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Dosiomics improves prediction of locoregional recurrence for intensity modulated radiotherapy treated head and neck cancer cases

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机构: [1]Department of Biomedical Engineering, Southern Medical University, Guangzhou, Guangdong 510515, China [2]Department of Radiation Oncology, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong 510060, China [3]Department of Radiation Oncology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510120, China
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关键词: Dosiomics Radiomics Prognosis Locoregional recurrences Intensity-modulated radiotherapy 3D dose distribution Head and neck cancer

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Objectives: To investigate whether dosiomics can benefit to IMRT treated patient's locoregional recurrences (LR) prediction through a comparative study on prediction performance inspection between radiomics methods and that integrating dosiomics in head and neck cancer cases. Materials and Methods: A cohort of 237 patients with head and neck cancer from four different institutions was obtained from The Cancer Imaging Archive and utilized to train and validate the radiomics-only prognostic model and integrate the dosiomics prognostic model. For radiomics, the radiomics features were initially extracted from images, including CTs and PETs, and selected on the basis of their concordance index (CI) values, then condensed via principle component analysis. Lastly, multivariate Cox proportional hazards regression models were constructed with class-imbalance adjustment as the LR prediction models by inputting those condensed features. For dosiomics integration model establishment, the initial features were similar, but with additional 3-dimensional dose distribution from radiation treatment plans. The CI and the Kaplan-Meier curves with log-rank analysis were used to assess and compare these models. Results: Observed from the independent validation dataset, the CI of the model for dosiomics integration (0.66) was significantly different from that for radiomics (0.59) (Wilcoxon test, p = 5.9 x 10(-31)). The integrated model successfully classified the patients into high- and low-risk groups (log-rank test, = xp 2.5 10(-02)), whereas the radiomics model was not able to provide such classification (log-rank test, p = 0.37). Conclusion: Dosiomics can benefit in predicting the LR in IMRT-treated patients and should not be neglected for related investigations.

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出版当年[2019]版:
大类 | 2 区 医学
小类 | 1 区 牙科与口腔外科 3 区 肿瘤学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 牙科与口腔外科 3 区 肿瘤学
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出版当年[2018]版:
Q1 DENTISTRY, ORAL SURGERY & MEDICINE Q2 ONCOLOGY
最新[2023]版:
Q1 DENTISTRY, ORAL SURGERY & MEDICINE Q2 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Department of Biomedical Engineering, Southern Medical University, Guangzhou, Guangdong 510515, China
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