医学:研究与实验
最新[2025]版:
大类|1 区医学
小类|1 区医学:研究与实验
第一作者:
第一作者机构:[1]Department of General Surgery, Nanfang Hospital affiliated to Southern Medical University, Guangzhou, China.
共同第一作者:
通讯作者:
通讯机构:[1]Department of General Surgery, Nanfang Hospital affiliated to Southern Medical University, Guangzhou, China.[13]Wake Forest University School of Medicine, Winston, United States of America.[*1]Department of Radiation Oncology, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, United States[*2]Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China
推荐引用方式(GB/T 7714):
Sun Zepang,Zhang Taojun,Ahmad M Usman,et al.Comprehensive assessment of immune context and immunotherapy response via noninvasive imaging in gastric cancer[J].The Journal Of Clinical Investigation.2024,doi:10.1172/JCI175834.
APA:
Sun Zepang,Zhang Taojun,Ahmad M Usman,Zhou Zixia,Qiu Liang...&Jiang Yuming.(2024).Comprehensive assessment of immune context and immunotherapy response via noninvasive imaging in gastric cancer.The Journal Of Clinical Investigation,,
MLA:
Sun Zepang,et al."Comprehensive assessment of immune context and immunotherapy response via noninvasive imaging in gastric cancer".The Journal Of Clinical Investigation .(2024)