Radiomics model based on dual-energy CT venous phase parameters to predict Ki-67 levels in gastrointestinal stromal tumors
- Wen-Hua Liu 1,2, Min Li 2, Guo-Qiang Ren 2, Zhi-Yang Tang 2, Xiu-Hong Shan 2, Ben-Qiang Yang 3
- Wen-Hua Liu 1,2, Min Li 2, Guo-Qiang Ren 2
- 1Dalian Medical University, Dalian, Liaoning, China.
- 2Department of Radiology, Jiangsu University affiliated People's Hospital (Zhenjiang First People's Hospital), Zhenjiang, Jiangsu, China.
- 3Department of Radiology, General Hospital of Northern Theater Command, Shenyang, Liaoning, China.
- 0Dalian Medical University, Dalian, Liaoning, China.
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View abstract on PubMed
Summary
This summary is machine-generated.This study developed a combined model using Dual-Energy CT (DECT) radiomics and clinical features to accurately predict Ki-67 expression in gastrointestinal stromal tumors (GISTs). The model shows high accuracy for preoperative prediction, aiding in GIST management.
Area Of Science
- Radiology
- Oncology
- Medical Imaging
Background
- Gastrointestinal stromal tumors (GISTs) require accurate assessment of proliferation markers like Ki-67.
- Current methods for predicting Ki-67 expression in GISTs may have limitations.
Purpose Of The Study
- To develop and validate a radiomics model using Dual-Energy CT (DECT) features to predict Ki-67 expression levels in GISTs.
- To integrate DECT-derived radiomics with clinical features for enhanced predictive accuracy.
Main Methods
- Retrospective analysis of 91 GIST patients.
- Construction of clinical, radiomics (iodine density, effective atomic number maps), and combined models.
- Validation using discrimination, calibration, and decision curve analysis.
Main Results
- The combined model demonstrated superior predictive performance with an AUC of 0.982.
- Excellent calibration was observed (Hosmer-Lemeshow P=0.99).
- The model showed significant clinical utility across a broad probability threshold.
Conclusions
- A nomogram integrating clinical and DECT radiomics features accurately predicts preoperative Ki-67 expression in GISTs.
- This approach offers a non-invasive method for assessing GIST proliferation.
- The combined model enhances preoperative prediction accuracy for GIST management.
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