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- Title
Radiomic Nomogram Improves Preoperative T Category Accuracy in Locally Advanced Laryngeal Carcinoma.
- Authors
Wang, Fei; Zhang, Bin; Wu, Xiangjun; Liu, Lizhi; Fang, Jin; Chen, Qiuying; Li, Minmin; Chen, Zhuozhi; Li, Yueyue; Dong, Di; Tian, Jie; Zhang, Shuixing
- Abstract
Surgical decision-making on advanced laryngeal carcinoma is heavily depended on the identification of preoperative T category (T3 vs. T4), which is challenging for surgeons. A T category prediction radiomics (TCPR) model would be helpful for subsequent surgery. A total of 211 patients with locally advanced laryngeal cancer who had undergone total laryngectomy were randomly classified into the training cohort (n = 150) and the validation cohort (n = 61). We extracted 1,390 radiomic features from the contrast-enhanced computed tomography images. Interclass correlation coefficient and the least absolute shrinkage and selection operator (LASSO) analyses were performed to select features associated with pathology-confirmed T category. Eight radiomic features were found associated with preoperative T category. The radiomic signature was constructed by Support Vector Machine algorithm with the radiomic features. We developed a nomogram incorporating radiomic signature and T category reported by experienced radiologists. The performance of the model was evaluated by the area under the curve (AUC). The T category reported by radiologists achieved an AUC of 0.775 (95% CI: 0.667–0.883); while the radiomic signature yielded a significantly higher AUC of 0.862 (95% CI: 0.772–0.952). The predictive performance of the nomogram incorporating radiomic signature and T category reported by radiologists further improved, with an AUC of 0.892 (95% CI: 0.811–0.974). Consequently, for locally advanced laryngeal cancer, the TCPR model incorporating radiomic signature and T category reported by experienced radiologists have great potential to be applied for individual accurate preoperative T category. The TCPR model may benefit decision-making regarding total laryngectomy or larynx-preserving treatment.
- Subjects
LARYNGECTOMY; NOMOGRAPHY (Mathematics); LARYNGEAL cancer; SUPPORT vector machines; CARCINOMA; COMPUTED tomography; MEDICAL decision making; ONCOLOGIC surgery
- Publication
Frontiers in Oncology, 2019, p1
- ISSN
2234-943X
- Publication type
Article
- DOI
10.3389/fonc.2019.01064