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Can PD-L1 expression be predicted by contrast-enhanced CT in patients with gastric adenocarcinoma? a preliminary retrospective study

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机构: [1]Hebei Med Univ, Hosp 4, Dept Radiol, Shijiazhuang 050011, Hebei, Peoples R China [2]Siemens Healthineers Ltd, CT Collaborat, Beijing, Peoples R China
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关键词: Radiomics PD-L1 Gastric adenocarcinoma Computed tomography

摘要:
Background This study aimed to construct a computed tomography (CT) radiomics model to predict programmed cell death-ligand 1 (PD-L1) expression in gastric adenocarcinoma patients using radiomics features. Methods A total of 169 patients with gastric adenocarcinoma were studied retrospectively and randomly divided into training and testing datasets. The clinical data of the patients were recorded. Radiomics features were extracted to construct a radiomics model. The random forest-based Boruta algorithm was used to screen the features of the training dataset. A receiver operating characteristic (ROC) curve was used to evaluate the predictive performance of the model. Results Four radiomics features were selected to construct a radiomics model. The radiomics signature showed good efficacy in predicting PD-L1 expression, with an area under the receiver operating characteristic curve (AUC) of 0.786 (p < 0.001), a sensitivity of 0.681, and a specificity of 0.826. The radiomics model achieved the greatest areas under the curve (AUCs) in the training dataset (AUC = 0.786) and testing dataset (AUC = 0.774). The calibration curves of the radiomics model showed great calibration performances outcomes in the training dataset and testing dataset. The net clinical benefit for the radiomics model was high. Conclusion CT radiomics has important value in predicting the expression of PD-L1 in patients with gastric adenocarcinoma.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 3 区 核医学
最新[2025]版:
大类 | 3 区 医学
小类 | 4 区 核医学
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出版当年[2023]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Hebei Med Univ, Hosp 4, Dept Radiol, Shijiazhuang 050011, Hebei, Peoples R China
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通讯机构: [1]Hebei Med Univ, Hosp 4, Dept Radiol, Shijiazhuang 050011, Hebei, Peoples R China
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