Radiomics model based on dual-energy CT venous phase parameters to predict Ki-67 levels in gastrointestinal stromal tumors

  • 0Dalian Medical University, Dalian, Liaoning, China.

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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.