Prediction of radiation pneumonitis after definitive radiotherapy for locally advanced non-small cell lung cancer using multi-region radiomics analysis

Abstract To predict grade ≥ 2 radiation pneumonitis (RP) in patients with locally advanced non-small cell lung cancer (NSCLC) using multi-region radiomics analysis. Data from 77 patients with NSCLC who underwent definitive radiotherapy between 2008 and 2018 were analyzed. Radiomic feature extraction...

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Autores principales: Daisuke Kawahara, Nobuki Imano, Riku Nishioka, Kouta Ogawa, Tomoki Kimura, Taku Nakashima, Hiroshi Iwamoto, Kazunori Fujitaka, Noboru Hattori, Yasushi Nagata
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/162a5a1857c44f82800534b435321ca5
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spelling oai:doaj.org-article:162a5a1857c44f82800534b435321ca52021-12-02T15:08:39ZPrediction of radiation pneumonitis after definitive radiotherapy for locally advanced non-small cell lung cancer using multi-region radiomics analysis10.1038/s41598-021-95643-x2045-2322https://doaj.org/article/162a5a1857c44f82800534b435321ca52021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-95643-xhttps://doaj.org/toc/2045-2322Abstract To predict grade ≥ 2 radiation pneumonitis (RP) in patients with locally advanced non-small cell lung cancer (NSCLC) using multi-region radiomics analysis. Data from 77 patients with NSCLC who underwent definitive radiotherapy between 2008 and 2018 were analyzed. Radiomic feature extraction from the whole lung (whole-lung radiomics analysis) and imaging- and dosimetric-based segmentation (multi-region radiomics analysis) were performed. Patients with RP grade ≥ 2 or < 2 were classified. Predictors were selected with least absolute shrinkage and selection operator logistic regression and the model was built with neural network classifiers. A total of 49,383 radiomics features per patient image were extracted from the radiotherapy planning computed tomography. We identified 4 features and 13 radiomics features in the whole-lung and multi-region radiomics analysis for classification, respectively. The accuracy and area under the curve (AUC) without the synthetic minority over-sampling technique (SMOTE) were 60.8%, and 0.62 for whole-lung and 80.1%, and 0.84 for multi-region radiomics analysis. These were improved 1.7% for whole-lung and 2.1% for multi-region radiomics analysis with the SMOTE. The developed multi-region radiomics analysis can help predict grade ≥ 2 RP. The radiomics features in the median- and high-dose regions, and the local intensity roughness and variation were important factors in predicting grade ≥ 2 RP.Daisuke KawaharaNobuki ImanoRiku NishiokaKouta OgawaTomoki KimuraTaku NakashimaHiroshi IwamotoKazunori FujitakaNoboru HattoriYasushi NagataNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Daisuke Kawahara
Nobuki Imano
Riku Nishioka
Kouta Ogawa
Tomoki Kimura
Taku Nakashima
Hiroshi Iwamoto
Kazunori Fujitaka
Noboru Hattori
Yasushi Nagata
Prediction of radiation pneumonitis after definitive radiotherapy for locally advanced non-small cell lung cancer using multi-region radiomics analysis
description Abstract To predict grade ≥ 2 radiation pneumonitis (RP) in patients with locally advanced non-small cell lung cancer (NSCLC) using multi-region radiomics analysis. Data from 77 patients with NSCLC who underwent definitive radiotherapy between 2008 and 2018 were analyzed. Radiomic feature extraction from the whole lung (whole-lung radiomics analysis) and imaging- and dosimetric-based segmentation (multi-region radiomics analysis) were performed. Patients with RP grade ≥ 2 or < 2 were classified. Predictors were selected with least absolute shrinkage and selection operator logistic regression and the model was built with neural network classifiers. A total of 49,383 radiomics features per patient image were extracted from the radiotherapy planning computed tomography. We identified 4 features and 13 radiomics features in the whole-lung and multi-region radiomics analysis for classification, respectively. The accuracy and area under the curve (AUC) without the synthetic minority over-sampling technique (SMOTE) were 60.8%, and 0.62 for whole-lung and 80.1%, and 0.84 for multi-region radiomics analysis. These were improved 1.7% for whole-lung and 2.1% for multi-region radiomics analysis with the SMOTE. The developed multi-region radiomics analysis can help predict grade ≥ 2 RP. The radiomics features in the median- and high-dose regions, and the local intensity roughness and variation were important factors in predicting grade ≥ 2 RP.
format article
author Daisuke Kawahara
Nobuki Imano
Riku Nishioka
Kouta Ogawa
Tomoki Kimura
Taku Nakashima
Hiroshi Iwamoto
Kazunori Fujitaka
Noboru Hattori
Yasushi Nagata
author_facet Daisuke Kawahara
Nobuki Imano
Riku Nishioka
Kouta Ogawa
Tomoki Kimura
Taku Nakashima
Hiroshi Iwamoto
Kazunori Fujitaka
Noboru Hattori
Yasushi Nagata
author_sort Daisuke Kawahara
title Prediction of radiation pneumonitis after definitive radiotherapy for locally advanced non-small cell lung cancer using multi-region radiomics analysis
title_short Prediction of radiation pneumonitis after definitive radiotherapy for locally advanced non-small cell lung cancer using multi-region radiomics analysis
title_full Prediction of radiation pneumonitis after definitive radiotherapy for locally advanced non-small cell lung cancer using multi-region radiomics analysis
title_fullStr Prediction of radiation pneumonitis after definitive radiotherapy for locally advanced non-small cell lung cancer using multi-region radiomics analysis
title_full_unstemmed Prediction of radiation pneumonitis after definitive radiotherapy for locally advanced non-small cell lung cancer using multi-region radiomics analysis
title_sort prediction of radiation pneumonitis after definitive radiotherapy for locally advanced non-small cell lung cancer using multi-region radiomics analysis
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/162a5a1857c44f82800534b435321ca5
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