Triphasic CT Radiomics Model for Preoperative Prediction of Hepatocellular Carcinoma Pathological Grading

  • 0Department of Radiology, The Third Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, 530031 People's Republic of China.

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Summary

This summary is machine-generated.

This study developed a triphasic CT radiomics model to predict hepatocellular carcinoma (HCC) pathological markers. The model noninvasively enhances preoperative diagnosis and prognostic evaluation for HCC.

Area Of Science

  • Radiology
  • Oncology
  • Medical Imaging

Background

  • Hepatocellular carcinoma (HCC) diagnosis and prognosis rely on accurate pathological markers.
  • Noninvasive methods for predicting these markers are crucial for clinical decision-making.

Purpose Of The Study

  • To develop and validate a triphasic CT-based radiomics model for predicting multiple critical pathological markers in HCC.
  • To assess the model's performance in grading Edmondson-Steiner (Ed), Microvascular invasion (MVI), and Satellite nodule (SN).

Main Methods

  • A retrospective study of 174 HCC patients (187 lesions) using 2264 radiomic features from arterial, venous, and delayed phase CT images.
  • Feature selection using mRMR, SelectKBest, and LASSO algorithms.
  • Development of single-phase and triphasic fusion models using logistic regression and SVM classifiers.

Main Results

  • The triphasic fusion model demonstrated superior performance in predicting Ed, MVI, and SN grading.
  • Achieved high AUCs in both testing (0.890-0.829) and validation (0.836-0.810) datasets.
  • Fusion model outperformed individual single-phase models.

Conclusions

  • The triphasic CT radiomics model offers a noninvasive tool for preoperative prediction of HCC pathological grading.
  • Enhances diagnostic accuracy for clinical decision-making and prognostic evaluation.
  • Facilitates improved patient management strategies for HCC.