A different overview of staging PET/CT images in patients with esophageal cancer: the role of textural analysis with machine learning methods

Objective This study evaluates the ability of several machine learning (ML) algorithms, developed using volumetric and texture data extracted from baseline 18 F-FDG PET/CT studies performed initial staging of patient with esophageal cancer (EC), to predict survival and histopathology. Methods The in...

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Veröffentlicht in:Annals of nuclear medicine 2021-09, Vol.35 (9), p.1030-1037
Hauptverfasser: Karahan Şen, Nazlı Pınar, Aksu, Ayşegül, Çapa Kaya, Gamze
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container_issue 9
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container_title Annals of nuclear medicine
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creator Karahan Şen, Nazlı Pınar
Aksu, Ayşegül
Çapa Kaya, Gamze
description Objective This study evaluates the ability of several machine learning (ML) algorithms, developed using volumetric and texture data extracted from baseline 18 F-FDG PET/CT studies performed initial staging of patient with esophageal cancer (EC), to predict survival and histopathology. Methods The initial staging 18 F-FDG PET/CT images obtained on newly diagnosed EC patients between January 2008 and June 2019 were evaluated using LIFEx software. A region of interest (ROI) of the primary tumor was created and volumetric and textural features were obtained. A significant relationship between these features and pathological subtypes, 1-year, and 5-year survival was investigated. Due to the nonhomogeneity of the data, nonparametric test (The Mann–Whitney U test) was used for each feature, in pairwise comparisons of independent variables. A p value of 
doi_str_mv 10.1007/s12149-021-01638-z
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Methods The initial staging 18 F-FDG PET/CT images obtained on newly diagnosed EC patients between January 2008 and June 2019 were evaluated using LIFEx software. A region of interest (ROI) of the primary tumor was created and volumetric and textural features were obtained. A significant relationship between these features and pathological subtypes, 1-year, and 5-year survival was investigated. Due to the nonhomogeneity of the data, nonparametric test (The Mann–Whitney U test) was used for each feature, in pairwise comparisons of independent variables. A p value of &lt; 0.05 was considered significant. Receiver operating curve (ROC) analysis was performed for features with p  &lt; 0.05. Correlation between the significant features was evaluated with Spearman correlation test; features with correlation coefficient &lt; 0.8 were evaluated with several ML algorithms. Results In predicting survival in a 1-year follow-up J48 was obtained as the most successful algorithm (AUC: 0.581, PRC: 0.565, MCC: 0.258, acc: 64.29%). 5-year survival results were more promising than 1-year survival results with (AUC: 0.820, PRC: 0.860, MCC: 271, acc: 81.36%) by logistic regression. It is revealed that the most successful algorithm was naive bayes (AUC: 0.680 PRC: 0.776, MCC: 0.298, acc: 82.66%) in the histopathological discrimination. Conclusion Texture analysis with ML algorithms could be predictive of overall survival and discriminating histopathological subtypes of EC.</description><identifier>ISSN: 0914-7187</identifier><identifier>ISSN: 1864-6433</identifier><identifier>EISSN: 1864-6433</identifier><identifier>DOI: 10.1007/s12149-021-01638-z</identifier><identifier>PMID: 34106428</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Algorithms ; Bayesian analysis ; Cancer ; Computed tomography ; Correlation coefficients ; Esophageal cancer ; Esophageal Neoplasms - diagnostic imaging ; Esophageal Neoplasms - pathology ; Esophagus ; Female ; Fluorine isotopes ; Fluorodeoxyglucose F18 ; Humans ; Image Processing, Computer-Assisted - methods ; Imaging ; Independent variables ; Learning algorithms ; Machine Learning ; Male ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neoplasm Staging ; Nuclear Medicine ; Original Article ; Positron emission ; Positron emission tomography ; Positron Emission Tomography Computed Tomography ; Radiology ; Retrospective Studies ; Survival ; Survival Analysis ; Texture ; Tomography</subject><ispartof>Annals of nuclear medicine, 2021-09, Vol.35 (9), p.1030-1037</ispartof><rights>The Japanese Society of Nuclear Medicine 2021</rights><rights>2021. The Japanese Society of Nuclear Medicine.</rights><rights>The Japanese Society of Nuclear Medicine 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-4554c623f91a3730ccb19235b8668e352e9e4b4aeff999e5375c54fd51c1e6413</citedby><cites>FETCH-LOGICAL-c399t-4554c623f91a3730ccb19235b8668e352e9e4b4aeff999e5375c54fd51c1e6413</cites><orcidid>0000-0002-1562-9085</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12149-021-01638-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12149-021-01638-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34106428$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karahan Şen, Nazlı Pınar</creatorcontrib><creatorcontrib>Aksu, Ayşegül</creatorcontrib><creatorcontrib>Çapa Kaya, Gamze</creatorcontrib><title>A different overview of staging PET/CT images in patients with esophageal cancer: the role of textural analysis with machine learning methods</title><title>Annals of nuclear medicine</title><addtitle>Ann Nucl Med</addtitle><addtitle>Ann Nucl Med</addtitle><description>Objective This study evaluates the ability of several machine learning (ML) algorithms, developed using volumetric and texture data extracted from baseline 18 F-FDG PET/CT studies performed initial staging of patient with esophageal cancer (EC), to predict survival and histopathology. Methods The initial staging 18 F-FDG PET/CT images obtained on newly diagnosed EC patients between January 2008 and June 2019 were evaluated using LIFEx software. A region of interest (ROI) of the primary tumor was created and volumetric and textural features were obtained. A significant relationship between these features and pathological subtypes, 1-year, and 5-year survival was investigated. Due to the nonhomogeneity of the data, nonparametric test (The Mann–Whitney U test) was used for each feature, in pairwise comparisons of independent variables. A p value of &lt; 0.05 was considered significant. Receiver operating curve (ROC) analysis was performed for features with p  &lt; 0.05. Correlation between the significant features was evaluated with Spearman correlation test; features with correlation coefficient &lt; 0.8 were evaluated with several ML algorithms. Results In predicting survival in a 1-year follow-up J48 was obtained as the most successful algorithm (AUC: 0.581, PRC: 0.565, MCC: 0.258, acc: 64.29%). 5-year survival results were more promising than 1-year survival results with (AUC: 0.820, PRC: 0.860, MCC: 271, acc: 81.36%) by logistic regression. It is revealed that the most successful algorithm was naive bayes (AUC: 0.680 PRC: 0.776, MCC: 0.298, acc: 82.66%) in the histopathological discrimination. Conclusion Texture analysis with ML algorithms could be predictive of overall survival and discriminating histopathological subtypes of EC.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Algorithms</subject><subject>Bayesian analysis</subject><subject>Cancer</subject><subject>Computed tomography</subject><subject>Correlation coefficients</subject><subject>Esophageal cancer</subject><subject>Esophageal Neoplasms - diagnostic imaging</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophagus</subject><subject>Female</subject><subject>Fluorine isotopes</subject><subject>Fluorodeoxyglucose F18</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted - methods</subject><subject>Imaging</subject><subject>Independent variables</subject><subject>Learning algorithms</subject><subject>Machine Learning</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Nuclear Medicine</subject><subject>Original Article</subject><subject>Positron emission</subject><subject>Positron emission tomography</subject><subject>Positron Emission Tomography Computed Tomography</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Survival</subject><subject>Survival Analysis</subject><subject>Texture</subject><subject>Tomography</subject><issn>0914-7187</issn><issn>1864-6433</issn><issn>1864-6433</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAUhS0EotPCC7BAltiwCfV_YnbVqLSVKtHFsI48nuuJqyQebKd_78A743QGkFhUutJdnO-cK_sg9IGSL5SQ-jRRRoWuCKMVoYo31dMrtKCNEpUSnL9GC6KpqGra1EfoOKVbQlgjG_YWHXFBiRKsWaBfZ3jjnYMIY8bhDuKdh3scHE7ZbP24xTfnq9PlCvvBbCFhP-Kdyb7ACd_73GFIYdcVyfTYmtFC_IpzBziGHuaUDA95ikU0o-kfkz-4BmM7PwLuwcRxvjJA7sImvUNvnOkTvD_sE_Tj2_lqeVldf7-4Wp5dV5ZrnSshpbCKcaep4TUn1q6pZlyuG6Ua4JKBBrEWBpzTWoPktbRSuI2kloISlJ-gz_vcXQw_J0i5HXyy0PdmhDCllkmuJZNS6YJ--g-9DVMsr5kp2czzHMj2lI0hpQiu3cXyZfGxpaSdy2r3ZbWlrPa5rPapmD4eoqf1AJu_lj_tFIDvgVSkcQvx3-0XYn8DfQug3w</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Karahan Şen, Nazlı Pınar</creator><creator>Aksu, Ayşegül</creator><creator>Çapa Kaya, Gamze</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1562-9085</orcidid></search><sort><creationdate>20210901</creationdate><title>A different overview of staging PET/CT images in patients with esophageal cancer: the role of textural analysis with machine learning methods</title><author>Karahan Şen, Nazlı Pınar ; Aksu, Ayşegül ; Çapa Kaya, Gamze</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-4554c623f91a3730ccb19235b8668e352e9e4b4aeff999e5375c54fd51c1e6413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Algorithms</topic><topic>Bayesian analysis</topic><topic>Cancer</topic><topic>Computed tomography</topic><topic>Correlation coefficients</topic><topic>Esophageal cancer</topic><topic>Esophageal Neoplasms - diagnostic imaging</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Esophagus</topic><topic>Female</topic><topic>Fluorine isotopes</topic><topic>Fluorodeoxyglucose F18</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted - methods</topic><topic>Imaging</topic><topic>Independent variables</topic><topic>Learning algorithms</topic><topic>Machine Learning</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Nuclear Medicine</topic><topic>Original Article</topic><topic>Positron emission</topic><topic>Positron emission tomography</topic><topic>Positron Emission Tomography Computed Tomography</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Survival</topic><topic>Survival Analysis</topic><topic>Texture</topic><topic>Tomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karahan Şen, Nazlı Pınar</creatorcontrib><creatorcontrib>Aksu, Ayşegül</creatorcontrib><creatorcontrib>Çapa Kaya, Gamze</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karahan Şen, Nazlı Pınar</au><au>Aksu, Ayşegül</au><au>Çapa Kaya, Gamze</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A different overview of staging PET/CT images in patients with esophageal cancer: the role of textural analysis with machine learning methods</atitle><jtitle>Annals of nuclear medicine</jtitle><stitle>Ann Nucl Med</stitle><addtitle>Ann Nucl Med</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>35</volume><issue>9</issue><spage>1030</spage><epage>1037</epage><pages>1030-1037</pages><issn>0914-7187</issn><issn>1864-6433</issn><eissn>1864-6433</eissn><abstract>Objective This study evaluates the ability of several machine learning (ML) algorithms, developed using volumetric and texture data extracted from baseline 18 F-FDG PET/CT studies performed initial staging of patient with esophageal cancer (EC), to predict survival and histopathology. Methods The initial staging 18 F-FDG PET/CT images obtained on newly diagnosed EC patients between January 2008 and June 2019 were evaluated using LIFEx software. A region of interest (ROI) of the primary tumor was created and volumetric and textural features were obtained. A significant relationship between these features and pathological subtypes, 1-year, and 5-year survival was investigated. Due to the nonhomogeneity of the data, nonparametric test (The Mann–Whitney U test) was used for each feature, in pairwise comparisons of independent variables. A p value of &lt; 0.05 was considered significant. Receiver operating curve (ROC) analysis was performed for features with p  &lt; 0.05. Correlation between the significant features was evaluated with Spearman correlation test; features with correlation coefficient &lt; 0.8 were evaluated with several ML algorithms. Results In predicting survival in a 1-year follow-up J48 was obtained as the most successful algorithm (AUC: 0.581, PRC: 0.565, MCC: 0.258, acc: 64.29%). 5-year survival results were more promising than 1-year survival results with (AUC: 0.820, PRC: 0.860, MCC: 271, acc: 81.36%) by logistic regression. It is revealed that the most successful algorithm was naive bayes (AUC: 0.680 PRC: 0.776, MCC: 0.298, acc: 82.66%) in the histopathological discrimination. Conclusion Texture analysis with ML algorithms could be predictive of overall survival and discriminating histopathological subtypes of EC.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>34106428</pmid><doi>10.1007/s12149-021-01638-z</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1562-9085</orcidid></addata></record>
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Adult
Aged
Aged, 80 and over
Algorithms
Bayesian analysis
Cancer
Computed tomography
Correlation coefficients
Esophageal cancer
Esophageal Neoplasms - diagnostic imaging
Esophageal Neoplasms - pathology
Esophagus
Female
Fluorine isotopes
Fluorodeoxyglucose F18
Humans
Image Processing, Computer-Assisted - methods
Imaging
Independent variables
Learning algorithms
Machine Learning
Male
Medical imaging
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Staging
Nuclear Medicine
Original Article
Positron emission
Positron emission tomography
Positron Emission Tomography Computed Tomography
Radiology
Retrospective Studies
Survival
Survival Analysis
Texture
Tomography
title A different overview of staging PET/CT images in patients with esophageal cancer: the role of textural analysis with machine learning methods
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