Radiomics in predicting mutation status for thyroid cancer: A preliminary study using radiomics features for predicting BRAFV600E mutations in papillary thyroid carcinoma

To evaluate whether if ultrasonography (US)-based radiomics enables prediction of the presence of BRAFV600E mutations among patients diagnosed as papillary thyroid carcninoma (PTC). From December 2015 to May 2017, 527 patients who had been treated surgically for PTC were included (training: 387, val...

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Veröffentlicht in:PloS one 2020, Vol.15 (2), p.e0228968-e0228968
Hauptverfasser: Yoon, Jung Hyun, Han, Kyunghwa, Lee, Eunjung, Lee, Jandee, Kim, Eun-Kyung, Moon, Hee Jung, Park, Vivian Youngjean, Nam, Kee Hyun, Kwak, Jin Young
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creator Yoon, Jung Hyun
Han, Kyunghwa
Lee, Eunjung
Lee, Jandee
Kim, Eun-Kyung
Moon, Hee Jung
Park, Vivian Youngjean
Nam, Kee Hyun
Kwak, Jin Young
description To evaluate whether if ultrasonography (US)-based radiomics enables prediction of the presence of BRAFV600E mutations among patients diagnosed as papillary thyroid carcninoma (PTC). From December 2015 to May 2017, 527 patients who had been treated surgically for PTC were included (training: 387, validation: 140). All patients had BRAFV600E mutation analysis performed on surgical specimen. Feature extraction was performed using preoperative US images of the 527 patients (mean size of PTC: 16.4mm±7.9, range, 10-85 mm). A Radiomics Score was generated by using the least absolute shrinkage and selection operator (LASSO) regression model. Univariable/multivariable logistic regression analysis was performed to evaluate the factors including Radiomics Score in predicting BRAFV600E mutation. Subgroup analysis including conventional PTC
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In both total 527 cancers and 389 conventional PTC&lt;20-mm, Radiomics Score was the single factor showing significant association to the presence of BRAFV600E mutation on multivariable analysis (all P&lt;0.05). C-statistics for the validation set in the total cancers and the conventional PTCs&lt;20-mm were lower than that of the training set: 0.629 (95% CI: 0.516-0.742) to 0.718 (95% CI: 0.650-0.786), and 0.567 (95% CI: 0.434-0.699) to 0.729 (95% CI: 0.632-0.826), respectively. 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From December 2015 to May 2017, 527 patients who had been treated surgically for PTC were included (training: 387, validation: 140). All patients had BRAFV600E mutation analysis performed on surgical specimen. Feature extraction was performed using preoperative US images of the 527 patients (mean size of PTC: 16.4mm±7.9, range, 10-85 mm). A Radiomics Score was generated by using the least absolute shrinkage and selection operator (LASSO) regression model. Univariable/multivariable logistic regression analysis was performed to evaluate the factors including Radiomics Score in predicting BRAFV600E mutation. Subgroup analysis including conventional PTC &lt;20-mm (n = 389) was performed (training: 280, validation: 109). Of the 527 patients diagnosed with PTC, 428 (81.2%) were positive and 99 (18.8%) were negative for BRAFV600E mutation. In both total 527 cancers and 389 conventional PTC&lt;20-mm, Radiomics Score was the single factor showing significant association to the presence of BRAFV600E mutation on multivariable analysis (all P&lt;0.05). C-statistics for the validation set in the total cancers and the conventional PTCs&lt;20-mm were lower than that of the training set: 0.629 (95% CI: 0.516-0.742) to 0.718 (95% CI: 0.650-0.786), and 0.567 (95% CI: 0.434-0.699) to 0.729 (95% CI: 0.632-0.826), respectively. Radiomics features extracted from US has limited value as a non-invasive biomarker for predicting the presence of BRAFV600E mutation status of PTC regardless of size.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32053670</pmid><doi>10.1371/journal.pone.0228968</doi><orcidid>https://orcid.org/0000-0002-6212-1495</orcidid><oa>free_for_read</oa></addata></record>
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subjects Age
Biology and Life Sciences
Biomarkers
Cancer
Feature extraction
Hospitals
Lymphatic system
Medical diagnosis
Medical prognosis
Medical schools
Medicine
Medicine and Health Sciences
Metastasis
Mortality
Mutation
Papillary thyroid carcinoma
Patients
Physical Sciences
Radiology
Radiomics
Regression analysis
Regression models
Research and Analysis Methods
Statistical analysis
Subgroups
Surgery
Thyroid
Thyroid cancer
Training
Ultrasound
title Radiomics in predicting mutation status for thyroid cancer: A preliminary study using radiomics features for predicting BRAFV600E mutations in papillary thyroid carcinoma
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