Comparing radiomics models with different inputs for accurate diagnosis of significant fibrosis in chronic liver disease
Lu, Xue4; Zhou, Hui2,3; Wang, Kun2,3; Jin, Jieyang1,4; Meng, Fankun7; Mu, Xiaojie7; Li, Shuoyang6; Zheng, Rongqin4; Tian, Jie2,3,5
刊名EUROPEAN RADIOLOGY
2021-04-21
页码12
关键词Liver disease Hepatic cirrhosis Elasticity imaging techniques Deep learning
ISSN号0938-7994
DOI10.1007/s00330-021-07934-6
通讯作者Zheng, Rongqin(zhengrq@mail.sysu.edu.cn) ; Tian, Jie(jie.tian@ia.ac.cn)
英文摘要Objective The non-invasive discrimination of significant fibrosis (>= F2) in patients with chronic liver disease (CLD) is clinically critical but technically challenging. We aimed to develop an updated deep learning radiomics model of elastography (DLRE2.0) based on our previous DLRE model to achieve significantly improved performance in >= F2 evaluation. Methods This was a retrospective multicenter study with 807 CLD patients and 4842 images from three hospitals. All of these patients have liver biopsy results as referenced standard. Multichannel deep learning radiomics models were developed. Elastography images, gray-scale images of the liver capsule, gray-scale images of the liver parenchyma, and serological results were gradually integrated to establish different diagnosis models, and the optimal model was selected for assessing >= F2. Its accuracy was thoroughly investigated by applying different F0-1 prevalence cohorts and independent external test cohorts. Analysis of receiver operating characteristic (ROC) curves was performed to calculate the area under the ROC curve (AUC) for significance of fibrosis (>= F2) and cirrhosis (F4). Results The AUC of the DLRE2.0 model significantly increased to 0.91 compared with the DLRE model (AUC 0.83) when evaluating >= F2 (p = 0.0167). However, it did not show statistically significant differences as integrating gray-scale images and serological data into the DLRE2.0 model. AUCs of DLRE and DLRE2.0 increased, when there was higher F0-1 prevalence. All radiomics models had good robustness in the independent external test cohort. Conclusions DLRE2.0 was the most suitable model for staging significant fibrosis while considering the balance of diagnostic accuracy and clinical practicability.
资助项目National Natural Science Foundation of China[81827802] ; National Natural Science Foundation of China[81527805] ; National Natural Science Foundation of China[61231004] ; National Natural Science Foundation of China[61671449] ; National Natural Science Foundation of China[61401462] ; Chinese Academy of Sciences[KFJ-STS-ZDTP-059] ; Chinese Academy of Sciences[YJKYYQ20180048] ; Chinese Academy of Sciences[QYZDJ-SSW-JSC005] ; Chinese Academy of Sciences[XDB32030200]
WOS关键词HEPATITIS ; ELASTOGRAPHY ; GUIDELINES
WOS研究方向Radiology, Nuclear Medicine & Medical Imaging
语种英语
出版者SPRINGER
WOS记录号WOS:000642056700007
资助机构National Natural Science Foundation of China ; Chinese Academy of Sciences
内容类型期刊论文
源URL[http://ir.ia.ac.cn/handle/173211/44479]  
专题自动化研究所_中国科学院分子影像重点实验室
通讯作者Zheng, Rongqin; Tian, Jie
作者单位1.Sun Yat Sen Univ, Affiliated Hosp 3, Lingnan Hosp, Dept Ultrasound, 2693 Kaichuang Rd, Guangzhou 510700, Peoples R China
2.Chinese Acad Sci, Inst Automat, CAS Key Lab Mol Imaging, 95 Zhongguancun East Rd, Beijing 100190, Peoples R China
3.Univ Chinese Acad Sci, 19 A Yuquan Rd, Beijing 100049, Peoples R China
4.Sun Yat Sen Univ, Affiliated Hosp 3, Guangdong Key Lab Liver Dis Res, Dept Ultrasound, 600 Tianhe Rd, Guangzhou 510630, Peoples R China
5.Beihang Univ, Beijing Adv Innovat Ctr Big Data Based Precis Med, 95 Zhongguancun East Rd, Beijing, Peoples R China
6.Univ Wollongong, Fac Engn & Informat Sci EIS, Wollongong, NSW, Australia
7.Capital Med Univ, Beijing Youan Hosp, Funct Diag Ctr, Beijing 100069, Peoples R China
推荐引用方式
GB/T 7714
Lu, Xue,Zhou, Hui,Wang, Kun,et al. Comparing radiomics models with different inputs for accurate diagnosis of significant fibrosis in chronic liver disease[J]. EUROPEAN RADIOLOGY,2021:12.
APA Lu, Xue.,Zhou, Hui.,Wang, Kun.,Jin, Jieyang.,Meng, Fankun.,...&Tian, Jie.(2021).Comparing radiomics models with different inputs for accurate diagnosis of significant fibrosis in chronic liver disease.EUROPEAN RADIOLOGY,12.
MLA Lu, Xue,et al."Comparing radiomics models with different inputs for accurate diagnosis of significant fibrosis in chronic liver disease".EUROPEAN RADIOLOGY (2021):12.
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