使用深度学习模型来预测神经内分泌瘤患者的无进展生存率
Marianne Pavel1, Clarisse Dromain2, Maxime Ronot3
1Department of Medicine 1, Friedrich-Alexander-University of Erlangen-Nürnberg, Erlangen, Germany.
Future oncology (London, England)
|July 27, 2023
概括
深度学习模型分析了CT扫描,以预测神经内分泌瘤中无进展生存 (PFS). 虽然深度学习提取了相关特征,但与现有方法相比,深度学习并没有增强早期PFS预测.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 人工智能的人工智能
背景情况:
- 神经内分泌瘤 (NETs) 需要准确的预后来规划治疗.
- 预测无进展生存率 (PFS) 对于管理NET至关重要.
- 深度学习 (DL) 提供了在瘤学中改善预测建模的潜力.
研究的目的:
- 评估深度学习 (DL) 是否可以提高神经内分泌瘤 (NET) 患者无进展生存 (PFS) 的早期预测.
- 为了比较DL模型与传统生物标志物相结合的预测性能与单独的生物标志物.
主要方法:
- 在CLARINET试验中,使用来自138名患者的CT扫描数据开发了深度学习模型.
- 这项研究使用了考克斯模型来评估PFS预测.
- 将包含DL特征的模型与仅使用最长直径比率 (SLDr) 和对数转换染色素A (logCgA) 的模型进行了性能比较.
主要成果:
- 深度学习模型确定了超出病变形状的特征,用于72周的PFS预测.
- 与单独使用SLDr和logCgA的模型相比,添加深度学习并没有显著改善PFS的预测性能.
- 相关的预测特征被DL提取出来,但早期预测的准确性没有得到增强.
结论:
- 深度学习模型可以提取相关的成像特征来预测神经内分泌瘤中的PFS.
- 当前的深度学习方法,当与已确定的生物标志物 (SLDr,logCgA) 结合时,无法在NET患者中提供优越的PFS早期预测.
- 可能需要进一步的研究来优化DL集成,以提高NET中的预后准确性.
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