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使用手术前计算机断层扫描放射学模型预测肺癌中微波除复发的预测

Fandong Zhu¹, Chen Yang¹, Jing Yang¹

¹Department of Radiology, Shaoxing People's Hospital (Key Laboratory of Functional Molecular Imaging of Tumor and Interventional Diagnosis and Treatment of Shaoxing City), No.568, Zhongxing North Road, Shaoxing 312000, China.

Current medical imaging

|February 23, 2024

概括

在微波切除 (MWA) 后预测肺恶性瘤复发至关重要. 术前CT放射学模型准确预测MWA复发,有助于制定更好的治疗策略.

科学领域:

在瘤学瘤学.
放射学放射学是一门学科.
医疗成像医学成像

背景情况:

评估微波除 (MWA) 对肺恶性瘤的早期疗效是一个挑战.
准确的早期疗效评估可以改善临床干预和患者预后.

研究的目的:

开发和评估用于预测肺恶性瘤中MWA复发的非侵入性诊断技术.
使用手术前计算机断层扫描 (CT) 放射学模型进行复发预测.

主要方法:

对116名用MWA治疗的肺恶性瘤患者的回顾性分析.
从手术前的CT扫描中对瘤进行细分和创建放射性特征.
开发瘤,周围瘤和联合放射学模型,使用ROC曲线和DCA进行验证.

主要成果:

瘤直径被确定为复发的临床风险因素 (P < 0.05).
瘤和周围瘤放射学模型都显示出高诊断效率.
组合放射学模型 (C1-RO,C2-RO) 在培训和验证队列中实现了高AUC (0.89-0.94).

结论:

术前CT放射学模型有效预测MWA后的肺恶性瘤复发.
结合瘤和周围瘤放射学模型可以提高预测性能.
这些模型可以帮助开发更有效的手术前治疗策略.

关键词:

计算机断层扫描 (CT) 是一种计算机断层扫描.微波除是微波除的一种方法.肺部恶性瘤肺部恶性瘤一个肺部瘤.无线电学 (Radiomics) 是一种无线电学.复发情况复发情况

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